The Rationale: Presentation of a case where using an endoscope aided the removal of a significantly displaced mandibular third molar.
Patient Concerns: Pain and infection associated with the ectopic wisdom tooth, increased risks with conventional surgical removal.
Diagnosis: Chronic infection associated with the displaced, ectopic left lower third molar (LL8).
We previously published a study on the provision of emergency maxillofacial services during the first UK COVID-19 pandemic national lockdown. We repeated the study during the second lockdown and now present our findings that highlight the main differences and learning issues as the services have evolved.
View Article and Find Full Text PDFThe global pandemic of Coronavirus disease (COVID-19) represents one of the greatest challenges to healthcare systems, and has forced medical specialties to rapidly adapt their approaches to patient care. Oral and Maxillofacial Surgery is considered particularly at risk of disease transmission due to aerosol generation during surgical interventions, patient proximity and operating environment. On day 2 (26th March, 2020) of when severe restrictions in population movement were instigated in the United Kingdom, we began a study to prospectively monitor the presentation and management of maxillofacial emergencies at five hospital trusts.
View Article and Find Full Text PDFThe incidence of injuries among prisoners is much higher than in the general population, and in the UK the number of prisoners and the incidence of injuries are rising. Maxillofacial trauma is common. Based on the cases of 12 patients, we have identified eight challenges that are associated with the management of maxillofacial trauma in this group: patient-reported mechanisms of injury that are often inconsistent with the fracture pattern, complex fracture patterns, delayed presentation, high prevalence of dental disease and of smoking, complicating medical factors such as drug use and blood-borne viruses, increased risk of further violence after discharge, and problems with follow-up logistics.
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