DEPARTMENT OF ORAL & MAXILLOFACIAL SURGERY

The Department of Oral and Maxillofacial Surgery at King Edward Medical University/Mayo Hospital is one of the largest and most renowned departments in the country, providing comprehensive care for a wide range of maxillofacial conditions since 1999. With a team of highly qualified Faculty and experienced maxillofacial surgeons, the department is rendering remarkable surgical services to the patients, and at the same time; department takes lead as one of the largest centers for teaching & training of the post graduate doctors of this field. It offers elective surgical care to patients of Oral Cancer/Oncology, Facial trauma, Jaw cysts & Tumors, Facial Deformities, Oro-fascial infections, Salivary gland disorders. Moreover, a round-the-clock, 24/7 Maxillofacial Emergency service is provided which is the hallmark of the department!

For the past 27 years, the Department of Oral and Maxillofacial Surgery has been serving the people of Pakistan, especially Punjab, as a leading center for specialized surgical care, education, and research. Established in 1999 under the visionary leadership of Prof. Riaz Ahmad Warraich, the department laid strong foundations of clinical excellence and academic advancement. It was further strengthened by Prof. Nabeela Riaz(Ex HOD), who played vital role in expansion of the unit into a 50-bedded facility & a dedicated 24/7 OMFS emergency service.

Today, under the leadership of Dr. Malik Ali Hassan Sajid (Assoc. Professor), the current Head of Department, the legacy of progress continues. He is a graduate of the prestigious de’Montmorency College of Dentistry Lahore & an OMFS trainee of Mayo Hospital,. Dr. Malik Ali Hassan, other than FCPS, also holds MFDS RCPS (Glasgow), with rich international surgical experience at MOH–Saudi Arabia and Aga Khan Hospital, Tanzania. He also holds MHPE (UHS) and a DHEP – Diploma in Healthcare Ethics & Professionalism (LUMS), reflecting his dedication to both clinical excellence and medical education. Formerly, he also worked as Professor & Headed Department of Oral and Maxillofacial Surgery at FMH College of Medicine and Dentistry Lahore. He has more than 20 national & international publications to his credit. The OMFS department has 3 Assistant Professors, actively performing their clinical & academic activities.

Excellence in Patient Care: Provision of high-quality, comprehensive OMFS care for patients, ensuring optimal outcomes and patient satisfaction.

Training and Education: Offer high-quality & structured training and education programs for postgraduate residents, Fellows & healthcare professionals, promoting excellence in maxillofacial care.

Research and Innovation: Conduct high-quality research & develop and introduce new techniques, technologies, and treatments.

Collaboration and Partnerships: Collaborate with other departments, institutions and organizations to foster a culture of teamwork and interdisciplinary care for better outcomes.

• FCPS: Fellowship of the College of Physicians and Surgeons Pakistan in Oral & Maxillofacial Surgery
• MDS Oral & Maxillofacial Surgery, KEMU
• M.Phil Oral Pathology & Microbiology
• M. Phil Oral Biology
• DMFS: Diploma in Oral & Maxillofacial Surgery
• B.Sc Dental Technology
• Undergraduate teaching of MBBS & BDS
• Teaching of Allied Sciences KEMU

