Our Summary

This research paper discusses the differences in training for oral and maxillofacial surgery (OMFS) across Europe. Currently, OMFS can be pursued with either a dual degree in medicine and dentistry or a single medical degree, leading to inconsistencies in training quality. To help improve this, the European OMFS Trainee Forum conducted a study to set quality metrics for OMFS training.

They used a process called the Delphi consensus protocol, which involved 57 trainees from 32 countries. They defined three quality levels using a red, amber, and green (RAG) rating system. After this process, they identified 46 areas, including aspects of training programs, teaching and education programs, placements, tracking of training progress, and external assessment of training programs.

The results were then lined up with the European Training Requirement for OMFS. The RAG rating system can help trainees and trainers evaluate and improve their programs. This could help standardize OMFS training across Europe, which in turn would improve patient care.

FAQs

  1. What is the purpose of the European OMFS Trainee Forum’s study?
  2. How does the red, amber, and green (RAG) rating system contribute to OMFS training?
  3. What methods were used to set quality metrics for OMFS training?

Doctor’s Tip

A helpful tip a doctor might tell a patient about maxillofacial surgery is to follow all pre-operative and post-operative instructions provided by the surgeon. This may include guidelines on eating, drinking, medication, and physical activity before and after surgery. Following these instructions can help ensure a successful surgery and a smooth recovery process.

Suitable For

Patients who may be recommended for maxillofacial surgery include those with:

  1. Facial trauma: Maxillofacial surgeons are trained to treat fractures of the facial bones, such as the jaw, cheekbones, and nose, resulting from accidents or injuries.

  2. Orthognathic surgery: This type of surgery is performed to correct jaw misalignments that can cause issues with biting, chewing, and speaking.

  3. Temporomandibular joint (TMJ) disorders: Maxillofacial surgeons can address issues with the TMJ that cause pain, clicking, or difficulty opening and closing the mouth.

  4. Cleft lip and palate: Maxillofacial surgeons work with a multidisciplinary team to repair cleft lip and palate deformities in children and adults.

  5. Facial deformities: Conditions such as craniofacial syndromes or facial asymmetry may require surgical intervention by a maxillofacial surgeon.

  6. Oral pathology: Maxillofacial surgeons diagnose and treat diseases and conditions affecting the mouth, jaws, and facial structures, such as oral cancer or cysts.

  7. Dental implants: Maxillofacial surgeons are trained in placing dental implants to replace missing teeth and restore oral function and aesthetics.

Overall, maxillofacial surgery is a specialized field that addresses a wide range of conditions affecting the face, jaws, and oral cavity, and patients with these types of issues may be recommended for treatment by a maxillofacial surgeon.

Timeline

Before maxillofacial surgery, a patient typically undergoes a consultation with a maxillofacial surgeon to discuss their treatment options, expectations, and risks involved. They may also undergo pre-operative tests and evaluations to ensure they are healthy enough for surgery. The patient will receive instructions on how to prepare for surgery, including fasting guidelines and medication adjustments.

After maxillofacial surgery, the patient will require a period of recovery, which may involve pain management, swelling reduction, and dietary modifications. They will attend follow-up appointments with their surgeon to monitor their healing progress and address any concerns. The patient may also undergo physical therapy or speech therapy to aid in their recovery and improve their functional outcomes. Over time, the patient will gradually regain their normal function and appearance, with the ultimate goal being improved quality of life.

What to Ask Your Doctor

  1. What is the specific reason for recommending maxillofacial surgery for my condition?
  2. What are the potential risks and complications associated with the surgery?
  3. What is the expected recovery time and post-operative care protocol?
  4. How many times have you performed this type of surgery and what is your success rate?
  5. Will I require any additional treatments or therapies after the surgery?
  6. Can you explain the anesthesia options for the surgery and their potential side effects?
  7. Are there any alternative treatment options available for my condition?
  8. How long will the effects of the surgery last and will I need any follow-up procedures in the future?
  9. What will be the cost of the surgery and will it be covered by my insurance?
  10. Can you provide me with references or testimonials from previous patients who have undergone similar surgery?

Reference

Authors: OMFS European Trainee Forum of UEMS. Journal: Br J Oral Maxillofac Surg. 2024 Nov;62(9):769-779. doi: 10.1016/j.bjoms.2024.06.002. Epub 2024 Jun 24. PMID: 39289140