中华口腔医学会口腔颌面外科专科医师资格认证委员会关于口腔颌面外科专科医师资格认证申请工作的通知

根据中华口腔医学会关于口腔颌面外科专科医师（以下简称专科医师）资格认证工作的要求，口腔颌面外科专科医师资格认证委员会拟在2006年6～7月启动专科医师的申请和认证工作。根据2006年6月1日杭州会议精神，按照《中华口腔医学会口腔颌面外科专科医师资格认证试点方案》的要求对口腔颌面外科现任正高、副高和主治三种职称医师采取不同的认证方案。正高职称采用申请十认证方法；副高职称申请十书面考核十认证方法；主治医师职称申请十考试十认证方法。申请认证的条件和步骤如下：     

中华口腔医学会口腔颌面外科专科医师资格认证委员会关于口腔颌面外科专科医师资格认证申请工作的通知

根据中华口腔医学会关于口腔颌面外科专科医师（以下简称专科医师）资格认证工作的具体要求，口腔颌面外科专科医师资格认证委员会拟在2006年6月-7月开始启动专科医师的申请和认证工作。根据在2006年6月1日在浙江省杭州市召开的专科医师工作会议的精神，按照《中华口腔医学会口腔颌面外科专科医师资格认证试点方案》的要求对口腔颌面外科现任正高、副高和主治三种职称医师的采取不同的认证方案。正高职称采用申请＋认证的方法；副高职称采用申请＋书面考核＋认证的方法；主治医师职称采用申请＋考试＋认证的方法。具体申请认证的条件和申请步骤如下：     

中华口腔医学会口腔颌面外科专科医师资格认证委员会关于口腔颌面外科专科医师资格认证申请工作的通知

根据中华口腔医学会关于口腔颌面外科专科医师（以下简称专科医师）资格认证工作的具体要求，口腔颌面外科专科医师资格认证委员会拟在2006年6月-7月开始启动专科医师的申请和认证工作。根据2006年6月1日浙江省杭州市召开的专科医师工作会议的精神，按照《中华口腔医学会口腔颌面外科专科医9币资格认证试点方案》的要求对口腔颌面外科现任正高、副高和主治三种职称医师采取不同的认证方案。正高职称采用申请＋认证的方法；副高职称采用申请＋书面考核＋认证的方法；主治医师职称采用申请＋考试＋认证的方法。具体申请认证的条件和申请步骤如下：     

中华口腔医学会口腔颌面外科专科医师资格认证委员会关于口腔颌面外科专科医师资格认证申请工作的通知

根据中华口腔医学会关于口腔颌面外科专科医师（以下简称专科医师）资格认证工作的具体要求，口腔颌面外科专科医师资格认证委员会拟从2006年6月-7月开始，启动专科医师申请和认证工作。根据2006年6月1日在浙江省杭州市召开的专科医师工作会议精神，按照《中华口腔医学会口腔颌面外科专科医师资格认证试点方案》的要求，对口腔颌面外科现任正高、副高和主治三种职称医师采取不同的认证方案，正高职称采用申请＋认证的方法，副高职称采用申请＋书面考核＋认证的方法，主治医师职称采用申请＋考试＋认证的方法。具体申请认证的条件和申请步骤如下：     

华西口腔医院正颌外科专科医师规范化培训改革探索

专科医师培训是我国临床医师培训的一个重要内容。正颌外科是口腔颌面外科的亚专业之一,也是口腔颌面外科专科医师培训中不可或缺的一部分。目前我国的正颌外科专科医师的数量匮乏,在正颌外科专科医师培训方面存在各种困难和不足。本文通过分析目前国内正颌外科专科医师培训的现状和困难,介绍我们在建立正颌外科专科医师规范化培训体系方面的尝试与经验,并为最终培养出规范、标准、具有完整专科知识体系的正颌外科专科人才提供有价值的参考。     