CURRENT RESEARCH
• Clinical audit and long term follow up of Squamous cell carcinoma patients.
• Micro RNAs as novel markers for post therapeutic management in patients with Head and Neck Squamous Cell Carcinoma.
• Comparison of Serum Levels of Ceruloplasmin as Prognostic Marker in Oral Submucous Fibrosis and Oral Squamous Cell Carcinoma Patients
• Frequency of Glucose transport family 1 expression in the Oral Squamous cell carcinoma.
• Comparison of subtarsal V/S trans conjuvctival incisions or exposure of infraorbital rim / orbital floor fracture
• Intermaxillary fixation screws V/S Eric arch bar in mandibular fractures a comparative study.
• Efficacy of Cyanoacrylate Versus Vicryl Sutures In Intraoral Wound Closure.
• Comparison of primary closure V/S secondary closure techniques of surgical wound closure after surgical removal of impacted mandibular third molar.
• Single blinded randomized control study to compare prolein suture with staples for skin closure after oncological surgery in neck.
• Comparison of intra-articular injection of PRP with orthrocentesis in TMJ internal derangement.
• Comparitive evaluation of pre-OP N/S post-OP antibiotic prophylaxis after facial fractures.
• Level 4 and 5 neck dissection in oral SCC patients with clinically positive note is it necessary or not.
PROJECTS COMPLETED
• Study of Osteogenic potential of Human Dental Pulp stem cells.
• International, multicenter, prospective registry to collect data of treatment patterns in patients with bilateral condylar fracture (BCFx) of the Mandible(AOCMF)
• A clinicopathological aspect of Head and Neck Squamous cell Carcinoma:Detection of Human Papilloma Virus by immunohistochemistry.
• A clinicopathological Aspect Of Ameloblastoma:Detection of Human Paplilloma Virus by Immunohistochemistry.
• Role of AgNOR staining in Histopathological grading of Oral Squamous Cell Carcinoma.
• Role of AgNOR staining in Histopathological grading of Ameloblastoma.
• Comparison of FNAC and histopathological diagnosis in Salivary Gland tumours.
• Role of Ki67 and PCNA in the Histopathological grading of Head and neck squamous cell carcinoma.
• Anatomy of marginal mandibular branch of facial nerve in fresh cadavers.
• Study of patterns of facial nerve branching in adults.
• Eruption ages and sequence of emergence of permanent first mandibular molar and incisor associated with gender in local population.
• Time of eruption of premolars at urban schools of Lahore-Pakistan.
• Emergence of permanent maxillary central incisor in primary school of Lahore.
PUBLICATIONS
International:
• Ali Hassan Sajid M, Bimb K, Ul Haq U. Perioperative Dexamethasone Is Associated With Higher Short-Term Mortality in Reconstructive Head and Neck Cancer Surgery. Is It Really the Case?. J Oral Maxillofac Surg. 2021; 79(5):951-952. doi:10.1016/j.joms.2020.12.053
• Sajid MAH, Younas S, Bimb K. Letter to Editor BJOMS on: “Computer-guided gap arthroplasty: a new approach to the execution of preplanned osteotomies for the treatment of bony ankylosis of the temporomandibular joint.” Br J Oral Maxillofac Surg. 2021; 59(1):139-140. doi:10.1016/j.bjoms.2020.10.011
• Role of human papillomavirus infection and other factors in patients with head and neck squamous cell carcinoma Oral Diseases (2013) .
• Reconstructive management of the rare bilateral oral sub-mucous fibrosis using nasolabial flap in comparison with free radial forearm flap a randomized prospective trial.
• Evaluation of postoperative discomfort following third molar surgery using submucosal dexamethasone observer blind prospective study Oral surg Oral med Oral Path Oral Radiol March 2013.
• Assessment of cervical lymph node metastasis for therapeutic decision making in squamous cell carcinoma of buccal mucosa: a prospective clinical analysis World Journal of surgical oncology 2012 10:253.
• Surgical treatment of zygomatic bone fracture using two points fixation versus three point fixation- A randomised prospective clinical trial Trials, Dec 2011.
• Modern Surgical Management of Tongue Carcinoma -A retrospective research over a 12 year period. Head & Neck Oncology, 2011 ;3:43.
• Reconstruction of mandibular defects clinical retrospective research over a 10-year period: Head & Neck Oncology 2011, 3:23.
National Publications:
• “Outcome of Non-operative/closed management of mandibular condylar fractures in children.” J Sharif Medical Dental Col 2019: 5(01); 16-19.
• “Use of Buccal pad fat flap: a good reconstructive option for reconstruction of Oral Mucosal Defects.”Ann King Edw Med Univ 2020; 26(03): 430-35
• “Pattern of Presentation of Mandibular Condylar Fracture in relation with known risk factors.” Pak Oral Dent J 2016:36(01); 13-18.
• Ophthalmic Injuries In Orbito-Zygomatic Fractures 2014(24) JCPSP
• Role of Prophylactic antiemetic’s in OMFS 2014(20:3) Annals of KEMU
• Frequency of infection after ext. of involved 3rd molar in mandibular angle fractures treated with rigid fixation 2013(19:1)Annals of KEMU
• Perception of OMFS among healthcare professionals 2015(21:2)Annals of KEMU
• Perception of Oral & Maxillofacial Surgery among health care professionals in Lahore 2015 Annals KEMU 21:2.
