BASIC SCIENCES:
A thorough knowledge both on theory and principles in general and in particular the basic medical subjects as relevant to the practice of maxillofacial surgery. It is desirable to have adequate knowledge in bio-statistics, epidemiology, research methodology, nutrition and computers.

Syllabus :

• Evolution of maxillofacialsurgery
• Diagnosis, history taking, clinical examination, investigations.
• Informed consent/medico-legal issues.
• Endocrinal disorders
• Concept of essential drugs and rational use of drugs
• Communication skills with patients – understanding clarity in communication, compassionate explanations and giving emotional support at the time of suffering and bereavement
• Principles of surgical audit – understanding the audit of process and outcome. Methods adopted for the same. Basic statistics.
• Principles of evidence based surgery – understanding journals based literature study; the value of textbook reference book articles; value of review articles; original articles and their critical assessment. Understanding the value of retrospective, prospective, randomized controlled and blinded studies. Understanding the principles and meaning of various bio-statistical tests applied in these studies.
• Use of computers in surgery – components of computers; its use in practice – principles of word processing spreadsheet functions, database and presentation; the Internet and its uses. The value of computer based systems in bio medical equipment.
• Preoperative workup – concept of fitness for surgery; basic medical workup; workup in special situations like, diabetes, renal failure, cardiac and respiratory illness; risk stratification.
• Surgical sutures, drains
• Postoperative care - concept of recovery room care; away management; assessment of wakefulness; management of cardiovascular instability in this period; criteria for shifting to a ward; pain management.
• Basic surgical instrumentation – Principles of surgical instrumentation, their maintenance and sterilization.
• Wound management – wound healing, factors influencing healing, basic surgical techniques properties of suture materials appropriate use of sutures.
• Fluid and electrolyte balance/Acid – Base metabolism - The body fluid compartments, metabolism of water and electrolytes, factors maintaining homeostasis, causes for and treatment of acidosis and alkalosis.
• Blood transfusion – Blood grouping cross matching, blood component therapy, complications of blood transfusion, blood substitutes, auto transfusions, cell savers.
• Surgical infections - asepsis and antisepsis microbiological principles, rational use of antibiotics, special infections like synergistic gangrene and diabetic foot infections, hepatitis and HIV infection and cross infection.
• Surgical nutrition – Nutritional assessment, metabolilc response to stress, need for nutritional support, entrail nutrition, routes of access to GI tract, parenteral nutrition, access to central veins for nutritional support.
• Airway obstruction/management – anatomy of the airway, principles of keeping the airway patent, mouth to mouth resuscitation, oro-pharyngeal airway, endotracheal intubation crico-thyroidetomy, tracheotomy
• Shock and pulmonary failure – types of shock, diagnosis resuscitation, pharmacological support, ARDS and itscauses, prevention, ventilators support.
• Anaesthesia – stages of anesthesia pharmacology of inhalation, intravenous and regional anesthetics, muscle relaxants.
• Assessment of trauma – multiple injured patient/closed abdominal and chest injuries/penetrating injuries, fractures pelvis, urological injures, vascular injuries trauma scores.
• Pain control – acute and chronic pain, cancer and non-cancer pain, patient controlled analgesia
• Generai patient management - competence in the physical assessment of patients for surgery, competence in the evaluation of patients presenting with acute injury, particularly to the maxillofacial region. Competence in the evaluation of management of patients for anaesthesia.
• Clinical oral surgery – All aspects of dento alveolar surgery
• Oral pathology and oral medicine – the training should include the management of wide range of pathological lesions of the hard and soft tissues of the oro facial region like cysts, odontogenic infections, benign, malignant neoplasm. Salivary gland diseases, maxillary sinus diseases, oral mucosal diseases, oral aspects of various systemic diseases.
• Maxillofacial trauma – comprehensive management including polytra patients.
• Reconstructive Oral and Maxillofacial Surgery – hard tissue and soft tissue reconstruction.
• Pre-prosthetic surgery – A wide range of surgical reconstructive procedures involving the hard and soft tissues of the edentulous jaws.
• Orthognathic surgery – The traince must be familiar with the assessment and correcting of the jaw deformities.
• Cleft lip and palate surgery.
• Head and neck oncology – understanding of the principles of management of head and neck oncology including various precancerous lesions. Experience in the surgical techniques of reconstruction following ablative surgery
• Temporo mandibular joint disorders – T.M.J. disorders and their sequale need expert evaluation. Assessment and management. It is preferable to be familiar with diagnostic and therapeutic arthroscopic surgery procedures.
• Tissue grafting – understanding of the biological mechanisms involved in autogenous and hetgerogenous tissue grafting.
• Microvascular surgery
• Implantolgoy – Principles surgical procedures for insertion of various types of implants
• Laser surgery – the application of laser technology in the surgical treatment of lesions amenable to such therapy.
• Distraction ostcogenesis in maxillofacial region
• Facial pain facial paralysis, nerve injuries.
• Cryosurgeries – Principles the application of cryosurgery in the surgical management of lesions amenable to such surgeries.
• Maxillofacial radiology/radio diagnosis
• Other diagnostic methods & imaging techniques.

