Department of Maxillofacial Surgery

The department performs the following operations:

• reconstructive and restorative plastic surgery on soft tissues of the maxillofacial region;
• reconstructive and restorative plastic surgery on the bones of the facial skeleton;
• orthognathic surgery;
• plastic replacement of soft tissue defects using PECL;
• primary surgical treatment of wounds of soft tissues of the face;
• radical surgery on the maxillary sinus with plastic elimination of the fistula;
• radical surgery on the maxillary sinus with elimination of the defect of the anterior wall of the sinus with an autograft
• elective tooth extraction, complex tooth extraction, removal of impacted teeth;
• transfocal osteosynthesis of the jaws with a mini-plate system;
• removal of benign formations of the maxillofacial region;
• organ-preserving operations on the salivary glands;
• microsurgical removal of formations of the parotid salivary gland;
• subtotal microsurgical removal of parotid salivary gland formations with SMAS defect plastic surgery using a flap;
• primary surgical treatment of the fracture gap, bimaxillary splinting of the jaws, etc.

The list may include, if necessary:

• X-ray (OPTG, CBCT, MS CT, MRI, etc.),
• cytological examination (result of cytological examination).

When referring patients with diseases of the maxillofacial region on a planned basis for surgical interventions, the following examinations are carried out:

• Complete blood count, complete urine analysis
• ECG (if there is pathology according to the therapist’s conclusion).
• Biochemical blood test (total protein, bilirubin, urea, transaminases, glucose, electrolytes).
• Coagulogram: (APTT, prothrombin test (prothrombin time, prothrombin ratio, percentage of prothrombin complex factor activity, INR), thrombin time, fibrinogen, D-dimers).
• Chest X-ray (dated no later than 6 months).
• For patients with concomitant pathology - mandatory! consultation with a specialist in the profile of the disease, for women - a gynecologist.
• Extract from a therapist (total cases of congenital heart disease for the year).
• Blood test for RW, HBs Ag, anti HCV (no later than 2 weeks).
• Vaccination status (tetanus, diphtheria).
• Data from examination of the maxillofacial region (X-rays, ultrasound, CT/CBCT cytology/histology, oncologist's report, etc.).
• Oral cavity sanitation.

When hospitalized, you must have with you:

• Passport (identification card)
• Referral with test results
• Personal hygiene products (toothbrush, toothpaste, soap)
• Shirt.

Please note that, given the nature of the disease, the state of the syndrome and (or) their course, as well as the individual characteristics of the patient's body, unintended complications are possible during the main operations performed in the department:

• Wound complications (bleeding, hematoma formation, serous fluid accumulations, infiltrates, damage to nearby organs and tissues)
• thromboembolic complications
• development of pain syndrome in the postoperative period, including chronic pain
• infectious complications (wound suppuration, pneumonia, etc.)
• exacerbation of concomitant chronic pathology