Comparison of the aesthetic surgery curriculum for oral and maxillofacial surgery, plastic surgery, and otorhinolaryngology training in Germany

2020 ◽  
Vol 58 (3) ◽  
pp. 372-374
Author(s):  
P. Pitak-Arnnop
2013 ◽  
Vol 59 (1) ◽  
pp. 40-43 ◽  
Author(s):  
Alina Iacob ◽  
Bálint Bögözi

Abstract Background: In the medical literature there are multiple reconstructive procedures for small and medium size defects of the lower lip, but only a few methods for larger defects involving the whole lower lip. Choosing the repairing procedure for larger lower lip defects must take into account two aspects: flap or flaps used should be local flaps, and suture lines should correspond to the natural facial creases or follow the functional lines of different facial aesthetic units. Finally, the flap or flaps should be large enough to restore the entire postexcisional defect. However, the more tissue is lost from the lower lip, the more challenging the reconstruction is from a functional and cosmetic point of view. Material and methods: During the last 2 years in the Oral and Maxillofacial Surgery Department of the County Emergency Clinical Hospital in Tîrgu Mureș, the unilateral Fujimori technique has been successfully used for the reconstruction of large lower lip defects in 4 patients with extended, neglected squamous cell carcinomas involving almost the whole lower lip tissue. These patients underwent complex surgical and oncological treatment. Surgery was performed in two stages: first, excision of the tumor and immediate lip reconstruction, and then removal of submandibular lymph nodes (level I), in the second stage. Results: The aesthetic and functional recovery of these patients was very good, with no need of other subsequent surgical corrections. Conclusions: The postoperative reconstruction of large defects of the lower lip is far from optimal, but it is very important to restore an adequate muscle function, the lip continence and a satisfactory facial appearance.


2014 ◽  
Vol 47 (01) ◽  
pp. 109-115 ◽  
Author(s):  
Nishant Khare ◽  
Vinita Puri

ABSTRACT Introduction: Plastic surgery in India is in an era of transition. The speciality faces many challenges as it grows. The present study attempts to identify these challenges and the prevalent mood among the teachers and the trainees. Materials and Methods: The study was conducted from September 2011 to June 2012. In an E-mail based survey a questionnaire was mailed to professionals actively involved in teaching and training of residents in plastic surgery in many institutes running MCh courses in plastic surgery (Group I) [Appendix 1]. Another questionnaire was mailed to residents undergoing training in plastic surgery and those who had completed their training within past 2 years (Group II) [Appendix 2]. Chi-square test was applied to test for statistical significance. Observations: 29 Group I and 33 Group II subjects responded to the questionnaire. While 72.4% teachers believed that the current system is producing plastic surgeons with enough skill level, only 9.1% of the respondents in Group II thought the same (Chi-square = 28.1; df = 2; P < 0.001). Whereas 58.6% Group I respondents thought that their student is sufficiently equipped to compete in today’s scenario [Figure 1], only 18.2% Group II respondents thought that their training is enough [Figure 2]. (Chi-square = 16.4; df = 2; P < 0.001). Nearly 28% respondents in Group I and only 3% in Group II thought that scientific research and publications should be made mandatory for successful completion of plastic surgery training (Chi-square = 9.4; df = 2; P = 0.009). Adequate exposure was thought to be available in general plastic surgery (Group I: 92% Group II: 81%), maxillofacial surgery (Group I: 72% Group II: 68%) and hand surgery (Group I: 84% Group II: 69%). Both groups agreed that exposure is lacking in craniofacial surgery, aesthetic surgery and microvascular surgery. Aesthetic surgery (38.7%) and microvascular surgery (32.6%) were the most frequent response when the Group II respondents were enquired about the subspeciality they would like to focus on in their practice. Inter-departmental exchange of students for limited period of time was favoured by 86.2% of Group I respondents and 93.9% Group II respondents (Chi-square = 1.3; df = 2; P = 0.49). Conclusion: The current training programme is differently perceived by teachers and the trainees. We recommend that constant deliberations at national and regional forums should take place regarding our education and training programmes.


2016 ◽  
Vol 89 (4) ◽  
pp. 569-573
Author(s):  
Alexandru Rotaru

          Professor Cornel Tiberiu Opriş was the founder of the clinic for Oral and Maxillofacial Surgery, and also the first to teach this specialty in Cluj-Napoca in the first half of the twentieth century.Earlier in his profession, Dr. Cornel Opriş went from research into human physiology to practical activity in the field of surgery, to which he was more attracted.He was active both  in research and Oral and Maxillofacial plastic surgery, facing unfavorable material and social conditions, exacerbated by the circumstances of war and the relocation of the Faculty of Medicine to Sibiu. This article presents the life and work of Prof. Dr. Cornel Opris, with particular reference to the stage of education, the problems associated with "family, society and school." 


