Emergencies

The compromised airway 232 Tracheostomy tube problems 234 Massive bleeding from the face and mouth 238 Massive bleeding from the neck 240 Retrobulbar haemorrhage 242 • This is possibly the most important section in this book. • It is written on assumption that you have ATLS training (or equivalent). We will not repeat basic facts, but give a gentle reminder that a tracheostomy is not an option in an emergency situation and you should be prepared to undertake a cricothyroidotomy from day one of an OMFS job....

On the ward

OMFS on the ward 174 Trauma patients 176 Dento-alveolar patients 178 Head and neck oncology patients 180 Flap monitoring 184 The tracheostomy patient 186 Orthognathic patients 188 • Since OMFS is a small specialty with relatively few inpatients, it rarely has a dedicated ward and often shares with ENT or another small surgical specialty...

People with whom you will be working

Other surgeons 256 Dental specialists 258 Members of the multidisciplinary head and neck team 260 • ENT surgeons are probably our closest colleagues and you will often find that we share wards, junior doctors, clinics, and also patients. • There are many occasions in OMFS when you will work with ENT surgeons and you will usually find the relationship mutually beneficial....

Oral medicine

Common dental diseases 212 Oral mucosal infections 216 Oral ulceration 218 Blistering diseases 220 White, red, and pigmented lesions 222 Oral cancer 224 Oral manifestations of systemic diseases 226 Miscellaneous oral conditions 228 Dental caries is the result of acid-producing bacteria (Streptococcus mutans and others) creating a microenvironment, dental plaque, where sugar is metabolized and acid is a by-product. The acid demineralizes the tooth. The process is reversible when the pH rises and saliva, which is rich in Ca...

In the emergency department

OMFS in the emergency department 60 The paediatric OMFS patient 62 Overview of maxillofacial trauma 64 Mandibular fractures 66 Zygomatic fractures 70 Orbital floor fractures 72 Maxillary fractures 74 Nose, naso-ethmoidal, and frontal bone fractures 76 Face and scalp soft tissue injuries 78 Penetrating injuries to the neck ...

Radiology

Guidelines for dental radiology 40 Dental radiography 42 Panoramic radiography 46 Facial and skull radiography 48 Ultrasonography 50 CT and cone beam CT 52 MRI and nuclear imaging 56 Sialography 57 • Although the radiation doses are generally quite low, the same rules apply as with other radiology and are controlled by IRMER (Ionizing Radiation (Medical Exposure) Regulations (2000))....

Overview

Using this book 2 OMFS—the speciality 3 Legal aspects of OMFS 4 Duties of an OMFS doctor 6 The future of OMFS 7 Career pathways in OMFS 8 • This book has been primarily written for junior doctors working in OMFS. We hope that it will appeal to both junior medical and junior dental practitioners. We realize that the medical undergraduate curriculum contains very little exposure to OMFS, so we apologize in advance to our dentally qualified readers if some of the dentally based chapters appear very basic!...

Eponyms and maxillofacial syndromes

Apert syndrome is a craniosynostosis plus syndactyly leading to lack of anterior growth of the midface, raised intracranial pressure, and blindness due subluxation and lack of corneal cover of the eye. Behçet syndrome is a multisystem autoimmune condition associated with HLA-B5. Patients have oral and genital ulceration and uveitis. Treatment is highly specialized; mainly immunosuppressant....

In theatre

OMFS operations 146 Overview of maxillofacial trauma surgery 148 Mandibular fractures 150 Zygomatic fractures 154 Orbital floor fractures 158 Other fractures 160 Dento-alveolar surgery 162 Head and neck oncology and reconstructive surgery 164 Salivary gland surgery 166 Orthognathic surgery 168 Facial plastic surgery 170 Miscellaneous operations ...