Face Mouth and Jaw Surgery.
Dr. Vinay Kharsan MDS Oral and Maxillofacial Surgery
Dr. Prabuddh Sen MDS Oral and Maxillofacial Surgery
Apollo Hospitals - Bilaspur
TRISMUS- inability to open mouth
Inability to open mouth and painful movement of jaws can be due to a variety of reasons. These can be disorders of
the TMJ (jaw joint) or trauma, infection and pathologies such as oral submucous fibrosis.
Submucous fibrosis- a very common condition of reduced mouth opening and burning sensation sometimes due to
chewing of tobacco products.
Surgical correction of submucous fibrosis is the best way to permanently treat and mange the condition. Conservative
methods using injections and medicines are sometimes useful as well.
Oral and Maxillofacial Surgeons deliver emergency room coverage for facial injuries, which include the
· Facial lacerations
· Intra-oral lacerations
· Avulsed (knocked out) teeth
· Fractured facial bones (cheek, nose or eye socket)
· Fractured jaws (upper and lower jaw)
Maxillofacial trauma includes injuries to any of the bony or fleshy structures of the face. Any part of the face may be
affected. Teeth may be knocked out or loosened. The eyes and their muscles, nerves, and blood vessels may be injured
as well as the eye socket (orbit), which can be fractured by a forceful blow. The lower jaw (mandible) may be dislocated
by force. Although anchored by strong muscles for chewing, the jaw is unstable in comparison with other bones and is
easily dislocated from the temporomandibular joints that attach it to the skull. A fractured nose or jaw may affect the ability
to breathe or eat. Any maxillofacial injury may also prevent the passage of air or be severe enough to cause a concussion
or more serious brain damage.
Craniofacial surgery is a surgical subspecialty of maxillofacial surgery that deals with congenital and acquired deformities
of the skull, face, and jaws bone, skin, muscle, teeth, etc. Craniofacial surgery does not, however, include surgery of the
brain or eye.
Typically treated by craniofacial surgeons include craniosynostosis (isolated and syndromic), rare craniofacial clefts,
acute and chronic sequellae of facial fractures, cleft lip and palate, micrognathia, Treacher Collins Syndrome, Apert's
Syndrome, Crouzon's Syndrome, hemifacial microsomia and many others.
Cleft lip and Palate surgery
Maxillofacial plastic surgery include correction of lip and palate deformities and rhinoplasties to make cosmetic and
functional corrections of the face.