Oral and Maxillofacial Surgery in India – Treatments & Frequently Asked Questions
Oral and maxillofacial surgery is a branch of surgery to correct a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral (mouth) and Cranio -maxillofacial region (jaw and face region). It is an internationally recognized surgical specialty. In most countries around the world, it is recognized as a dental or medical specialty.
OMF surgery is unique in requiring a dual qualification in medicine and dentistry, and is often seen as the bridge between medicine and dentistry, treating conditions that require expertise from both backgrounds such as head and neck cancers,salivary gland diseases, facial disproportion, facial pain, temporomandibular joint disorders, impacted teeth, cysts and tumors of the jaws as well as numerous problems affecting the oral mucosa such as mouth ulcers and infections.
More simply put, the oral and maxillofacial surgeon is the orthopedic surgeon of the facial region. He or she is an individual who addresses problems ranging from the removal of impacted teeth to the repair of facial trauma.
Surgery for Facial Deformity – the correction of congenital or acquired facial deformity is complex and involves three major areas – Orthognathic surgery which is the correction of jaw disproportion, Craniofacial surgery which is the treatment of complex skull and facial conditions which result in deformity, and Cleft lip & palate surgery. All three areas share the aims of improving oro-facial function, helping to overcome facial disfigurement and restoring quality of life.
Head and Neck cancer – the surgical treatment of tumors affecting the head and neck, from removal of the tumours to subsequent reconstruction, including microvascular free tissue transfer.
Dentoalveolar surgery – is treatment of the teeth (including implants), jaws, temporomandibular joints and salivary glands. It also inclues complex surgery like surgery to remove impacted teeth, difficult tooth extractions, extractions on medically compromised patients, bone grafting or preprosthetic surgery to provide better anatomy for the placement of implants, dentures, or other dental prostheses.
Trauma – the treatment of facial soft and hard tissue injuries of the craniofacial structures like jaw fractures, cheek bone fractures, nasal fractures, LeFort fracture, skull fractures and eye socket fractures.
Cosmetic surgery / Facial aesthetics – limited to the head and neck which include rhytidectomy/facelift, browlift/blepharoplasty, otoplasty, rhinoplasty, septoplasty, cheek augmentation, chin augmentation, genioplasty, neck liposuction, lip enhancement, injectable cosmetic treatments, botox, chemical peel etc.
Jaw Joint problem & Facial Pain – two distinct areas that often overlap, and can require specialist expertise in order to differentiate them from one another.
Temporomandibular joint (TMJ) disorders – surgery for functional or inflammatory disorders of the joint soft tissues, bony disorders such as osteoarthritis or ankylosis, or TMJ tumors. Temporomandibular disorders (TMD) occur as a result of problems with the jaw, jaw joint, and surrounding facial muscles that control chewing and moving the jaw.
The second stage was carried out 6 months after the first surgery. This was the distractor placement and distraction phase – where the bone was divided at the mandibular angle region and gradually moved apart 1cm a day using a mandibular distraction device. ‘We achieved 20 mm of bone distraction by the end of a month,’ In the third and last stage which followed four months after the second surgery – called the consolidation phase- the distractor was removed and an advancement genioplasty was done to achieve results.
‘The total treatment time took one-and-a-half years from start to end and the patient visited the hospital thrice with and average hospital stay period 4 days each time and 1months in India . The patient has now returned to India for a medical follow up and a much-improved health and overall well-being. For more information on or Hand surgery please visit.
Afghan man’s ‘Bird Face Deformity’ successfully treated by Doctors at SafeMedTrip affiliated World Class Hospital in India
A 21-year-old patient from Kabul, Afghanistan, who was unable to open his mouth more than a few millimetres, was successfully treated by a team led by Maxillofacial Surgeon, at SafeMedTrip affiliated World Class Hospital in India.
The patient suffered from the classical Bird Face Deformity, which restricted his mouth opening to barely 10 mm, instead of the normal 35-40 mm. He had suffered a jaw injury as a child, which fused his jaw bone with the skull and made it immobile, leading to the progressive inability to open his mouth.
For all his life, 21-year-old Harman Abdullah had never tasted the delicacies like Yakhni pulao and Korma his mother cooked. This was not because he lived away from her, but because he could never open his mouth wider than a few millimeters to bite into them. Abdullah (form Kabul) presented our network hospitalwith Classical bird face deformity which restricted his mouth opening to barely 10 mm (against a normal 35-40 mm mouth opening).
Abdullah had a history of trauma to the temporo-madibular joint as a child (which fused his jaw into the skull and made it immobile), leading to progressive inability to open his mouth. He had been operated twice as a child back home to improve his condition but not much to his avail. Abdullah also had a severely retruded chin as his bone had not grown as any other normal child affecting his physical appearance. As a result, he could not completed his schooling and had no peer. Due to his condition, he could not maintain proper oral hygiene and was malnourished and weak in his overall well-being.
“It was one of the most challenging surgeries. During the two earlier surgeries – doctors had tried to separate the jaw from the skull but his condition only marginally improved. A 3D CT scan showed fusion of the lower jawbone to the skull, leading to the diagnosis of Bilateral Temporo- Mandibular joint ankylosis. The Maxillofacial Surgery was planned in two stages – improve mouth opening and improve aesthetic. The surgical phase was divided into 3 parts. In the first part Inter positional arthroplasty where a wide bony gap is created at the jaw joint region, with interpose local flap, followed by aggressive mouth opening exercise and physiotherapy was carried out. ‘Post this surgery, the patient was able to open his mouth to as wide as 35 mm much to his and his family’s disbelief. His mother wept,’ recalled the surgeon.
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