Oral and Maxillofacial Surgery

What is Oral and Maxillofacial Surgery?

Oral and maxillofacial surgery involves the anatomical areas of the mouth, jaw, face, skull and associated structures. At the University of South Florida, plastic surgeons provide oral and maxillofacial surgery after facial trauma. We treat complex lacerations of the face, soft tissue trauma and facial fractures, including frontal bone, maxillary and nasal bone, orbital bones, zygoma and mandible (jaw).

How is the Oral and Maxillofacial procedures performed?

Most patients will seek out medical treatment for acute facial trauma after being evaluated by a plastic surgeon in the emergency room or clinic. If soft tissue or facial fracture repair is necessary you will be scheduled for the appropriate surgery in a timely fashion.

Mandibular fractures (jaw fractures) are often treated within the first few week after the injury. Patients may require surgery for open reduction (re-aligning the bones) and internal fixation (placement of plates and screws) of the fractures as well as maxillomandibular fixation (also known as wiring of the jaw).

Orbital, zygomatic maxillary complex, frontal bone, and le Fort (maxillary) fractures, may be treated emergently or within 1-2 weeks depending on the patient and the injury. Many of these injuries can be treated conservatively, or may require surgery for open reduction and internal fixation of the fractures.

Nasal bone fractures are often reduced in the emergency department or office within the first 24 hours with local anesthetia. Occasionally nasal bone and septal fractures require going to the operating room for reduction.

Who is a good candidate for Oral and Maxillofacial Surgery?

The first step is to schedule personal consultations with your plastic surgeon. Every patient is different, and your surgeon will discuss the various options in order to customize a surgical treatment plan that is right for you. During the consultation, you should expect: to provide a complete medical history, including information about previous surgical procedures; past and present medical conditions; and any medications or herbal supplements you are taking. Your surgeon will conduct a complete physical examination and will then discuss possible risks and complications of the procedure.