Oral and Maxillofacial Surgery 2025: 50 Years of Evolution of a Surgical Specialty

Abstract Background Oral and maxillofacial surgery specialty has grown rapidly in Kuwait in recent years. However, the general public and healthcare professionals remain unaware of its expanding scope of practice. The aim of the study is to assess public and professional (dental and medical) perception of the oral and maxillofacial surgical specialty in Kuwait. Methods This is a cross-sectional study evaluating responses of dental professionals, medical professionals, and general public in Kuwait toward the oral and maxillofacial surgical specialty using a previously validated survey instrument with 100 participants in each group. Participants were asked to choose the most appropriate specialist to treat certain procedures across 4 disciplines: reconstruction, trauma, pathology, and cosmetic. Statistical comparison was conducted between dentists and medical doctors using Fisher’s exact test with a p-value of < 0.05. Results Disparities were noted each group’s responses. Oral and maxillofacial surgery was preferred overall for most clinical scenarios in trauma (p < 0.001), pathology (p < 0.001), and reconstructive surgery (p < 0.001). Plastic surgery was preferred for cosmetic surgeries (p < 0.001). Conclusions This study indicates the need to increase awareness especially towards cosmetic surgery procedures, and conduct health campaigns regarding oral and maxillofacial surgery among healthcare professionals, especially medical doctors, and the general public.

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Global Oral and Maxillofacial Surgery: The Evolution of a Surgical Specialty Worldwide

Oral and Maxillofacial Surgery Clinics of North America ◽

10.1016/j.coms.2020.05.002 ◽

2020 ◽

Vol 32 (3) ◽

pp. xv-xvi

Author(s):

Shahid R. Aziz ◽

Jose M. Marchena ◽

Steven M. Roser

Keyword(s):

Maxillofacial Surgery ◽

Oral And Maxillofacial Surgery ◽

Surgical Specialty

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FRCS first pass variance: deanery and specialty contrariety

Postgraduate Medical Journal ◽

10.1136/postgradmedj-2017-135045 ◽

2017 ◽

Vol 94 (1107) ◽

pp. 48-52 ◽

Cited By ~ 1

Author(s):

Chris Brown ◽

Tarig Abdelrahman ◽

John Pollitt ◽

Mark Holt ◽

Wyn G Lewis

Keyword(s):

Maxillofacial Surgery ◽

Surrogate Marker ◽

Oral And Maxillofacial Surgery ◽

Type I ◽

Paediatric Surgery ◽

Pass Rates ◽

Surgical Specialty ◽

Surgical Trainees ◽

Training Quality ◽

National Selection

BackgroundFRCS exit examination success may be interpreted as a surrogate marker for UK Deanery-related training quality. The aim of this study was to evaluate relative FRCS examination pass rates related to Deanery and Surgical Specialty.MethodsJoint Committee on Surgical Training-published examination first attempt pass rates were scrutinised for type I higher surgical trainees and outcomes compared related to Deanery and Surgical Specialty.ResultsOf 9363 FRCS first attempts, 3974 were successful (42.4%). Median and mean pass rates related to Deanery were 42.1% and 30.7%, respectively, and ranged from 26.7% to 45.6%. Median (range) pass rates by specialty were urology 76.3% (60%–100%), trauma and orthopaedic surgery 74.7% (58.2%–100%), general surgery 70.0% (63.1%–86%), ENT 62.5% (50%–100%), cardiothoracic surgery 50.0% (25%–100%), oral and maxillofacial surgery 50% (40.0%–100%), neurosurgery 50% (22.7%–100%), plastic surgery 47.6% (30.0%–100%) and paediatric surgery 25% (16.7%–100%). Significant variance was observed across all specialties and deaneries (p=0.001).ConclusionAs much as threefold variance exists related to FRCS examination first attempt success, trainees should be aware of this spectrum when preferencing deaneries during national selection.

