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Publication Weight loss in orthognathic surgery : a clinical study(Maney Publishing, 2015-09) Hammond, Douglas; Williams, Rhodri W.; Juj, Kiranjit; O'Connell, Susan; Isherwood, Grant; Hammond, Nichola; University Hospitals Birmingham NHS Foundation Trust; The Shrewsbury and Telford Hospital NHS Trust; George Eliot Hospital NHS Trust, Nuneaton; Hammond, NicholaObjective: To analyse weight change, body composition change and Body Mass Index change in patients undergoing orthognathic surgery. Design: A service evaluation was undertaken in orthognathic patients pre-operatively and at 4 weeks post-surgery. Setting: Queen Elizabeth Hospital Birmingham outpatient department. Subjects: Thirty-one patients scheduled for single- or two-jaw orthognathic surgery and rigid internal fixation. Methods: Immediately pre-operatively and at 4 weeks post-surgery the following information was gathered: (1) patient height; (2) patient weight (kg); (3) Patient Body Mass Index; and (4) patient body fat percentage. Results: In the 4-week post-operative period, the average weight loss was -4·96 kg (range: -9·6 to +3·0 kg), with a body fat reduction of -3·07% (range: -5·80% to +2·30%) and an average reduction in Body Mass Index of -1·63 (range: -3·4 to +0·8). There was no statistically significant difference in weight loss (P = 0·1562) or body fat composition change (P = 0·2391) between single- or two-jaw surgery. There was no statistically significant difference in weight loss (P = 0·4858) or body fat composition change (P = 0·5321) between male and female patients. Conclusions: Weight loss observed was similar to that reported in studies using inter-maxillary fixation. Closer psychological and dietetic support is needed for patients who have a low normal or underweight Body Mass Index. Better and more bespoke tailored Oral Nutritional Supplementation must be provided for all orthognathic surgery patients to potentially reduce this significant weight loss.Publication Solitary calvarial myofibroma presenting in adolescence(Taylor and Francis Group, 2005-10) Bodkin, P. A.; Choksey, M. S.; Fagan, J.; Addenbrookes Hospital, Cambridge; Walsgrave Hospital, Coventry; George Eliot Hospital, Nuneaton; Maxillofacial Surgery; Medical and Dental; Fagan, J.; Choksey, M. S.Myofibroma is a benign fibrous tumour that may be found in the soft tissues, skeleton, and internal organs. It is a rare lesion but is the commonest fibrous tumour in infancy. Involvement of the skull has been reported in some 21 cases in the English-language literature. None of these, however, has arisen outside infancy. Here, we report a myofibroma arising from the temporal bone in a 17-year-old girl.