The prevalence of six genital genotypes of HPV was assessed in the clinically normal oral mucosa of an adult Caucasian population, and three methods of sample collection compared. HPV DNA was detected in the mouth of 60% of 60 subjects. HPV 16 was the most prevalent genotype, and positive samples were found most frequently in men over 50. A 3% sucrose mouthwash produced more positive results (51%) than mucosal scrapes of three separate sites (45%) or buccal mucosal biopsies (12%). There was no association of a positive result for HPV DNA with any particular mucosal site. A mouthwash was the preferred single screening method for epidemiologic studies of HPV DNA in the mouth, but the greatest yield of positive samples was obtained if multiple sampling techniques were employed.

As in Britain, management of isolated orbital floor blow-out fractures comprises part of the surgical spectrum for many oral and maxillofacial surgeons in Australia and New Zealand. The management protocol was observed to be very similar between the two groups.

No abstract

Road traffic accidents cause severe facial injuries and are frequently associated with injuries to other organ systems. The aims of this study were to define the facial injuries suffered by victims of road trauma and assess the need for a multidisciplinary approach to their management. A retrospective study of all patients over 14years of age suffering facial injuries over a five year period was conducted. Data was collected on the nature of their facial and other injuries and the impact of interspeciality management on their treatment. Four hundred and nine patients were identified. The midface was injured more frequently than the mandible and the majority of patients had multiple facial injuries. Neurologic, orthopaedic, thoracic and abdominal injuries were common and impacted on the management of the patients' facial trauma. Road traffic accidents cause more severe facial trauma than other mechanisms of injury. Other organ systems are more likely to be injured and the management of these injuries often impacts on their facial injury treatment demanding high levels of interspeciality cooperation.