Oral and Maxillofacial Surgery
Oral and maxillofacial surgery is the medical specialty concerned with the diagnosis and treatment of diseases affecting the mouth, jaws, face and neck.
Consultant specialists working in this area are often called by several names - oral surgeons, maxillofacial surgeons or oral and maxillofacial surgeons. The range of conditions managed by oral and maxillofacial surgeons is vast and includes broken jaws, head and neck cancers, salivary gland diseases, facial disproportion, facial pain, temporomandibular joint (TMJ) disorders, impacted teeth, cysts and tumours of the jaws as well other problems such as mouth ulcers and infections. Oral and maxillofacial surgeons frequently work alongside other specialists including orthodontists, oncologists, neurosurgeons, plastic surgeons and ENT surgeons.
The department is based in the Maxillofacial Unit (MFU), level 0, Horton Wing at St Luke’s Hospital. All outpatient activity takes place here. he majority of inpatient work is based on ward 19 at Bradford Royal infirmary.
The unit has short waiting times, which are continuing to reduce. In addition to the more traditional consultant outpatient clinics we also run specialist lead one-stop clinics where patients receive their initial consultation and treatment at the same visit.
In addition to providing a very high standard of clinical care the unit is very active in education and research. All of the consultants have published widely in scientific journals and text books and two have higher academic degrees.
Aims of maxillofacial surgery department at the foundation trust :-
- Provision of a high quality maxillofacial surgery service for patients referred to the department with the relevant oral and maxillofacial conditions.
- Provision of post graduate training, continuing professional education in oral and maxillofacial surgery for junior staff within the department and local primary care practitioners where relevant.
- Dento-alveolar service for management of conditions affecting the tooth bearing parts of the jaws
- Orthognathic surgery service jointly managed with orthodontic colleagues
- Head and neck cancer service under the auspices of the Bradford head and neck cancer multidisciplinary team
- Management of facial skin cancer
- Management of facial trauma.
Referrals to the maxillofacial service are from:
- General dental practitioners
- Other hospital departments
There are four consultants along with additional clinical staff which includes 10 doctors (eight senior house officers, one special registrar, one associate specialist), two part-time hospital practitioners and one dental hygienist.
Our support staff is made up of maxillofacial technicians, seven registered dental nurses full time, one office manager, three secretaries and three receptionists.
Teaching/Training and Research
The department provides a high standard of postgraduate teaching and training mainly due to the junior medical staff within the department but also to GPs (general practitioners) where relevant. There is a formal weekly training session for the senior house officers within the department and the consultant staff take part in a bi-monthly regional training teaching for the specialist registrars.
Clinical audit/clinical governance
All staff participate in clinical audit both locally and regionally. Regular clinical governance meetings are held within the department and emphasis is given to clinical effectiveness. Completed audits are presented locally and regionally.
Access to service
Routine referrals are accepted by post or fax. Urgent referrals may be accepted by telephone. The department complies with the two week wait for urgent cancer referrals, as well as the diagnosis and treatment target dates for head and neck cancer patients. The department also complies with the requirements to see all new referrals within 13 weeks.