Key Topics
Key Topics Oral and Maxillofacial Surgery
Key topics are those that are considered essential to the specialty. The topics have associated key procedures. All trainees should have been routinely exposed to them, and have acquired the relevant clinical competencies, prior to the award of a CCT. Trainers should ensure that trainees are fully assessed in the management of these topics/procedures in particular:
Important note: Competence in these topics/procedures will be taken to denote competence in the management of closely related pathology or less complex procedures in the same anatomical area.
Key Topics and Associated Essential Procedures
- Management of a patient with dento-alveolar pathology
- Surgical extraction of unerupted/impacted teeth and roots
- Apical surgery / excision of jaw cyst
- Management of infections of the head and neck
- Drainage of tissue space infection
- Management of patient with compromised airway
- Surgical access to airway (tracheostomy / cricothyroidotomy)
- Management of maxillofacial trauma
- Repair of facial lacerations
- Reduction and fixation of fracture of mandible
- Fracture of mandibular condyle - open reduction and fixation
- Elevation and fixation of fractured zygoma
- Fracture of orbital floor – repair and graft
- Management of salivary gland swellings
- Submandibular gland excision
- Management of oro-facial pain / temporomandibular joint dysfunction
- Temporomandibular joint arthrocentesis
- Management of a patient with benign jaw tumour
- Resection of odontogenic tumour / fibro-osseous lesion
- Potentially malignant and malignant epithelial tumours of the mucosa and skin
- Excision of malignant skin tumour
- Management of patient with a neck lump / swelling
- Management of a patient with developmental/acquired deformity of facial skeleton
- Mandibular ramus osteotomy
- Cancer of the head and neck region
- Excision of oral / oropharyngeal or jaw malignancy
- Reconstructive surgery
- Patient requiring osseointegrated implants
- Insertion of intra-oral implants and abutment connection
It is expected that trainees will be able to show evidence that competence in the management of trauma is being maintained (ATLS certificate or equivalent from August 2012).