第三届中国颅底外科多学科医师论坛征稿启事

颅底外科涉及神经外科、耳鼻咽喉一头颈外科、口腔颌面外科、眼科、整形外科等多个学科。随着新技术、新设备的不断涌现,近年来中国的颅底外科事业发展迅猛,在国内外已经形成一定影响。第一届和第二届中国颅底外科多学科医师论坛分圳与2009和2011年成功举办,     

口腔颌面外科医师显微外科培训方法的探讨

随着口腔颌面外科学科的不断发展,与其他学科交叉越来越广泛。而显微外科是近年来发展迅速的学科,口腔颌面外科与显微外科之间的关系已经达到密不可分的地步,特别表现在口腔颌面头颈肿瘤外科领域。因此这就需要口腔颌面外科医师熟练掌握显微外科的基本理论知识和基本操作,以适应现代口腔颌面外科发展的需要。我们举办了多期针对口腔颌面外科医师的显微外科培训班,积累了一些经验,有了对口腔颌面外科医师显微外科培养的体会,本文对显微外科的培训方法进行总结和探讨。     

微创正颌外科的进展

微创外科是指以内镜外科代替传统外科，借助专门的器械，利用微小切口和微小创伤的外科治疗手段。与传统手术方法相比，有着诸多优越性，近年来逐渐被口腔颌面外科医师应用到一些常见疾患的诊治上，但是在正颌外科领域，微创技术的使用刚刚起步。国外一些学者进行了部分动物实验和尸体模拟操作，也有少数的临床实践报道，而国内尚未见专门的报道。本文就微创正颌外科的研究近况和发展等作一综述。     

网络平台在口腔颌面外科专科医师培训的初步应用

网络平台是口腔颌面外科专科培训的重要途径,具有极大容量的教学空间,且无时空地域限制,资源丰富。网络平台可打破传统上口腔颌面外科医师通过教材或书籍获取知识的局限,大大提高了获取信息医学资源的速度,为专科医师培训提供了一个更广阔、便捷的方式。因此,加速推广网络平台在口腔颌面外科专科医师培训的应用,有利于保障专科医师规范化培训工作的顺利实施,提高培训质量。     

中国口腔领面外科专业委员会代表参加第90届美国口腔颌面外科医师协会年会

2008年9月15-20日，中国口腔颌面外科专业委员会应美国口腔颌面外科医师协会的邀请，与美国口腔颌面外科医师协会在美国西雅图联合召开了第90届美国口腔颌面外科医师协会年会。     

美国口腔颌面外科专业发展历史和现状

本文通过对美国德克萨斯大学健康科学中心·圣安东尼奥分部口腔颌面外科主任和住院医师培训项目主任Edward Ellis教授的采访,详细介绍了美国口腔颌面外科教育的发展历史和现状,为我国口腔颌面外科专科教育提供参考。     

9例经口入路机器人手术在口腔颌面外科应用报道

目的: 总结口腔颌面外科机器人手术的应用经验。方法: 解放军总医院口腔科应用达芬奇机器人手术系统对9例位于口腔深部肿瘤患者行经口入路机器人手术（transoral robotic surgery, TORS）,总结手术经验与体会。结果: 患者均顺利完成手术,摆位及术区暴露用时20~90 min,平均42.2 min;手术时间5~90 min,平均40.9 min。除1例双侧颈淋巴清扫术患者外,其余纯口腔入路患者8例,术后平均住院日3.25 d,术后均顺利出院,平均住院天数7.75 d。结论: 达芬奇机器人手术系统可以独立完成口腔深部肿瘤手术,但在特殊患者如舌根肿瘤手术上仍有一定困难,主要是术区暴露时间较长。     

Relation between wound healing after surgery and susceptibility to periodontal disease

Abstract. In the present investigation wound healing was studied clinically in 8 younger (mean age 33.5 years) and 8 older patients (mean age 48 years), who were surgically treated for the same amount of severe periodontitis. This implies that the patients in the younger age group represented individuals with a higher degree of susceptibility to periodontal disease than the patients in the older age group. After surgery all patients were subjected to a carefully controlled oral hygiene program. Patients were recalled weekly until 8 weeks post surgery and again after 15 weeks for a final examination. At every recall session oral hygiene measurements were carried out and the bleeding tendency of the pockets was determined after probing with a standardized pressure. Bleeding on the basis of mechanical trauma after probing was considered to be a clinical parameter for wound healing in a plaque free environment.
Results indicate that the oral hygiene program resulted in equally low plaque scores in both age groups. However, in a period from 5–15 weeks after surgery younger patients showed significantly more bleeding pockets than older patients. Furthermore it was found in both groups that the more loss of attachment there was, the slower the rate of wound healing.
It was concluded that the time span for wound healing is longer in patients who are more susceptible to periodontal disease, than in those who are less susceptible.     