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Knowledge, Attitude, And Perception of Oral and Maxillofacial Surgery Specialty Amongst Healthcare Professionals, and the General Public from a Gulf Cooperation Council (GCC) Country

10.21203/rs.3.rs-57252/v4 ◽

2021 ◽

Author(s):

Mohammad Kamal ◽

Mohammad Abdulwahab ◽

Ahmed Al-Zaid

Keyword(s):

Cosmetic Surgery ◽

General Public ◽

Healthcare Professionals ◽

Maxillofacial Surgery ◽

P Value ◽

Oral And Maxillofacial Surgery ◽

Medical Doctors ◽

Surgical Specialty ◽

Cross Sectional ◽

Clinical Scenarios

Abstract Background: Oral and maxillofacial surgery specialty has grown rapidly in Kuwait in recent years. However, the general public and healthcare professionals remain unaware of its expanding scope of practice. The aim of the study is to assess public and professional (dental and medical) perception of the oral and maxillofacial surgical specialty in Kuwait.Methods: This is a cross-sectional study evaluating responses of dental professionals, medical professionals, and general public in Kuwait toward the oral and maxillofacial surgical specialty using a previously validated survey instrument with 100 participants in each group. Participants were asked to choose the most appropriate specialist to treat certain procedures across 4 disciplines: reconstruction, trauma, pathology, and cosmetic. Statistical comparison was conducted between dentists and medical doctors using Fisher’s exact test with a p-value of < 0.05. Results: Disparities were noted each group’s responses. Oral and maxillofacial surgery was preferred overall for most clinical scenarios in trauma (p < 0.001), pathology (p < 0.001), and reconstructive surgery (p < 0.001). Plastic surgery was preferred for cosmetic surgeries (p < 0.001). Conclusions: This study indicates the need to increase awareness especially towards cosmetic surgery procedures, and conduct health campaigns regarding oral and maxillofacial surgery among healthcare professionals, especially medical doctors, and the general public.

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Management of Medical Comorbidities in Maxillofacial Surgery

Oral and Maxillofacial Surgery for the Clinician ◽

10.1007/978-981-15-1346-6_3 ◽

2021 ◽

pp. 25-48

Author(s):

Aditya Moorthy ◽

Shreya Krishna

Keyword(s):

Heart Diseases ◽

Maxillofacial Surgery ◽

Disease Process ◽

Ischemic Heart ◽

Oral And Maxillofacial Surgery ◽

Surgical Specialty ◽

Ischemic Heart Diseases ◽

Organ Systems ◽

Chronic Disorders ◽

The Right

AbstractOral and Maxillofacial surgery, like any surgical specialty, has two vital requirements. First, having the right armamentarium, and, second, acquiring appropriate skills and knowledge of the patients’ disease process, including comorbidities. With the changing demographic in India, the profile of Indian patient has undergone a sea change in the last few decades. From acute conditions that had little impact on subsequent health of the patient, we have arrived at a scenario where a large proportion of patients present with chronic disorders like diabetes, ischemic heart diseases, etc. that affect many elective procedures we undertake and require optimization of the overall physical status of the patient before proceeding with any surgery.Trainee surgeons need to be aware and updated and should be able to recognize, treat, or appropriately refer patients to the requisite specialty in case of complex conditions beyond their remit or ability. In this chapter, readers will get a very brief overview of the different organ systems that play crucial role in homeostasis and how to modify the treatment when there’s an imbalance in either of these systems.

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Knowledge, Attitude, And Perception of Oral and Maxillofacial Surgery Specialty Amongst Healthcare Professionals, and the General Public from a Gulf Cooperation Council (GCC) Country

10.21203/rs.3.rs-57252/v3 ◽

2020 ◽

Author(s):

Mohammad Kamal ◽

Mohammad Abdulwahab ◽

Ahmed Al-Zaid

Keyword(s):

Cosmetic Surgery ◽

General Public ◽

Healthcare Professionals ◽

Maxillofacial Surgery ◽

P Value ◽

Oral And Maxillofacial Surgery ◽

Medical Doctors ◽

Surgical Specialty ◽

Cross Sectional ◽

Clinical Scenarios

Abstract Background: Oral and maxillofacial surgery specialty has grown rapidly in Kuwait in recent years. However, the general public and healthcare professionals remain unaware of its expanding scope of practice. The aim of the study is to assess public and professional (dental and medical) perception of the oral and maxillofacial surgical specialty in Kuwait.Methods: This is a cross-sectional study evaluating responses of dental professionals, medical professionals, and general public in Kuwait toward the oral and maxillofacial surgical specialty using a previously validated survey instrument with 100 participants in each group. Participants were asked to choose the most appropriate specialist to treat certain procedures across 4 disciplines: reconstruction, trauma, pathology, and cosmetic. Statistical comparison was conducted between dentists and medical doctors using Fisher’s exact test with a p-value of < 0.05. Results: Disparities were noted each group’s responses. Oral and maxillofacial surgery was preferred overall for most clinical scenarios in trauma (p < 0.001), pathology (p < 0.001), and reconstructive surgery (p < 0.001). Plastic surgery was preferred for cosmetic surgeries (p < 0.001). Conclusions: This study indicates the need to increase awareness especially towards cosmetic surgery procedures, and conduct health campaigns regarding oral and maxillofacial surgery among healthcare professionals, especially medical doctors, and the general public.

