Our Summary

This research paper discusses the challenges and solutions faced by Ukrainian maxillofacial surgeons during the war. Maxillofacial surgeons specialize in treating injuries, diseases, and defects in the head, neck, face, and jaws. The study, which was conducted online, collected data from surgeons across Ukraine, excluding areas occupied by Russia.

Before the war, less than half of these surgeons had dealt with gunshot and blast injuries; a year into the conflict, this number had risen to nearly 90%. This increase was most noticeable in military hospitals and areas close to the front line. The surgeons reported that almost 80% of them had to perform complex procedures to repair shattered facial bones, and over 70% had access to advanced technologies like Computer-Aided Design and Manufacturing for treating gunshot injuries.

However, there were significant challenges. Many surgeons reported a lack of experience and knowledge in treating severe wounds, especially when it came to secondary reconstruction. They also faced a shortage of resources due to disruptions in supply chains and an increase in the number of patients with these types of injuries.

Despite these challenges, about 80% of the surgeons reported receiving humanitarian aid and support from volunteer organizations, both Ukrainian and international. This assistance significantly aided the treatment process. Some patients were transferred to European clinics, and foreign surgeons volunteered their services in Ukraine. Online consultations also helped address the situation.

FAQs

  1. What is the focus of the study on Ukrainian maxillofacial surgeons during the war?
  2. What challenges did Ukrainian maxillofacial surgeons face during the war?
  3. How did volunteer organizations and humanitarian aid help Ukrainian maxillofacial surgeons during the war?

Doctor’s Tip

One helpful tip a doctor might give a patient undergoing maxillofacial surgery is to follow all pre-operative and post-operative instructions provided by the surgical team. This can include guidelines on diet, medication, activity restrictions, and wound care. Following these instructions closely can help ensure a successful surgery and smooth recovery process. It’s also important to communicate any concerns or questions with your surgeon to address them promptly.

Suitable For

In general, patients who may be recommended for maxillofacial surgery include those with congenital facial abnormalities, such as cleft lip and palate, individuals with traumatic injuries to the face and jaws, patients with jaw misalignment (malocclusion), individuals with tumors in the head, neck, or face, and those with temporomandibular joint disorders. Additionally, maxillofacial surgery may be recommended for patients with facial pain, facial nerve disorders, obstructive sleep apnea, and those in need of dental implants or reconstructive surgery after cancer treatment.

Overall, maxillofacial surgeons play a crucial role in providing comprehensive care for patients with complex facial and jaw issues, and their expertise is essential in improving patients’ quality of life and overall well-being.

Timeline

After maxillofacial surgery, patients typically experience some pain, swelling, and bruising in the treated area. They may also have difficulty speaking, eating, and performing other daily tasks for a few days to a few weeks, depending on the complexity of the procedure. Patients are usually given pain medication and instructions on how to care for their wounds during the recovery period.

Over the next few weeks and months, patients will have follow-up appointments with their surgeon to monitor their progress and make any necessary adjustments to their treatment plan. Physical therapy may be recommended to help with facial muscle strength and mobility. In some cases, additional surgeries or procedures may be needed for optimal results.

Overall, the timeline for a patient before and after maxillofacial surgery can vary depending on the individual case, but with proper care and follow-up, most patients can achieve successful outcomes and improved quality of life.

What to Ask Your Doctor

  1. What specific procedures will be performed during my maxillofacial surgery?
  2. How long will the recovery process take, and what can I expect during that time?
  3. What are the potential risks and complications associated with this surgery?
  4. Will I need any additional treatments or therapies after the surgery?
  5. How experienced are you in performing this type of surgery?
  6. What types of technologies or tools will be used during the surgery?
  7. Are there any alternative treatment options available for my condition?
  8. Will I need to make any lifestyle changes or follow any special dietary restrictions before or after the surgery?
  9. How long will I need to stay in the hospital after the surgery?
  10. What kind of support or resources are available to help me during the recovery process?

Reference

Authors: Palyvoda R, Olexandr K, Yan V, Igor F, Myron U, Yurii C, Johanna S, Alla S, Andrii K, Danilo K. Journal: Mil Med. 2024 Aug 30;189(9-10):1968-1975. doi: 10.1093/milmed/usad465. PMID: 38141258