DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY

ACADEMIC STAFF OF THE DEPARTMENT

Dr. A.O. Osaguona Senior Lecturer/ Acting Head of Department
Prof. B.D.O. Saheeb Professor
Prof. O. N.Obuekwe
Prof O. Akpata
Professor
Professor
Dr. C.O. Iwu Associate Professor
Dr. E. P.Egbor Senior Lecturer
Dr. E. D.Odai Senior Lecturer
Dr. B. E.Edentanlen Senior Lecturer
NON-ACADEMIC STAFF

Njoetene O. M. (Mrs) Higher Executive Officer
Osamagioghomwenwi L.O. (Mrs) Higher Executive Officer

SUB-SPECIALTIES

 

This Department will consist of the following sub-specialties:
Anxiety and pain management
Congenital malformations evaluation and management
Exodontias and oral surgery
Maxillofacial traumatology
Maxillofacial treatment of special groups (Extremes of age, pregnancy, psychiatric disorder, etc.)
Orofacial pain, temporomandibular disorders and management
Oral and maxillofacial oncology and surgery
Oral and maxillofacial infections and management
Orthognathic surgery

PHILOSOPHY

To provide high quality education in line with international standards in the practice of Oral and Maxillofacial Surgery and to accomplish this in an environment that provides the intellectual and emotional support necessary to become a highly skilled and effective surgeon who is competent in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and aesthetic aspects of the hard and soft tissue of the oral and maxillofacial region.

Mission and Objectives

OBJECTIVES

Student should have gone through an established vibrant and conducive environment for high impact research, excellent teaching and professional clinical service.
Student should be able to carry out oral surgical procedures as indicated in the detail course content.
Be capable of working jointly with a medical team in the management of patients with critical illnesses requiring the facilities of an Intensive Care Unit (ICU) where problems that range from post-operative complications through an entire array of medical illnesses including overdoses, serious infections, respiratory failure and multiple organ failure are managed.
The student should be able to classify the physical status of patients and evaluate preoperative patient’s ability to tolerate anesthesia/surgical stress and develop technical skills in airway control, endotracheal intubation, intravenous techniques, and continuous intravenous drug therapy.
Evaluate laboratory data and interpret chest x-rays for anesthesia purposes and have exposure in the management of both geriatric and pediatric patients in the normal course of anesthesia delivery.

 

MISSION

To deliver high quality healthcare in line with international best practices through excellence in clinical care, academic and biomedical research and produce competent, responsible and happy oral and maxillofacial professionals

COURSE: DESCRIPTION AND CONTENT ORAL AND MAXILLOFACIAL SURGERY

 

500 LEVEL COURSES

DOS 500(2 credits) Oral and Maxillofacial Surgery Hands-on
Students learn the management of oral and maxillofacial surgical patients in the hospital setting. They take part in call-duty roster of the maxillofacial surgery hospital services, including hospital night calls with the house officers. They also attend to maxillofacial surgery consultants’ clinic and actively participate in physical examination and evaluation of the patients. Accurate and logically history taking is taught for ALL cases seen in the clinic; methods of methods of diagnosis, treatment planning administration of treatment and follow-up is taught and discuss as the cases arise. Evaluation is on competency tests after the minimum requirements are met. (Minimum requirement is 70% of the prescribed total requirement).

DOS 505(2 credits): Advanced Oral and Maxillofacial Surgery Hands-on
Students are introduced to the more advanced diagnostic techniques in maxillofacial surgery. Radiological techniques and interpretation of maxillofacial radiographs are taught and discussed. The identification of patients with special healthcare needs and their management is taught and discussed. Introduction to the maxillofacial emergency unit and active participation in triage, control of bleeding, suturing and basic life support (BLS) protocols are taught. Evaluation of the students shall be competence tests and a minimum of 70% attendance is required for competence assessment of the students.

DOS 520(2 credits): Introductory Oral and Maxillofacial Surgery:
The importance of history taking, patient examination, diagnosis, treatment planning.
Examination of the head and neck swellings; utilizations of investigations request;
Special emphasis of type of radiographs, requesting, examination and interpretation of maxillofacial radiographs as it affects ALL the diagnosis and treatment planning, treatment and follow-up for all conditions seen and treated in maxillofacial surgical units. The examination of blood, urine, pus and skin tests. Common sutures and basic suturing techniques; principle of suturing and types of knot tying. Protocols for referrals. Biopsies including exfoliative, punch, fine needle aspiration, incisional and excisional. Principles of oral and maxillofacial surgery, operating room, instruments, surgical team. Clinical etiquette.

