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Interdisciplinary consultation trends in oral and maxillofacial surgery: a 5-year retrospective review

Year 2025, Volume: 6 Issue: 4, 318 - 322, 31.08.2025
https://doi.org/10.47582/jompac.1672273

Abstract

Aims: This study seeks to assess the content, frequency range, and practical outcomes of consultations directed to the oral and maxillofacial surgery (OMS) clinic from several medical departments for both outpatient and inpatient care. The results of this analysis will likely emphasize the importance of managing identified conditions using a multidisciplinary approach and help guide future research in this field.
Methods: A comprehensive retrospective analysis was performed on outpatient and inpatient consultations referred to the OMS clinic from internal and surgical medical departments at İstanbul Health Sciences University Sultan 2. Abdülhamid Han Traning and Research Hospital from 2017 to 2023. This study systematically analyzes patient demographics, consultation purposes, responses given, and clinical actions completed. The dataset will provide quantitative results regarding the departments that most often request consultations, the main conditions prompting these requests, and the treatments provided.
Results: Statistical data indicate that the majority of consultations directed to the OMS clinic originated from the Otolaryngology (ENT) clinic. This is followed by the emergency department, general surgery, anesthesia and reanimation department.
Conclusion: This study reveals that the majority of referrals to the OMS clinic originate from the ENT and emergency departments, primarily for temporomandibular joint disorders, sinus pathologies, and maxillofacial trauma. These results underscore the significant clinical interface between OMS and other medical specialties, highlighting the necessity for structured interdisciplinary collaboration and increased awareness regarding the scope of OMS services in hospital-based care.

References

  • Subhashraj K, Subramaniam B. Awareness of the specialty of oral and maxillofacial surgery among health care professionals in Pondicherry, India. J Oral Maxillofac Surg. 2008;66(11):2330-2334. doi:10.1016/j.joms. 2007.04.025
  • Islam S. Should we consider devolution of “head and neck” surgery from the specialties of oral and maxillofacial surgery; ear, nose, and throat surgery; and plastic surgery? Br J Oral Maxillofac Surg. 2016;54(9):976-979. doi:10.1016/j.bjoms.2016.07.010
  • Ameerally P, Fordyce A, Martin I. So you think they know what we do? The public and professional perception of oral and maxillofacial surgery. Br J Oral Maxillofac Surg. 1994;32(3):142-145. doi:10.1016/0266-4356(94)90097-3
  • Shah N, Patel N, Mahajan A, Shah R. Knowledge, attitude and awareness of speciality of oral and maxillofacial surgery amongst medical consultants of Vadodara district in Gujarat state. J Maxillofac Oral Surg. 2015;14(1):51-56. doi:10.1007/s12663-013-0592-6
  • Awal D, Amin K, Venda-Nova C, Naqvi A, Zakrzewska J. The specialist management of non-temporomandibular orofacial pain: maxillofacial surgery’s known unknown? Br J Oral Maxillofac Surg. 2019;57(8):749-754. doi:10.1016/j.bjoms.2019.06.024
  • Inchingolo AM, Malcangi G, Ferrara I, et al. MRONJ treatment strategies: a systematic review and two case reports. Appl Sci. 2023;13(7): 4370. doi:10.3390/app13074370
  • Çolak S, Demirsoy MS, Erdil A, Keldal G, Altan A, Akbulut N. Evaluation of consultation contents directed from a university training and research hospital to an oral and maxillofacial surgery clinic. Int Dent Res. 2023;13(1):35-43. doi:10.5577/idr.2023.vol13.no1.6
  • Longoni C, Corsetti A, Freddo AL, Puricelli E, Ponzoni D. Dental consultations requested to the maxillofacial surgery division in a hospital in Brazil. Clin Biomed Res. 2019;39(4):279-283. doi:10.22491/2357-9730. 93275
  • Ziegeler C, Wasiljeff K, May A. Nondental orofacial pain in dental practices–diagnosis, therapy and self-assessment of German dentists and dental students. Eur J Pain. 2019;23(1):66-71. doi:10.1002/ejp.1283
  • Arslan ED, Solakoglu AG, Komut E, et al. Assessment of maxillofacial trauma in emergency department. World J Emerg Surg. 2014;9(1):13. doi: 10.1186/1749-7922-9-13
  • Clark A, Pretty I. Up to 7% of referrals to oral and maxillofacial surgery are related to medication-related osteonecrosis of the jaws: how much is really out there? BDJ Open. 2022;8(1):5. doi:10.1038/s41405-022-00097-6
  • Topuz MF. General characteristics of otorhinolaryngology consultations: 3-year analysis. J Surg Med. 2020;4(10):865-869. doi:10. 28982/josam.794291
  • Lababidi E, Breik O, Subramaniam S. Perceptions of oral and maxillofacial surgery amongst Australian medical general practitioners. J Oral Maxillofac Surg Med Pathol. 2018;30(3):229-232. doi:10.1016/j.ajoms.2018.02.003
  • Bringhurst C, Herr RD, Aldous JA. Oral trauma in the emergency department. Am J Emerg Med. 1993;11(5):486-490. doi:10.1016/0735-6757(93)90091-o
  • Tuckett J, Lynham A, Lee G, et al. Maxillofacial trauma in the emergency department: a review. Surgeon. 2014;12(2):106-114. doi:10.1016/j.surge. 2013.07.001
  • Hammond D, Welbury R, Sammons G, et al. How do oral and maxillofacial surgeons manage concussion? Br J Oral Maxillofac Surg. 2018;56(2):134-138. doi:10.1016/j.bjoms.2017.12.014
  • Katoumas K, Anterriotis D, Fyrgiola M, et al. Epidemiological analysis of management of severe odontogenic infections before referral to the emergency department. J Craniomaxillofac Surg. 2019;47(8):1292-1299. doi:10.1016/j.jcms.2019.05.002
  • Greenstein G, Greenstein B. Clinical management of acute orofacial infections. Compend Contin Educ Dent. 2015;36(2):96-103.
  • Cambria F, Fusconi M, Candelori F, et al. Surgical multidisciplinary approach in the management of odontogenic or non-odontogenic neck infections. Acta Otorhinolaryngol Ital. 2021;41(Suppl 1):S138. doi:10. 14639/0392-100X-suppl.1-41-2021-14
  • Rosella D, Papi P, Giardino R, et al. Medication-related osteonecrosis of the jaw: clinical and practical guidelines. J Int Soc Prev Community Dent. 2016;6(2):97-104. doi:10.4103/2231-0762.178742