ALLIED SPECIALITIES :

General Medicine : General assessment of the patient including children with special emphasis on cardiovascular diseases endocrinal and metabolic respiratory and renal diseases blood dyseriasis.

General Surgery : Principles of general surgery exposure to common general surgical procedures.

Neuro-surgery: livaiuation of a patient with head injury examination of various cranial nerves in a traumatized patient, exposure to various neuro-surgical procedures.

ENT/Ophthalmology : Examination of ear, nose, throat, exposure to ENT surgical procedures. Ophthalmic examination and evaluation, exposure to ophthalmic surgical procedures  

Orthopedic : Basic principles of orthopedic surgery, bone diseases and trauma as relevant to maxillofacial surgery. Interpretation of radiographs, CT MRI and ultrasound.

 Oncology: Management of head and neck cancer, role of radiotherapy, surgery, chemotherapy, molecular oncology.

Anesthesia: Evaluation of patient for G.A. Principles of G.A. techniques and management of emergencies various I.V. sedation techniques.

ROTATION & POSTING IN OTHER DEPARTMENTS:

• General Medicine 2 months
• General Surgery 2 months
• Anesthesia 1 month
• Neuro/emergency 2 months
• Cancer/Oncology 2 months
• ENT/Ophthalmology 1 month
• Orthopedic 1 month
• Plastic Surgery 1 month
• Total months 12 months

FIRST YEAR

1 st Term: 1. Basic Sciences, 2. Minor oral surgery, 3. Selection of dissertation topic, library dissertation, 4.Attendance in O.T. and ward rounds,

• Synopsis to be submitted within 6 months after admission.

2 nd Term: Medical Rotation

General Rotation – 2 months. General Surgery – 2 months,

General Anesthesia – 2 months, Examination of basic sciences: one paper of 3 hours duration preferably of MCQ type

SECOND YEAR

1 st Term: Oral Surgery

2 nd Term: Higher surgical training

Nero/emergency – 2 months, Cancer – 2 months, ENT – 1 month,

Orthopedic – 1 month submission of library dissertation.

THIRD YEAR

Maxillofacial surgery, Dissertation in 1 st term; final examination at the end of the 3 rd year. Submission of thesis 6 months before the final examination.

GENERAL SURGICAL SKILLS & OPERATIVE PROCEDURES:

 Note: PI - Performed independently

PA - Performed with assistance

A - Assisted

O- Observed.

Recommended books and Reference pertaining to Oral & maxillo facial surgery & oral implantology

1. Principles of Oral & Maxillofacial Surgery; Vol. 1,2 & 3; Peterson I.J & etal.
2. Rowe and Williams Maxillofacial injuries Vol. 1 & 2; Williams Jlied
3. Handbook of Medical emergencies in the dental office; Malamed S.F.
4. Plastic surgery; Vol. 1 – 5; McCarthy JG.
5. Cancer of the face and mouth; McGregor IA & Mc
6. Oral & Maxillofacial Surgery Vol 1 & 2; Laskin DM
7. Oral & Maxillofacial Trauma; Vol 1 & 2; Fonseca RJ & Davis
8. Oral & Maxillofacial infections; Topazian RG & Goldberg MH
9. Surgical correction of dentofacial deformities Vol 1,2 & 3; Bell WH & etal
10. Surgery of the mouth and jaws; Moore JR.
11. Dentofacial deformities: integrated orthodontic and surgical correction; Vol 1 to 4;
12. Maxillofacial Surgery; Petter Wardbooth

Journals pertaining to Oral & maxillo facial surgery & oral implantology

1. Int. Journal of Oral & Maxillofacial Surgery
2. Journal of Cranio Maxillofacial Surgery
3. British Journal of Oral & Maxillofacial Surgery
4. Oral Surgery, Oral Medicine, Oral Pathology
5. Oral & Maxillofacial clinics of North America
6. Journal of oro-facial pain
7. Int. Journal of Oral & Maxillofacial Implants
8. Indian Journal of Oral & Maxillofacial Surgery
9. Plastic & Reconstructive Surgery
10. Cancer