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Dario Andrés Bastidas ◽  
Lina Roldan ◽  
Pamela Ramirez ◽  
Andrés Munera

Abstract Background Correct positioning and alignment of dental implants are crucial to successfully meet the aesthetic and functional criteria in implant-prosthetic rehabilitation. When an implant is in the wrong position, especially in the esthetical zone, there are limited options to solve it. Some techniques have been described to reposition implants, such as reverse torque, trephine drills, and segmental osteotomies; current approaches aim to reduce the damage of the periimplant tissues. Case presentation A 20-year-old man with good general health was referred to the oral and maxillofacial surgery department of the CES University, Medellin Colombia in 2017, He had undergone a previous camouflage orthodontic therapy for a dental Class III, which finished in 2014, posteriorly a dental implant was placed in 2015 to replace upper right lateral incisor (1.2) before vertical growth of maxilla was complete; therefore, the implant was retained in a coronal position. A segmental osteotomy was suggested to reposition the implant in a more caudal position, a 3D surgical cut guide obtained by virtual planning was used to increase osteotomy accuracy and lower human error, to avoid the risk of damaging the adjacent tissues and to achieve a predictable result. Conclusions The segmental alveolar osteotomy is an effective alternative to reposition an implant; however, it must be carefully planned because human error remains a possibility that may affect the final result. Therefore, 3D planning is a better way to minimize these mistakes during the surgical procedure and the final position of the implant.


Author(s):  
Ievgen Fesenko

“Talent attracts talent” — Jay Elliot and William L. Simon Authors of textbook The Steve Jobs Way Whether you are from the field of periodontics, trying to develop new flap techniques around implants, prosthodontics, or oral and maxillofacial surgery, you can definitely see state of the art chapters by Dr. Todd R. Schoenbaum in Newman & Carranza’s Clinical Periodontology (13th edition, 2018) [1]. Todd R. Schoenbaum, DDS, FACD is a highly experienced Associate Clinical Professor at the famous University of California, Los Angeles (UCLA) moves extremely fast bringing implant dentistry to new high levels of aesthetics and function. And what happens when a star starts to shine brightly? He starts to attract other stars. The 25 authors who are representing 11 countries and 10 world class universities contributed to Implants in the Aesthetic Zone: A Guide for Treatment of the Partially Edentulous Patient. Textbook consists of sixteen Chapters, six of which, are precisely focused on the surgical aspects. In summary, it`s a great pleasure to recommend such masterpiece to everyone who is interested in improving their implant treatment with aesthetics, predictability, and function.


Author(s):  
Johno Breeze ◽  
Sat Parmer ◽  
Niall McLeod

This chapter contains eight clinical vivas on the subject of aesthetic facial surgery. This will provide candidates sitting the vivas component of the Oral and Maxillofacial Surgery FRCS examination with practical knowledge in the assessment of aesthetic conditions such as a dorsal nasal hump of prominent ears. It will also focus on types of treatment such as fillers, lasers, or a brow lift. It will also provide insight for clinicians in allied specialties, such as otolaryngology and plastic surgery, in how to engage in a debate with a senior clinician in the contemporary management of such complex cases.


Author(s):  
Kyung-Hwan Kwon ◽  
Kyung Su Shin ◽  
Sung Hee Yeon ◽  
Dae Gun Kwon

Abstract The application of botulinum in oral and maxillofacial surgery begins in 1982, where Jan Carruthers started using it for reducing the muscle mass and smoothing the skin, and since then it has been used for cosmetic purposes. In Korea, it is already being used by various specialties including dentistry (oral and maxillofacial surgery, oral medicine), plastic surgery, dermatology, ophthalmology, general surgery, and orthopedic surgery, etc. Each specialty approaches to Botox with its own medical indications. In this article, we will discuss the maxillofacial application of botulinum toxin, which includes theoretical and practical aspects of such as bruxism and square jaw.


Author(s):  
Whitney L Quong ◽  
Jessica G Shih ◽  
Aaron D C Knox ◽  
Nick Zhygan ◽  
Joel S Fish ◽  
...  

Abstract Background North American residency programs are transitioning to competency-based medical education (CBME) to standardize training programs, and to ensure competency of residents upon graduation. At the centre of assessment in CBME are specific surgical procedures, or procedural competencies, that trainees must be able to perform. A study previously defined 31 procedural competencies for aesthetic surgery. In this transition period, understanding current educational trends in resident exposure to these aesthetic procedures is necessary. Objectives The aim of this study was to characterize aesthetic procedures performed by Canadian plastic surgery residents during training, as well as to describe resident performance confidence levels and degree of resident involvement during those procedures. Methods Case logs were retrieved from all 10 English-language plastic surgery programs. All aesthetic procedures were identified, and coded according to previously defined core procedural competencies (CPCs) in the aesthetic domain of plastic surgery. Data extracted from each log included the procedure, training program, resident academic year, resident procedural role, and personal competence. Results From July 2004 to June 2014, 6113 aesthetic procedures were logged by 55 graduating residents. Breast augmentation, mastopexy, and abdominoplasty were the most commonly performed CPCs, and residents report high levels of competence and surgical role in these procedures. Facial procedures, in particular rhinoplasty, as well as nonsurgical CPCs are associated with low exposure and personal competence levels. Conclusions Canadian plastic surgery residents are exposed to most of the core aesthetic procedural competencies, but the range of procedures performed is variable. With the implementation of CBME, consideration should be given to supplementation where gaps may exist in aesthetic case exposure.


Author(s):  
Johno Breeze ◽  
Sat Parmer ◽  
Niall McLeod

This chapter contains eight clinical vivas on the subject of oral medicine and pathology. This will provide candidates sitting the vivas component of the Oral and Maxillofacial Surgery FRCS examination with practical knowledge in the assessment and treatment of pathological conditions affecting the oral mucosa including ulceration, lichen planus, leukoplakia, as well as pemphigoid and pemphigus. It will also provide insight for clinicians in allied specialties, such as otolaryngology and plastic surgery, in how to engage in a debate with a senior clinician in the contemporary management of such complex cases.


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