DOS 521(2 credits): Anaesthesia and Pain Management
Gross and applied anatomy of the trigeminal nerve. Local anaesthesia: composition, pharmacokinetics and pharmacodynamics. Techniques of achieving local anaesthesia. Complications including facial nerve palsy, paraesthesia, haematoma formation, broken needles, syncope, idiosyncrasies etc. Protocols for anaesthesia and pain management in the young, elderly, pregnancy and patients with liver and kidney diseases are taught and mastered.

DOS 527(2 credits): Pre-prosthetic surgery and implantology
Introduction of terms and procedures, including frenectomy, mandibular argumentations. Introduction to preprosthetic surgery and distraction osteogenesis. Implants; types, patients’ selection and evaluation, as well as surgical techniques of implant placement. The biomechanics of osteodistraction techniques is taught as well as the biocompatibility of material and recent advances in implantology.

DOS 528(2 credits): Bone diseases, temporomandibular joint pathologies and their management
The genetic bases of congenital diseases; and the role of environment in congenital and acquired diseases of bone. The anatomy and physiology of the temporomandibular joint. Pathogenesis, presentations and management of: hypermobility, subluxation, luxation, dislocation, arthritis, arthrosis, arthromyalgia and ankylosis.

DOS 529(2 credits): Maxillofacial swellings and reconstruction
Diagnosis and treatment of cysts of the jaws. Odontogenic and non-odontogenic tumours, including those associated with cysts. Classification aetiopathogenesis of initiation, growth and development. Management. Post treatment rehabilitation. Salivary gland tumours and management. Importance of maxillary antrum in oral surgery. Impact of maxillofacial swellings and management on the quality of life. Plastic surgery: burns and technique of skin grafting
Treatment of scars, burns, keloids and removal of tattoos. Medico-legal implications of maxillofacial reconstruction and aesthetic surgery

 

600 LEVEL COURSES

DOS 612(2 credits): Term papers/Seminars/Projects
Preparation and presentations of simple scientific investigations and answers to basic maxillofacial conditions.

DOS 613(2 credits): Systemic disease in maxillofacial surgery
How systemic diseases (including but not limited to HIV/AIDS, cardiovascular disease, respiratory disease heamatological disease, endocrinology, neurology) play roles in effective diagnosis and treatment. Need to individual patient-oriented treatment planning. Multidisciplinary aspects of patients’ management.

DOS 622(2 credits) and DOS 623(2 credits): Exodontia I and II
I) Basic physical principles of routine exodontia, including the lever, wedge, wheel and axle principles. Armamentarium for exodontia. The applied anatomy and exodontia of erupted individual teeth in both jaws, including assessment and positioning. Post extraction protocols. Effects of loss of teeth. Management of tooth loss.

II) Management of the unerupted and impacted teeth. The extraction of roots. Identification and management of all possible complications of extraction, including pain, bleeding, heamatoma, loss of sensation, oro-antral fistula and fractures. The healing of fracture and extraction wounds. Post-operative management of the patients.

DOS 624 (2 credits) and DOS 625(2 credits) Maxillofacial trauma and management I and II
I) Principles of healing of jaw fractures. Maxillofacial trauma; aetiology and initial management with emphasis on coma scales and triage. Management of heamorrhage. Fractures of the lower third of the face. Wiring, arch bars, mandibulo-maxillary fixation. Principles of rigid internal fixation.
II) Psychological distress associated with maxillofacial trauma; anxiety and depression. Impact of maxillofacial trauma on the quality of life. Fractures of the middle third. Fracture of the nasal bone. Nasoethmoidal injuries. Blow-out fractures. Superior orbital fissure syndrome. Modern techniques in the management of maxillofacial fractures including use of lag-screws and plating.

CLINICAL SERVICES RENDERED

This Department provides among others, the following clinical services:
Anxiety and pain Management
Intra-alveolar exodontia
Trans-alveolar exodontia
Incisional biopsies
Excisional biopsies
Orofacial pain, temporomandibular disorders and management
Surgical ablation of oro-facial tumours and cysts
Oral and maxillofacial infections and management
Congenital malformations evaluation and management
Management of maxillofacial trauma
Orthognathic surgery
Maxillofacial care of special groups (the extreme of ages, pregnancy, psychiatric disorder, etc.)