Surgical scope
Anesthesia/sedation: Residents are
comprehensively trained in the all aspects of anesthesia. The residents spend a
total of 5 months on the anesthesia service; one full month of which is at Riley
Pediatric Hospital. In addition to the formal anesthesia rotation the OMFS
residents participate in office based ambulatory anesthetics in the OMFS outpatient clinics. In addition to the
formal 1 month pediatric anesthetic rotation the OMFS residents anesthetize
approximately 2 -3 pediatric patients on a weekly basis in the outpatient dental clinic.
Craniofacial surgery: The department is an
integral component of the Craniofacial Team at Riley Pediatric Hospital. The
Craniofacial Team meets every Monday morning. The residents participate in
primary and secondary alveolar cleft repair and orthognathic surgery of the
cleft patient under the supervision of the Departmental faculty.
Dentoalveolar: The residents get extensive
experience in dentoalveolar surgery at the three outpatient clinics: Regenstrief
Health Center, Indiana University Hospital, and the outpatient OMFS clinic at
Indiana University School of Dentistry
Orthognathic surgery: Orthognathic surgery is
performed at all facilities. The cases operated on at University Hospital are done in
conjunction with the IU orthodontic group. The residents participate fully in
treatment planning. The residents also work closely with several private practitioners
that operate at Methodist Hospital and at a ambulatory surgical center. The
residents participate in
preoperative and postoperative office management of many of these patients.
Osseointegrated implants: The residents
receive extensive experience in treatment planning and surgical placement of
osseointegrated implants. Many of the patients treated in the residency require
various types of bone grafts, which are performed in the office. The department
also places several facial implants working closely with the IU School of
Dentistry Maxillofacial Prosthodontist program.
Trauma: Two of the four primary hospitals
affiliated with the program are level 1 trauma centers. The Department performs
full scope management of maxillofacial trauma. Most of the mandible fractures
are referred to the department. Craniofacial trauma is divided between three
services equally. In addition to the cases that present to the affiliated
hospitals the department is a resource for many surgeons throughout the state.
Temporomandibular joint surgery: The residents
participate in the full scope diagnosis and treatment of temporomandibular
disorders. Approximately 10 in-patient procedures were performed last year.
Pathology: The residents obtain extensive training in the
management of maxillofacial pathology. Residents also do a 2 month rotation on head and neck surgery. During this
rotation they usually are the first assistant and participate fully in the
management of these patients. The residents also do a rotation on oral and
maxillofacial pathology with Dr. Don-Jon
Summerlin and participate during their 4 years in a weekly pathology conference
with Dr. Charles Tomich.
Reconstruction: The oral and maxillofacial service performs
numerous reconstructive procedures.
The IU center also serves as a referral center for nerve injuries.
Facial Esthetic Surgery: The residency supports a full-scope experience
which includes all aspects of contemporary facial esthetic surgery. This
includes rhinoplasty for functional problems and cosmetic concerns. A variety of
facial implants are included in our scope of practice, including cheek, chin and
mandibular angle. In addition, other surgical experience will be gained in
bepharoplasty, brow-lift and scar revision, soft-tissue flaps and facial
liposuction. Secondary reconstruction of tumor, congenital and traumatic
deformities will utilize esthetic principles.
Sleep Apnea Surgery: The residents obtain experience performing a wide variety of
procedures for the treatment of obstructive sleep apnea, including maxillomandibular
advancement, genial tubercle advancement, and hyoid suspension.