Accuracy of soft tissue prediction in surgery-first treatment concept in orthognathic surgery: A prospective study

Purpose

The purpose of this study was to provide a quantitative accuracy assessment of soft tissue predictions generated by a computer-aided maxillofacial planning system in patients undergoing orthognathic surgery following the “surgery-first” treatment.

Non-technical skills in oral and maxillofacial and head and neck surgery: systematic review

The importance of teams’ and individuals’ non-technical skills in reducing adverse events is well-recognised. We undertook a systematic review of the published literature to assess the research undertaken to date on non-technical skills and behaviours within oral and maxillofacial, and head and neck (OMFS-H&N) surgery. The aim was to assess the applicability of published studies to current practice, to look at how these studies could guide future research, and look for areas that could be developed further. The search terms included ‘non technical skills’, ‘nontechnical skills’, ‘NOTSS’, ‘non-technical skills for surgeons’, ‘oral surgery’, ‘oral maxillofacial surgery’, ‘OMFS’, ‘maxillofacial surgery’, ‘head and neck surgery’, ‘microsurgery’, ‘behavioural markers’, ‘behavioural assessment tool’, and ‘behavioural ratings system’. Three publications were included, involving 83 participants. Participants consistently achieved the highest scores in the ‘situational awareness’ category and showed a tendency to achieve lower mean scores in the ‘communication and teamwork’ and ‘decision-making’ categories. The majority of research into surgeons’ non-technical skills has occurred in simulated environments and not in the genuine environments in which actual surgery is being performed on patients. Research involving ‘real’ patients has been done in the field of OMFS-H&N and this places the specialty in a stronger position than many other surgical specialties.     

中国口腔颌面外科专科医师培训和教育指南

中华口腔医学会口腔颌面外科专业委员会(Chinese Society of Oral and Maxillofacial Surgery,简称CSOMS)是国际口腔颌面外科医师协会(IAOMS)和亚洲口腔颌面外科医师协会(AsianAOMS)成员。本培训和教育指南的制定,是为了提高患者在接受口腔颌面部疾病诊治过程中的医疗水平和条件。对于直接参与这些医疗工作的口腔颌面外科医师来讲,他们的专业水平和所接受的专业培训教育水平是其所提供医疗服务水平高低的决定性因素。中国     

2018例口腔颌面外科日间手术临床分析

目的:总结中南大学湘雅医院口腔颌面外科开展日间手术的临床经验,探讨日间手术在口腔颌面外科的应用效果与安全性。方法:回顾分析2014年7月—2019年6月在中南大学湘雅医院日间手术中心进行治疗的所有口腔颌面外科患者的临床资料,包括患者年龄、性别、疾病名称、麻醉与手术方式或取消原因、住院时间、延期出院原因、术后并发症发生情况及医疗费用等。选取其中手术量最多的8种疾病,以普通住院病房为对照,比较同类型疾病平均住院时间与医疗费用的差异。采用SPSS 23.0软件包对数据进行统计学分析。结果:在纳入研究期间的5年内,中南大学湘雅医院共完成口腔颌面外科日间手术2018例,疾病类型以口腔颌面部软组织肿物、牙及颌骨病变、唾液腺疾病为主。患者年龄2~77岁,平均34.45岁,男女比例为6:4。手术取消率1.13%,术后并发症发生率0.64%,平均住院时间0.89 d,延迟出院率0.40%。与普通病房相比,同类型疾病住院时间与医疗费用均显著降低(P<0.05)。结论:口腔颌面外科能够实施日间手术的疾病类型多,患者依从性好,住院时间短,医疗资源利用率高。在规范管理的前提下,安全可行,值得进一步推广应用。     

