SPECIALIZED INFORMATION

Мaxillofacial surgery is a medical specialty,   that covers surgical manipulations of the face, facial and jaw bones, periodontal tissues and neck. Due to the anatomical and functional connectivity of these areas with other neighboring main structures(eyes, ears, cranial brain tissue ,maxillofacial surgery is highly complex and requires serious knowledge of general surgery, neurosurgery, otorhinolaryngology, orthopedics and traumatology, Plastic, Reconstructive surgery and other general medical specialties.
In MEDICRON hospital you will get qualified and modern treatment. Surgical or conservative, depending on the diagnostic and treatment plan, which will be prepared by our specialists.

Diseases in the maxillofacial region are sorted/grouped by the following groups:

  1. Purulent septic inflammatory diseases-abscesses and phlegmons osteomyelitis(affects bones), odontogenic sinusitis (inflammation of the maxillary sinuses, caused by a tooth), lymphadenitis(inflammation of the lymph node), exacerbated cysts and more.
  2. Maxillofacial trauma –soft tissue injuries and fractures of the facial and jaw bones.
  3. Maxillofacial oncology-cancer of the oral cavity, the skin of the face and neck, bones and the related areas.
  4. Diseases of the salivary glands (parotid, submandibular and sublingual) Facial nerve (facialis, trigeminus), temporomandibular joint (TMJ) syndromes and other

When to seek consultation with maxillofacial surgeon?

Symptoms that are concerning to the patients can be caused by various diseases.
It is, therefore, necessary to consult a specialist who can put the correct diagnosis, and hence proper treatment.

It has specific characteristics and can point towards certain diagnosis.
1.When there is numbness and the pain is strong, sudden and short, it can be a case of trigeminal neuralgia.

Patients describe it in very different ways – spiking, searing, like pain from electric shock.Attacks occur mainly during the day, in shorter or longer intervals (every month, two or more.)This pain can be triggered by a minor irritation or a touch in certain areas of the face (skin on the forehead, cheeks, chin,) when washing,

This pain can be triggered by a minor irritation or a touch in certain areas of the face (skin on the forehead, cheeks, chin,) when washing, shaving, speaking or eating.

It is differentiated from other diseases with additional clinical symptoms, such as neuritis (infectious and non-infectious) neuralgia of another nerve; a migraine; cluster headaches; arthrosis of the temporomandibular joint, etc.

2. When the pain is strong but dull, with a sense of heaviness and spreads to the temple, orbita and forehead, including the teeth of the upper jaw, and it increases when the head is bent down, it may be a case of odontogenic sinusitis;

3. If the pain is persistent, throbbing, increasing at the touch of a tooth or when opening the mouth and spreading to adjacent areas, it may be a case of an abscess. This inflammatory process can include a variety of symptoms, depending on the location (painful and limited opening of the mouth, trouble chewing and swallowing.) If the inflammation is not resolved, in time it may develop life-threatening complications.

The appearance of swelling of the face or neck is another reason for consultation with a maxillofacial surgeon. It may have different origin and the timing is important – when did it appear and for how long has it been there.
Also of importance are the density, texture, the presence or absence of mobility relative to the adjacent tissues, pain or not, the state of mucous membranes or skin over the bump, the presence of secretions or ulceration, etc. Sometimes patients report the appearance of a “ball” in the relevant anatomical region, which also has specific clinical characteristics. There are often accompanying symptoms that are suggestive of the diagnosis.All questions will be answered by the maxillofacial surgeon

Functional disorders are another reason to contact a specialist. Of course, some of the conditions are in the competence of a dentist. Difficulty in opening the mouth may be caused by pathological factors connected or not to the TMJ.
Symptoms of functional disorders are noises or pain in the TMJ, pain in the masticatory muscles, orthodontic disorders. The elements of this complex set- temporomandibular joint, structures of the ear, temporal lobe, facial nerve, internal carotid artery and superficial temporal vessels,  are responsible for the complexity of the pathological processes and their treatment.

Skin and mucosal formations always require consultation with a surgeon, but when it comes to the face, neck and oral – maxillofacial surgeon. In some cases it is a preneoplastic lesion in other –a  tumor (benign or malignant), and can be quite harmless and caused by the lining of bad prosthesis,
abrasive fillings or other injury. In any case, do not neglect your health and consult in time.

SERVICES

А/ Surgical procedures in the maxillofacial region

  1. Removal of jaw cysts
  2. extirpation of cysts of the ductus tireoglosus and lateral neck cyst
  3. operation of micro stoma
  4. surgery, needed because of acquired defects of the mouth, palate, cheeks
  5. plastic skin flap
  6. Surgical correction of facial scar
  7. processing and assembling large wound on the soft tissues of the face
  8. hemostasis by ligation or coating with hemostatic material
  9. Operation of the maxillary sinus;
  10. removal of salivary stones from the submandibular salivary gland
  11. extirpation of submandibular and sublingual gland;
  12. operation of salivary fistula.
  13. removal of foreign body from soft tissue, jaw or sequestrectomy;
  14. closed reposition and fixation of fractures of the lower jaw
  15. closed reposition a fractured cheekbone and rainbow
  16. splinting of fractured upper or lower jaw
  17. removing strips of jaws
  18. -Cerclage. Suspensory fixation in jaw fractures
  19. Operational reposition and fixation fractured jaw with osteosynthesis
  20. Operational reposition and fixation of fracture of nasal bone, cheekbone and a rainbow
  21. Operational reposition and fixation of fracture of alveolar growths
  22. anterior and posterior nasal tamponade
  23. removal of an impacted tooth through extensive osteotomy
  24. odontectomia
  25. transplant mucosis and plastic cover of the donor site
  26. Transplantation of cartilage;
  27. biopsy – excisional and puncture
  28. excision of tumors of soft tissues in the maxillofacial area and plastics on the neighborhood
  29. intersection or exeresis peripheral branch of the trigeminal nerve;
  30. Blockade of the nerve in the area of the skull base
  31. septoplasty in trauma and difficulty breathing through the nose
  32. orthognathic surgery through intraoral access (progenism, prognathsm, laterognathism etc.).
  33. overall and segment osteotomy of the jaw
  34. removal of osteosynthesis material of jaw or facial bone and dental implants
  35. placement of dental implants;
  36. surgical preparation of the alveolar ridge for dentures
  37. surgical preparation of soft tissue prostheses;
  38. incisions of abscesses in the oral cavity and maxillofacial region
  39. surgical treatment of phlegmon;
  40. excision of submucosal or submucosal tissue without opening the body cavity
  41. germectomy and frenectomy