Tumor and tumor like lesions of orofacial region 2011(17:2)Annals of KEMU
• Fibromatosis of infratemporal space 2016(66:2)JPMA
• A single institutional experience of management of TMJ Ankylosis 2018(12)Pakistan Journal of Medicals Health Sciences
• Level of depression in TM disorder patients 2018(27:3)JPDA
• Oral Malignant metanoma 2014(34:2)PODJ
• Management of TMJ dislocation at Mayo Hospital 2018 PODJ
• Presthelic rehabilitation of nasal defect 2014(34:3)PODJ
• Comparison of post operation complication in mandible # treated by single Vs Two miniplates 2015(35:1)PODJ
• Management of temporomandibular joint dislocation at mayo hospital Lahore 2018(38:2)PODJ
• A retrospective study of causes, management and complications of paediatric facial fractures 2018(12:2)Eur. J. Dent
• Comparison of inclusion in closed and open reduction and internal fixation in mandibular S/C fracture 2018(24:2) Annals of KEMU
• Comparison of Outcomes of Membranous With Endochondral Bone Graft in Orbital Floor Reconstruction A.P.M.C Vol: 6 No. 2 July-December 2012.
• Clinical presentation of various cases of trigeminal neuralgia. J Pak Dent Assoc 2012, 20 (02), 85 89.
• An assessment of maxillofacial gunshot injuries and emergency management. J Pak Dent Assoc. 2012; 21(01):12-15.
• Comparison of the pain relief after cryosurgery and peripheral neurectomy in management of trigeminal neuralgia. J Pak Dent Assoc. 2012;21(4):242-247.
• Cervical lymph node metastases in squamous cell carcinoma of tongue and floor of mouth. J Coll Surg 2011 Jan; 21(1):55-6.
• Tumours and tumour like conditions of Oral & Maxillofacial region at Mayo Hospital. Ann King Edward Med Coll 2011.
• Comparative Study of Evaluation of Results of Orbital Floor Reconstruction with Calvarial Bone Graft Vs Sialastic Implant Annals of King Edward Med 2010; 16(4).
• Reconstruction of Mandibular defects with autogenous bone grafts :A review of 30 cases J Ayub Med Coll Abbottabad 2011;23(3).
• Massive leiomyosarcoma of the Maxilla J Ayub Med Coll Abbottabad 2011;23(2).
• Quality of life in Patients with obturator prosthesis J Ayub Med Coll Abbottabad 2010;22(2)
• Risk factors for Temporomandibular joint ankylosis in different age groups JKCD Dec 2011, Vol. 2, No. 1.
• Treatment of recurrent dislocation through eminectomy-A study Pakistan Oral & Dental Journal 2011; 28(1 25).
• Reconstruction of the mandible by fibular graft J Coll Physicians Surg Pak 2010 Nov; 20(11):723-7.
• Lymphatic Mapping to Tailor Selective Lymphadenectomy in Squamous Cell Carcinoma of Oral Cavity Annals 2010; 16(4) 246-251.
• The Versatility of Temporalis Muscle Flap in Reconstruction of Maxillofacial Region Defects Annals 2009 ;15(1)
• Abstract: Sarcomas in Oral and Maxillofacial at King Edward Medical University, Lahore, Oncology supplement 2009.
• Intractable Trigeminal Neuralgia, Neurectomy vs. Cryosurgery.The Professional ,J of Punjab Medical College
• Analysis of first 100 cases of Head & Neck tumours in Oral & Maxillofacial Surgery deptt: KEMC/Mayo Hospital Lahore. Ann King Edward Med Coll Jul- Sep 2002;8(3):181-3.
• Soft tissue reconstruction option in Head & Neck region area.
• Temporomandibular joint ankylosis, A preventable entity Ann King Edward Med Coll Jul Sep 2001;7(3):168-9.
• Necrotizing fascitis in the Head & Neck region. Annal King Edward Med Coll Jul Sep 2004;10(3):215-6.
• The role of temporal fascia interposition in the surgical management of TMJ ankylosis. Annal King Edward Med Coll Jul Sep 2004;10(3):265-7.
• Removal of large infratemporal fossa schwanoma; case report and review of literature Pak Dent Assoc Apr Jun 2008;17(2):108-11.
• Frequency of infection after extraction of involved third molar in mandibular angle fractures treated with rigid fixation. Annal King Edward Med Coll .
• Ophthalmic injuries in orbito-zygomatic fractures. J Coll Physicians Surg 2014,Vol.24(9):649-652.
• Role of prophylactic antiemetics in oral and maxillofacial surgery; Annal King Edward Med Coll Jul Sep 2014;20(3).

• Presentations of Postgraduate Residents on weekly basis.
• Journal club discussion on weekly basis.
• Case-Presentations on weekly basis.
• The OMFS department keeps on arranging symposia, Seminars & Mock Exams by inviting local & international OMFS Faculty round the year to further teaching & training to the undergraduate & postgraduate doctors

• The department provides 24/7 emergency surgical services at Mayo Hospital and operates a 50-bed inpatient unit, where complex cases such as maxillofacial trauma, oral cancer, jaw cysts and tumors, salivary gland diseases, TMJ disorders, Dentofacial/orthognathic deformities, and congenital anomalies are managed using modern, multidisciplinary approaches. The department is accredited both for FCPS-II & MDS training in Oral and Maxillofacial Surgery since 2001.
• This department has produced the maximum FCPS & MDS OMFS Surgeons which are more than any single unit in Pakistan. Plastic Surgery/ENT Residents also undergo their CPSP rotation in the OMFS department. .
• OMFS department operates 2 GA lists on Mondays & Thursdays and an LA list on every Friday.
• OPD patients are managed by Faculty & HOD 3 days a week on Tuesday, Wednesday & Saturday.