Ağız ve çene cerrahisinde disiplinlerarası konsültasyon eğilimleri: 5 yıllık retrospektif inceleme

Year 2025, Volume: 6 Issue: 4, 318 - 322, 31.08.2025
https://doi.org/10.47582/jompac.1672273

Abstract

Amaç
Bu çalışmanın amacı, İstanbul Sağlık Bilimleri Üniversitesi Sultan Abdülhamid Han Eğitim ve Araştırma Hastanesi’nde farklı tıbbi birimlerden Ağız, Diş ve Çene Cerrahisi (ADÇC) Kliniği’ne yapılan poliklinik ve yatışlı hasta konsültasyonlarının içeriğini, sıklığını ve klinik sonuçlarını değerlendirmektir. Elde edilen bulguların, multidisipliner iş birliğinin önemini vurgulaması ve gelecekteki araştırmalara yön vermesi beklenmektedir.

Yöntem
2017–2023 yılları arasında iç hastalıkları ve cerrahi tıp birimlerinden ADÇC Kliniği’ne yönlendirilen konsültasyonlar retrospektif olarak analiz edilmiştir. Hasta demografisi, konsültasyon nedenleri, verilen yanıtlar ve uygulanan klinik işlemler sistematik olarak değerlendirilmiştir. Bu analiz, en sık konsültasyon gönderen bölümleri, yönlendirme nedenlerini ve sağlanan tedavileri nicel olarak ortaya koymaktadır.

Bulgular
Konsültasyonların büyük çoğunluğu Kulak Burun Boğaz (KBB) Kliniği tarafından başlatılmıştır. Bunu Acil Servis, Genel Cerrahi ve Anesteziyoloji-Reanimasyon birimleri takip etmektedir.

Sonuç
ADÇC Kliniği’ne yapılan yönlendirmelerin çoğu KBB ve Acil Servis kaynaklıdır; en yaygın başvuru nedenleri ise temporomandibular eklem rahatsızlıkları, sinüs patolojileri ve çene-yüz travmalarıdır. Bu sonuçlar, ADÇC ile diğer uzmanlık alanları arasındaki güçlü klinik etkileşimi ortaya koymakta ve hastane temelli sağlık hizmetlerinde yapılandırılmış disiplinler arası iş birliğinin yanı sıra ADÇC’nin rolü konusunda farkındalığın artırılması gerektiğini göstermektedir.

