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Oral and maxillofacial surgery Expertise

by Mr Hugh Cannell
Consultant Oral & Maxillofacial Surgeon
(More about Mr Cannell)

What is Oral and Maxillofacial Surgery?

Oral and Maxillofacial Surgery is the diagnosis and management of conditions and of diseases affecting the mouth, jaws, face and neck.

If the term Cranio-is included then the surgeon will also have expertise in developmental skull deformities.

There are about 300 Consultants in the UK, some are in specialist centres and are able to provide highly sub-specialised services such as in the management of malignancy, in complex trauma and in facial bone deformities.

The majority of the everyday work undertaken is mouth and jaw related and includes benign tumours, aggressive recurrent conditions, cysts, jaw joint problems and white or red changes affecting the lining of the mouth.

Personal Injuries (PI) Affecting the Facial Regions

Most injuries occur from trauma, including from falls, sports related accidents, road traffic accidents and from inter-personal violence. The rate of injury to the face is high at about 1 in every 100 people each year. Damage from trauma to the face may also involve other specialists such as eye surgeons or if the brain is involved, neurosurgeons.

Reconstruction surgery may include treatment of soft tissue wounds and the reduction and fixation of displaced fractures of the facial bones. More complex wounds may require micro-vascular surgery with free bone, muscle and skin grafts.

Medico legal Matters in Oral & Maxillofacial Surgery

The majority of cases involve damage to the facial and oral regions following trauma. Because the contours and appearance of the face is the way we recognize one another, restoration of a damaged face to its natural former appearance is crucial. Oral and maxillofacial surgeons are trained to undertake the necessary surgery, commencing with the bones and completing the task by careful attention to the nerves, muscles and the skin.

Permanent damage can and does happen. Most often to nerves such as those of the sense of smell but also of sensation of the skin, mouth and lips. Loss of movement so that facial expression is affected is a major impairment and results from damage to the motor nerves.

Expertise for Medico legal Matters. What to look for

Broad experience, dual qualifications in medicine and in dental surgery, special training and expertise in legal matters and vetted testimonials from legal colleagues. Accreditation, appraisal and revalidation should be up to date and turn round times for all types of case available. Estimates should be sought and Terms and Comditions agreed.

by Mr Hugh Cannell
Consultant Oral & Maxillofacial Surgeon
(More about Mr Cannell)


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