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Flashcards in Oral and Maxillofacial Surgery Deck (11)
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What kinds of things come under maxillofacial surgery?

Cleft lip and palate
Facial deformity
Craniofacial surgery
Head and neck oncology/ Reconstruction
Salivary gland surgery
TMJ surgery
H&N Trauma- Hard/soft tissue
Oral medicine


Give some examples of dentoalveolar surgery

Wisdom teeth (top 10 surgical procedures)
Implants (screw in teeth)
Infection (cysts etc)


Give a brief overview of cleft palate

Incidence = 1:600 babies
Commonest developmental defect of the head and neck

The aim of treatment should be a well spoken, well adjusted, aesthetically pleasing adult with a class 1 occlusion (good bite) and perfect hearing.

A left leads to a soft and hard tissue deformity


Give an overview of facial deformity surgery

20% of population have facial deformity of some degree
Treated in MDT (orthodontist, Maxillofacial technician, surgeon)

Function and aesthetics
Associated problems: public perception, sleep apnoea


Give a brief overview of orthogonalthic surgery

Combination of Surgery and orthodontics
Surgery to maxilla, mandible or both
Allied with "cosmetic" procedures: blepharoplasty, rhinoplasty


Give a brief overview of craniofacial deformity

Congenital and acquired conditions
Adults and children

Clinical problems:
-Raised intracranial pressure - mental deterioration
-Skull and facial deformity - Visual, auditory problems
-Respiratory problems - Sleep studies


Discuss Maxillofacial Oncology

Oral cancer 6th most common malignancy
Increased incidence in Scotland
Associated with alcohol and tobacco

Much improved reconstruction
Quality of life

Skin cancer
Salivary glands


Discuss trauma surgery

Hard and soft tissue
Increased incidence in west of Scotland
Young males: Associations with alcohol, drugs and social class
Interpersonal violence 65%

Treat life threatening events first:
-Obstructed airway
-Uncontrolled bleeding
Collaboration with neurosurgeons
-Craniofacial trauma, CSF leaks


What is blepharoplasty?

Blepharoplasty (Greek: blepharon, “eyelid” + plassein “to form”) is the plastic surgery operation for correcting defects, deformities, and disfigurations of the eyelids; and for aesthetically modifying the eye region of the face


What is rhinoplasty?

Rhinoplasty, commonly known as a nose job, is a plastic surgery procedure for correcting and reconstructing the form, restoring the functions, and aesthetically enhancing the nose by resolving nasal trauma (blunt, penetrating, blast), congenital defect, respiratory impediment, or a failed primary rhinoplasty.


Why may skull base access be used?

Allow surgery when access is difficult

Skull base pathology


Vascular malformations