BMI Albyn Hospital21-24 Albyn Place, Aberdeen, AB10 1RW Directions
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Treatment of conditions affecting the head, neck, face and jaw
The unusual thing about oral and maxillofacial surgery is that our Consultants are dentally qualified, as well as medically qualified. This means that surgeons within this speciality are trained to recognise a huge range of conditions and injuries affecting the:
Some of our team trained in dentistry first, while others underwent medical training first, but in order to be a Consultant within oral and maxillofacial in the UK, you need to be trained in both.
Our Consultants also completed surgical training – including basic surgical (e.g. in general surgery and orthopaedics) before training for up to seven years in the oral and maxillofacial speciality.
As a result, there are quite a lot of areas our Consultant Oral and Maxillofacial Surgeons cover, including:
Oral and maxillofacial surgeons work alongside ear, nose and throat consultants too, on surgeries such as free tissue transfer, which sees them take a piece of tissue from elsewhere from the body and transfer it – using microsurgery – to reattach the blood supply at the new site in the body requiring reconstruction.
Craniofacial surgery is more esoteric. Often, in children with conditions that cause deformity to the skull and the face, larger centres like Liverpool, Glasgow and London will perform necessary surgeries, with our Consultants referring patients on.
The oral and maxillofacial team works alongside orthodontic colleagues, who will straighten the teeth up. Sometimes even with straight teeth, the discrepancy between bones of the jaw is still too big, so this will mean someone needs to move the jaws around – for example, the top jaw will often be moved forward and up, with the bottom jaw being moved back or forward to fit.
At the moment this surgery is not done at BMI Albyn hospital.
There are various things our team might do to the jaw joint; the vast majority of patients with problems relating to the temporomandibular joint (TMJ) don’t require surgery.
There are several other things our Consultants can do to manage patients’ discomfort – for example, injecting joints, or rinsing joints.
Finally, if the joint is severely damaged, we may need to replace the joint. We would tend to use a custom-made joint, built by computer, based on a CT scan. The joints are manufactured in the USA and sent over; they aren’t cheap, but they’re very good in the right circumstances; if someone is miserable due to joint degeneration, it can be life-changing.
While we are a surgical speciality, we deal with a lot of oral medicine: conditions of the mouth that effect the oral mucosa, which may be part of a systemic problem, including:
We’re careful to ensure that people with these sorts of (painful) conditions know that they are able to call our secretaries and, if necessary, we can inject the nerve and take the feeling away, even if it’s just for 24 hours.
We have very good contacts and colleagues within neurology, too; sometimes, these patients are amenable to decompression surgery, too – and we manage them up until that point.
Much of the work that our Consultants do at BMI Albyn comes into this category, such as removal of wisdom teeth, cysts within the jaws, or buried teeth. Sometimes, that’s seen as less glamorous, says our Consultant, but it can be tricky work to do. Involving the nerves that run through the jaw and bone, we use a large team here at Albyn to perform this kind of work.
While this is not offered at BMI Albyn Hospital, patients may be referred elsewhere. We can change the shape of the jaw (jawline contouring), as well as the shape of the chin in transgender patients.
Rhinoplasty (nose jobs) and brow contouring may also be offered, if required.
Occasionally, our team can perform surgeries involving the soft tissue as well. There is Scottish Government Guidance on the sort of treatments we can offer, and these patients are very carefully assessed first by a specialist mental health professional.
We see patients face-to-face, but if needs be, we all offer telephone and video consultations. Commonly, appointments will be face-to-face, depending on whether we need to do a biopsy or we decide if surgery is required.
Usually, there will be some form of investigation, including:
Our Consultants don’t talk people into surgery if that’s not appropriate for them – and every patient receives the same high-quality service. If our specialists don’t think that surgery is required, for any reason, they will make that clear.
We try to give as much information as possible, if surgery is recommended, and often offer two consultations before going ahead with more complex surgery. In these cases, we leave plenty of time between the two consultations to give patients time to consider what’s involved and if they would like to go ahead.
A Multidisciplinary Approach
Ours is a multidisciplinary approach that covers everything from conditions which affect both the function of the face and mouth, to those that affect their appearance.
Sometimes people are shy about telling us they are concerned about their appearance, but appearance is important, particularly facial appearance. The face is the first thing people see of you – and with all of the surgery we do, function is important, but appearance is considered too.
People sometimes feel that that is somehow not a noble motivation to have surgery, but we’ve changed lives for people; we’re always thinking about appearance as well as function.
Below is an at-a-glance look at some of the reasons you might choose BMI Albyn Hospital for your oral and maxillofacial consultation:
There isn’t another maxillofacial surgery centre in the Highlands. For trauma, for instance, at the moment we cover the whole of northern Scotland, including the islands.
Pay for yourself with our fixed price packages. This includes your pre-assessment, treatment, follow-ups and 6 months' aftercare
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