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Article: Volume 43 Number 10 Page 981 - December 2016

  Dent Update 2016; 43: 981-983  Read article

Oral and Maxillofacial Surgery:  A Festive Case Series of Emergencies, Admissions and Friendship at a Busy Oral and Maxillofacial Unit

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Abstract: The festive season presents oral and maxillofacial surgery (OMFS) dental core trainees (DCTs) with the challenges of managing an eclectic mix of emergencies. We present three such patients in this case series. First, Patient A, a 39-year-old homeless male who presented with a maxillary extra-oral draining sinus. Secondly, Patient B, a 38-year-old intra-venous (IV) drug user who suffered pan-facial fractures following an alcohol-fuelled assault. Finally, Patient C, a 38-year-old male who sustained a left zygomatic complex fracture a week previously, in attendance for corrective surgery. Despite the hardship, there was still festive cheer to be had by these individuals.

Clinical relevance: Primary and secondary care practitioners should be aware of the advanced clinical presentation of dental and maxillofacial emergencies that occur over holiday periods.

Author notes: Ross Keat, BDS, MFDS, PgCert, DCT in Oral and Maxillofacial Surgery (rosskeat@gmail.com), Paul Leavy, BDS, MSc, MFDS, MFGDP, DCT in Oral and Maxillofacial Surgery and Mathew Thomas, BDS, MFDS, MBChB MRCS, Specialty Registrar in Oral and Maxillofacial Surgery, Sheffield Teaching Hospital NHS Foundation Trust, Charles Clifford Dental Hospital, Wellesley Road, Sheffield S10 2SZ, UK.

Objective: To appreciate the importance of cross-specialty teamwork and communication with respect to appropriate patient referral when dealing with emergency conditions among casualties from a variety of socioeconomic backgrounds.