DEPARTMENT OF ORAL & MAXILLOFACIAL SURGERY

Department of Oral & Maxillofacial Surgery, Mayo Hospital, Lahore is the most established ward of this specialty in the Punjab, since 1999. This department is rendering services to the patients, and excellent teaching & training of the post graduate of this field. It provides elective surgical care to patients of Oral Oncology, congenital anomalies and facial trauma 24/7/365 emergency services.

1-Provision of best possible health care to patients of maxillofacial region.
2-Teaching and training of post graduates of Oral & Maxillofacial surgery.
3-Research for the better treatment options of maxillofacial pathologies.
4-Awareness among public for the preventive measures of Oral Cancers.

Program:

• FCPS (Oral & Maxillofacial Surgery)
• MDS (Oral & Maxillofacial Surgery)
• M.Phil (Oral Pathology & Microbiology)
• M. Phil (Oral Biology)
• Diploma in (Oral & Maxillofacial Surgery)
• B.Sc (Dental Technology)

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:

• 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:

• 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).

• 50 bedded Ward (Male & Female)
• Out Patient Department Room # 40 on Tuesday, Wednesday, Saturday
• Operation Days in West Operation Theater Ghariwali Building on Monday, Thursday and Friday
• Number of OPD patients in 2018 (10541)
• Number of Electrical Surgical Procedures under G.A (840)

Patients are operated for

• Oral Oncology (Resection & Reconstruction of defects with different options including micro vascular free flap)
• Facial Trauma
• Developmental Defects & Orthognathic Surgery