Year : 2019 | Volume
: 10 | Issue : 2 | Page : 127--128
From the desk of president, UPAOMSI
Department of Oral and Maxillofacial Surgery, Sardar Patel Post Graduate Institute of Dental and Medical Research Institute, Lucknow, Uttar Pradesh, India
Department of Oral and Maxillofacial Surgery, Sardar Patel Post Graduate Institute of Dental and Medical Research Institute, Lucknow, Uttar Pradesh
|How to cite this article:|
Singh G. From the desk of president, UPAOMSI.Natl J Maxillofac Surg 2019;10:127-128
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Singh G. From the desk of president, UPAOMSI. Natl J Maxillofac Surg [serial online] 2019 [cited 2020 Apr 9 ];10:127-128
Available from: http://www.njms.in/text.asp?2019/10/2/127/270731
Extending the commendations and greetings on behalf of the entire National Journal of Maxillofacial Surgery (NJMS) Editorial team. I take this opportunity not just to thank but also to convey my gratitude toward the acclaimed and celebrated authors, virtuous editors, and to all truthful readers of the journal. The NJMS works upon focused fundamentals to annunciate the excellent and evidence-based research articles.
Maxillofacial injuries are a frequent cause of presentation in an emergency department and the severity of injury varies from soft tissue lacerations to gross communications and panfacial fractures of the face. Management of such injuries can be extremely challenging. A systematic approach is necessary to assess and manage such injured patients. Maxillofacial trauma management has evolved significantly in the past few decades, thereby reducing morbidity and mortality.
The road traffic accidents are among the main etiologic factors of maxillofacial injuries in developing countries. Road traffic accidents ranked eighth among the leading causes of death in India among young people aged 15–29 years. The incidence of road traffic accidents in India is approximately 4.5 lakhs per year and among them maxillofacial injury accounts for 52.79%. Whereas, 32% people die per year from these road traffic accidents. The relatively high incidence of injuries resulting from the traffic accidents necessitates to reinforce the legislation aimed to prevent road traffic crashes. The role and responsibilities of a maxillofacial surgeon becomes double fold not only in the management but also in the prevention by disseminating the awareness about road safety measures in general public.
Over the years, there had been metamorphosis in the management strategies that has carved a niche for a more holistic approach and a wide visionary in terms of patient care to enhance the positive treatment outcomes. The initial assessment and management and more accurate diagnosis and treatment of life-threatening injuries by ingression of multidisciplinary team are the need of time.
Amelioration in craniofacial traumatology includes more accurate diagnostic imaging giving a three-dimensional view of the maxillofacial skeleton, and advanced armamentarium has given the surgeons an opportunity to manage even the worst facial fractures more precisely either by closed or open reduction and internal fixation.
The posttraumatic deformity of facial skeleton is another important subset of maxillofacial trauma. The overall treatment outcomes of such complex facial deformities have become more precise and predictable with the development of refined three-dimensional computed tomography images, steriolithographic models, and customized computer graphics-based hardware. Precision of the software to be able recreate anatomic templates which is able to reproduce normal craniofacial bony structure. These diversifications have resulted in superior esthetic and functional results.
Furthermore, the shift in various options in terms of hardware for rigid/semirigid fixation has given the operator the opportunity to contrive the treatment according to the patient per se, utilizing the advantage of hardware variety. Lately, minimally invasive endoscopic surgery with the use of loupes and optics furthermore had strengthened this specialty.
In conclusion, more and more focus is laid upon sophisticated instrumentation, novel surgical planning to evidence-based approach in treating a patient as a whole and not merely a craniofacial trauma. At the end, we accost more contributions from the learned and dedicated practitioners to ensure the glorious success of the specialty and advocate the implementation of newer techniques for the advancement of craniomaxillofacial trauma surgeries.