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Oral and Maxillofacial Surgery

Oxford Assess and Progress: Clinical Dentistry ◽

10.1093/oso/9780198825173.003.0018 ◽

2019 ◽

Author(s):

Nicholas Longridge ◽

Pete Clarke ◽

Raheel Aftab ◽

Tariq Ali

Keyword(s):

Head And Neck ◽

Cleft Lip ◽

Soft Tissues ◽

Oral Surgery ◽

Maxillofacial Surgery ◽

Oral Pathology ◽

Oral And Maxillofacial Surgery ◽

Microvascular Reconstruction ◽

Surgical Specialty ◽

Facial Surgery

Oral and facial surgery has been practised in some form for millennia. Hippocrates himself has described reducing jaw dislocations, and Sushtra was performing reconstructive local facial flaps in India as early as sixth century BC. The modern practice of oral and maxillofacial surgery (OMFS) can be traced back to the battlefields of northern Europe in the early twentieth century. Industrialized warfare produced horrific facial injuries that were treated by frontline oral surgeons, and so the specialty of OMFS, as a crossover between medicine and dentistry, developed. It became evident that both medical and dental education was necessary in order to manage increasingly complex facial surgery that was being undertaken. It can be argued that OMFS has evolved to be a truly general surgical specialty, manipulating the hard and soft tissues of the head and neck and having the skills to operate on neurovascular, glandular, and airway structures. There is variable exposure to OMFS during dental undergraduate education and scarce exposure during medical undergraduate training. Opportunities for postgraduate training in OMFS for dentists who are not entertaining a career in the discipline are also limited. Knowledge of the scope of OMFS practice is a bare minimum for any practising dentist, as this can inform the limits of their individual competency, as well as ensure a safe transfer of care for their patients. The questions in this section are there to target the most commonly tested and encountered aspects of OMFS for most junior dentists, focusing on oral surgery, oral pathology, management of the medically compromised patient, and trauma of the facial skeleton. OMFS is an enormously satisfying endeavour and is recommended to all junior dentists. It can form a granite-like foundation of skills upon which to build a career in clinical dentistry. Key topics include: ● Trauma ● Oral surgery and exodontia ● Oral pathology ● Orthognathic surgery ● Temporomandibular joint surgery ● Cleft lip/ palate repair ● Craniofacial surgery ● Salivary disease ● Head and neck oncology and microvascular reconstruction ● Skin cancer ● Facial aesthetics.

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Knowledge, Attitude, And Perception of Oral and Maxillofacial Surgery Specialty Amongst Healthcare Professionals, and the General Public from a Gulf Cooperation Council (GCC) Country

10.21203/rs.3.rs-57252/v2 ◽

2020 ◽

Author(s):

Mohammad Kamal ◽

Mohammad Abdulwahab ◽

Ahmed Al-Zaid

Keyword(s):

General Public ◽

Healthcare Professionals ◽

Maxillofacial Surgery ◽

Cross Sectional Study ◽

P Value ◽

Oral And Maxillofacial Surgery ◽

Medical Doctors ◽

Surgical Specialty ◽

Cross Sectional ◽

Clinical Scenarios

Abstract Background: Oral and maxillofacial surgery specialty has grown rapidly in Kuwait in recent years. However, the general public and healthcare professionals remain unaware of its expanding scope of practice. The aim of the study is to assess public and professional (dental and medical) perception of the oral and maxillofacial surgical specialty in Kuwait.Methods: This is a cross-sectional study evaluating responses of dental professionals, medical professionals, and general public in Kuwait toward the oral and maxillofacial surgical specialty using a previously validated survey instrument with 100 participants in each group. Participants were asked to choose the most appropriate specialist to treat certain procedures across 4 disciplines: reconstruction, trauma, pathology, and cosmetic. Statistical comparison was conducted between dentists and medical doctors using Fisher’s exact test with a p-value of < 0.05. Results: Disparities were noted each group’s responses. Oral and maxillofacial surgery was preferred overall for most clinical scenarios in trauma (p < 0.001), pathology (p < 0.001), and reconstructive surgery (p < 0.001). Plastic surgery was preferred for cosmetic surgeries (p < 0.001). Conclusions: This study indicates the need to increase awareness and conduct health campaigns regarding oral and maxillofacial surgery among healthcare professionals, especially medical doctors, and the general public.