Maxillary, mandibular and chin advancement surgery for the treatment of obstructive sleep apnoea

The aim of this retrospective study was to determine the effectiveness of maxillary, mandibular and chin advancement (MMCA) surgery as a treatment for obstructive sleep apnoea and to determine the cephalometric parameters of this surgery. Twenty consecutive adult patients with obstructive sleep apnoea for whom other treatments (constant positive airway pressure, mandibular advancement splint and soft tissue surgery) had failed underwent MMCA surgery. Pre- and post-surgical polysomnography studies measuring the Respiratory Disturbance Index (RDI), minimum blood oxygen saturation (MinSaO2) and Epworth Sleepiness Scale (ESS) were compared. Lateral cephalometric radiographs measuring the pre- and post-surgical posterior airway space (PAS) were also analysed. Regression analysis indicated that the change in PAS at the level of B point largely accounted for the change in the RDI, although it was not significantly related with the postoperative oxygen saturation. MMCA surgery was found to be effective as a treatment for obstructive sleep apnoea, and improved all postoperative measures in this study. There was a significant relationship between B point, the PAS and a reduction in RDI.     

Interclinician disparity in periodontal decision making: need for consensus statements on surgical treatment

BACKGROUND AND OBJECTIVE: The clinical factors involved in the decision-making process for surgical treatment have been described. However, there is still little standardization of the criteria upon which such a decision should be based. The impact of this lack of practice guidelines on the recommendation of surgery in clinical practice is unclear. The objective of the present study was to investigate the recommendation of surgical therapy during the corrective/reparative treatment phase by trained clinicians with various backgrounds on the basis of clinical data. MATERIAL AND METHODS: Fifteen clinicians (10 periodontal students and/or recent graduates from two dental schools and five experienced practitioners) were asked to make a treatment decision (surgery or no surgery) at a tooth level. Therefore, they were given 23 initially treated patients with details on demographics and smoking habits. Radiographs and clinical information on 573 teeth at baseline (prior to root debridement) and at 9 mo of follow-up were provided. RESULTS: Clinicians interpret clinical data quite differently in their advice of surgery when practice guidelines are not provided, as the results showed high variation in surgical recommendation. Experienced practitioners showed most variation, with a range from 13 to 50% in surgical recommendation. Clinicians linked to a training center shared a common treatment philosophy as to when periodontal surgery should be performed. This philosophy differed markedly among the two dental schools. Most disagreement among the 15 clinicians was found for deep pockets and for multirooted teeth. Disease status, tooth type, age, and full-mouth plaque levels had a significant impact on decision making. CONCLUSION: The substantial variation in recommending surgery calls for consensus statements on surgical treatment.     

Postoperative bleeding risk for cutaneous surgery in the head and neck region with continued phenprocoumon therapy

In a total of 171 surgical procedures for lesions in the head and neck region in patients in whom phenprocoumon therapy was not stopped, 16 (9%) postoperative bleeding events were observed over a follow-up period of two weeks. Local measures were sufficient in all cases except one severe case where blood transfusion was needed and anticoagulant treatment was stopped for 7 days. The bleeding risk was significantly higher for the surgical procedures of the nose than those in other areas (21% versus 6%, P = 0.014), but was not influenced by the international normalized ratio (INR) of blood coagulation, size, site and type of the lesion, surgical procedure, and sex and age of the patients. The bleeding rate in patients not on any anticoagulation therapy was significantly lower (6/211 = 3%). Across both groups, just over 80% of the bleeding episodes were within the first two days (55% on the same day and 32% on the next day) of the surgery. No bleeding was recorded after 5 days. Our data suggest that cutaneous surgery in the head and neck region can be safely performed with continued phenprocoumon therapy in most cases in an INR range of 1.3–3.4, but rarely severe bleeding does occur and can be managed with a close-contact follow-up and with 24-h on call services during the first two days postoperatively.