References

  • Subhashraj K, Subramaniam B. Awareness of the specialty of oral and maxillofacial surgery among health care professionals in Pondicherry, India. J Oral Maxillofac Surg. 2008;66(11):2330-2334. doi:10.1016/j.joms. 2007.04.025
  • Islam S. Should we consider devolution of “head and neck” surgery from the specialties of oral and maxillofacial surgery; ear, nose, and throat surgery; and plastic surgery? Br J Oral Maxillofac Surg. 2016;54(9):976-979. doi:10.1016/j.bjoms.2016.07.010
  • Ameerally P, Fordyce A, Martin I. So you think they know what we do? The public and professional perception of oral and maxillofacial surgery. Br J Oral Maxillofac Surg. 1994;32(3):142-145. doi:10.1016/0266-4356(94)90097-3
  • Shah N, Patel N, Mahajan A, Shah R. Knowledge, attitude and awareness of speciality of oral and maxillofacial surgery amongst medical consultants of Vadodara district in Gujarat state. J Maxillofac Oral Surg. 2015;14(1):51-56. doi:10.1007/s12663-013-0592-6
  • Awal D, Amin K, Venda-Nova C, Naqvi A, Zakrzewska J. The specialist management of non-temporomandibular orofacial pain: maxillofacial surgery’s known unknown? Br J Oral Maxillofac Surg. 2019;57(8):749-754. doi:10.1016/j.bjoms.2019.06.024
  • Inchingolo AM, Malcangi G, Ferrara I, et al. MRONJ treatment strategies: a systematic review and two case reports. Appl Sci. 2023;13(7): 4370. doi:10.3390/app13074370
  • Çolak S, Demirsoy MS, Erdil A, Keldal G, Altan A, Akbulut N. Evaluation of consultation contents directed from a university training and research hospital to an oral and maxillofacial surgery clinic. Int Dent Res. 2023;13(1):35-43. doi:10.5577/idr.2023.vol13.no1.6
  • Longoni C, Corsetti A, Freddo AL, Puricelli E, Ponzoni D. Dental consultations requested to the maxillofacial surgery division in a hospital in Brazil. Clin Biomed Res. 2019;39(4):279-283. doi:10.22491/2357-9730. 93275
  • Ziegeler C, Wasiljeff K, May A. Nondental orofacial pain in dental practices–diagnosis, therapy and self-assessment of German dentists and dental students. Eur J Pain. 2019;23(1):66-71. doi:10.1002/ejp.1283
  • Arslan ED, Solakoglu AG, Komut E, et al. Assessment of maxillofacial trauma in emergency department. World J Emerg Surg. 2014;9(1):13. doi: 10.1186/1749-7922-9-13
  • Clark A, Pretty I. Up to 7% of referrals to oral and maxillofacial surgery are related to medication-related osteonecrosis of the jaws: how much is really out there? BDJ Open. 2022;8(1):5. doi:10.1038/s41405-022-00097-6
  • Topuz MF. General characteristics of otorhinolaryngology consultations: 3-year analysis. J Surg Med. 2020;4(10):865-869. doi:10. 28982/josam.794291
  • Lababidi E, Breik O, Subramaniam S. Perceptions of oral and maxillofacial surgery amongst Australian medical general practitioners. J Oral Maxillofac Surg Med Pathol. 2018;30(3):229-232. doi:10.1016/j.ajoms.2018.02.003
  • Bringhurst C, Herr RD, Aldous JA. Oral trauma in the emergency department. Am J Emerg Med. 1993;11(5):486-490. doi:10.1016/0735-6757(93)90091-o
  • Tuckett J, Lynham A, Lee G, et al. Maxillofacial trauma in the emergency department: a review. Surgeon. 2014;12(2):106-114. doi:10.1016/j.surge. 2013.07.001
  • Hammond D, Welbury R, Sammons G, et al. How do oral and maxillofacial surgeons manage concussion? Br J Oral Maxillofac Surg. 2018;56(2):134-138. doi:10.1016/j.bjoms.2017.12.014
  • Katoumas K, Anterriotis D, Fyrgiola M, et al. Epidemiological analysis of management of severe odontogenic infections before referral to the emergency department. J Craniomaxillofac Surg. 2019;47(8):1292-1299. doi:10.1016/j.jcms.2019.05.002
  • Greenstein G, Greenstein B. Clinical management of acute orofacial infections. Compend Contin Educ Dent. 2015;36(2):96-103.
  • Cambria F, Fusconi M, Candelori F, et al. Surgical multidisciplinary approach in the management of odontogenic or non-odontogenic neck infections. Acta Otorhinolaryngol Ital. 2021;41(Suppl 1):S138. doi:10. 14639/0392-100X-suppl.1-41-2021-14
  • Rosella D, Papi P, Giardino R, et al. Medication-related osteonecrosis of the jaw: clinical and practical guidelines. J Int Soc Prev Community Dent. 2016;6(2):97-104. doi:10.4103/2231-0762.178742
There are 20 citations in total.

Details

Primary Language English
Subjects Oral and Maxillofacial Surgery
Journal Section Research Articles [en] Araştırma Makaleleri [tr]
Authors

Tahsin Tepecik 0000-0003-2335-1914

Rukiye Ceren Beker 0009-0009-1946-6955

Mehmet Zahit Baş 0000-0003-0892-4067

Early Pub Date August 30, 2025
Publication Date August 31, 2025
Submission Date April 10, 2025
Acceptance Date July 5, 2025
Published in Issue Year 2025 Volume: 6 Issue: 4

Cite

AMA Tepecik T, Beker RC, Baş MZ. Interdisciplinary consultation trends in oral and maxillofacial surgery: a 5-year retrospective review. J Med Palliat Care / JOMPAC / jompac. August 2025;6(4):318-322. doi:10.47582/jompac.1672273

TR DİZİN ULAKBİM and International Indexes (1d)

Interuniversity Board (UAK) Equivalency: Article published in Ulakbim TR Index journal [10 POINTS], and Article published in other (excuding 1a, b, c) international indexed journal (1d) [5 POINTS]



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