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Before and After I Knew: Disclosure, Respect, Gratitude, and Solemnity

Journal of Biocommunication ◽

10.5210/jbc.v45i1.10853 ◽

2021 ◽

Vol 45 (1) ◽

Author(s):

Susan E. Mackinnon ◽

Andrew Yee

Keyword(s):

Ethical Dilemma ◽

Nerve Repair ◽

Maxillofacial Surgery ◽

Ethical Framework ◽

Oral And Maxillofacial Surgery ◽

Surgical Specialty ◽

Personal Story ◽

Before And After ◽

Nerve Surgery ◽

Medical University

The Pernkopf anatomical atlas has contributed significantly to the specialty of nerve surgery through its infiltration in surgical training and the development of novel procedures due to the accurate depiction of the nervous system. Until the recent advancements of the Pernkopf controversy, nerve surgeons have struggled with the ethical dilemma presented with its use in surgery and clinical practice. In this article, we explore a personal story and reflection by an individual nerve surgeon, their contribution to the advancement of the Pernkopf controversy, and how different professional domains (surgery, anatomy, ethics, religion, and education) were able to collaborate to address the historical crimes against humanity and issues in the anatomical sciences. This required a structured approach to address this ethical dilemma in surgery, which included (1) an assessment of the use of the Pernkopf atlas in specific surgical specialties (nerve surgery and oral and maxillofacial surgery) and (2) the development of a graduated ethical framework with a religious framework (the Vienna Protocol), if the Pernkopf atlas was to be used in surgery. These studies are reviewed in the context of evolving paradigms in nerve surgery (nerve repair, grafting, and transfers) and influence of anatomy in the advancement of this surgical specialty. Image credit: Table of Contents image provided by the Medical University of Vienna, MUW-ZE-003250-0005-0195r

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Knowledge, Attitude, And Perception of Oral and Maxillofacial Surgery Specialty Amongst Healthcare Professionals, and the General Public from a Gulf Cooperation Council (GCC) Country

10.21203/rs.3.rs-57252/v1 ◽

2020 ◽

Author(s):

Mohammad Kamal ◽

Mohammad Abdulwahab ◽

Ahmed Al-Zaid

Keyword(s):

General Public ◽

Healthcare Professionals ◽

Maxillofacial Surgery ◽

Cross Sectional Study ◽

P Value ◽

Oral And Maxillofacial Surgery ◽

Medical Doctors ◽

Surgical Specialty ◽

Cross Sectional ◽

Clinical Scenarios

Abstract Background Oral and maxillofacial surgery specialty has grown rapidly in Kuwait in recent years. However, the general public and healthcare professionals remain unaware of its expanding scope of practice. The aim of the study is to assess public and professional (dental and medical) perception of the oral and maxillofacial surgical specialty in Kuwait. Methods This is a cross-sectional study evaluating responses of dental professionals, medical professionals, and general public in Kuwait toward the oral and maxillofacial surgical specialty using a previously validated survey instrument with 100 participants in each group. Participants were asked to choose the most appropriate specialist to treat certain procedures across 4 disciplines: reconstruction, trauma, pathology, and cosmetic. Statistical comparison was conducted between dentists and medical doctors using Fisher’s exact test with a p-value of < 0.05. Results Disparities were noted each group’s responses. Oral and maxillofacial surgery was preferred overall for most clinical scenarios in trauma (p < 0.001), pathology (p < 0.001), and reconstructive surgery (p < 0.001). Plastic surgery was preferred for cosmetic surgeries (p < 0.001). Conclusions This study indicates the need to increase awareness and conduct health campaigns regarding oral and maxillofacial surgery among healthcare professionals, especially medical doctors, and the general public.

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