Module information
Module details
- Title
- Introduction to Craniofacial Treatment Planning and Surgical Environment
- Type
- Rotation
- Module code
- S-R-R4
- Credits
- 10
- Phase
- 1
- Requirement
- Compulsory
Aim of this module
This module will provide the trainee with an introduction to the principles of craniofacial treatment planning and the surgical environment.
Work-based content
Training activities
| # | Learning outcome | Training activity | Type | Action |
|---|---|---|---|---|
| # 1 | Learning outcome 1,2,3,6 |
Training activities
Attend craniofacial and orthognathic multidisciplinary team meetings and reflect on the meeting |
Type OTA | Action View |
| # 2 | Learning outcome 1,2,3,6 |
Training activities
Shadow a Reconstructive Scientist/Maxillofacial Prosthetist when attending a craniofacial and orthognathic clinic and reflect on their role |
Type OTA | Action View |
| # 3 | Learning outcome 1,2,3,6 |
Training activities
Observe analogue planning and manufacture of a custom medical device for craniofacial orthognathic surgical planning and reflect on the process |
Type OTA | Action View |
| # 4 | Learning outcome 1,2,3,6 |
Training activities
Follow the patient pathway for patients undergoing orthognathic treatment, from pre surgical assessment, surgery and subsequent post-operative review, and reflect on the journey |
Type OTA | Action View |
| # 5 | Learning outcome 1,3,4,6 |
Training activities
Explore the use of 3D printing for the provision of surgical occlusal positioning wafers and guides in orthognathic surgery and reflect on the impact this will have on practice |
Type OTA | Action View |
| # 6 | Learning outcome 1,3,5,6 |
Training activities
Review the effect of legislation, guidance and law on patients undergoing craniofacial treatment and reflect on how this guides practice |
Type OTA | Action View |
| # 7 | Learning outcome 1,2,3,6 |
Training activities
Observe different analogue surgical planning methods for orthognathic treatment and reflect on the methods |
Type OTA | Action View |
| # 8 | Learning outcome 1,2,3,6 |
Training activities
Attend an introduction to theatre practice and protocols, and reflect on the introduction |
Type OTA | Action View |
| # 9 | Learning outcome 1,2,3,6 |
Training activities
Observe a craniofacial deformity clinic with the Maxillofacial surgeon and reflect on the clinic |
Type OTA | Action View |
| # 10 | Learning outcome 1,2,3,6 |
Training activities
Observe the use of custom-made medical devices for elective orthognathic procedures in the operating theatre and reflect on the process |
Type OTA | Action View |
Assessments
Complete 1 Case-Based Discussion
Complete 1 DOPS or OCE
Direct Observation of Practical Skills Titles
- Apply and appropriate infection control procedure.
- Articulate and set up an orthognathic surgical plan for a single jaw procedure (mandible).
- Prepare to attend surgical theatre, including “Scrub, gown and glove up” for theatre.
Observed Clinical Event Titles
- Gather a patient history relevant to the specialty from a patient, patient representative, or member of the multidisciplinary healthcare team.
- Present a patient history relevant to the specialty to a member of the multidisciplinary healthcare team.
Learning outcomes
| # | Learning outcome |
|---|---|
| 1 | Explore the contribution of Reconstructive Sciences in craniofacial treatment to patient care. |
| 2 | Identify the roles and relationships of the multidisciplinary team in Reconstructive Sciences involved in craniofacial treatment. |
| 3 | Describe the working practices of Reconstructive Sciences in craniofacial treatment. |
| 4 | Examine the impact of innovation in Reconstructive Sciences on craniofacial treatment. |
| 5 | Review the effect of legislation in Reconstructive Sciences on craniofacial treatment. |
| 6 | Compare and contrast the practice of Reconstructive Sciences in craniofacial treatment with other specialties. |
Clinical experiences
Activities
There is no clinical experiential learning associated with this module.
Academic content (MSc in Clinical Science)
Important information
The academic parts of this module will be detailed and communicated to you by your university. Please contact them if you have questions regarding this module and its assessments. The module titles in your MSc may not be exactly identical to the work-based modules shown in the e-portfolio. Your modules will be aligned, however, to ensure that your academic and work-based learning are complimentary.
Learning outcomes
On successful completion of this module the trainee will be able to:
- Identify the range of patients referred for orthognathic surgery, care pathways and teams involved for elective surgery applying the local and national legislation applicable to craniofacial devices.
- Explain the potential routes of transmission of infectious agents in surgical/clinical practice mechanisms for the prevention of infection, the scientific principles of decontamination and disinfection and their relevance to health and safety polices and the practice of reconstructive science.
- Apply integrative knowledge of anatomy and physiology of the head and neck to the assessment, classification, management and treatment of patients requiring orthognathic surgery.
- Critically evaluate the selection of materials and used in orthognathic surgery with a focus of understanding their selection, material parameters and limitations.
- Analyse, evaluate and classify facial deformities using manual and digital imaging techniques and justify the various technologies in relation to device manufacture for orthognathic surgery.
Indicative content
Care pathways for elective surgery and craniofacial surgery:
- Patient demographics and requirements for elective surgery and craniofacial surgery
- Elective surgery – Orthognathic surgery
- Incidence and aetiology of congenital and acquired craniofacial deformities
- Consent
- Medical history
- National legislation
Orthognathic surgery planning:
- Craniofacial jaw deformities
- Cleft lip and palate: Incidence, aetiology and treatment
- Surgical techniques for orthognathic surgery (single jaw – bi-maxillary)
- Indications and contraindications
- Anatomy in relation to craniofacial treatment planning
- Basic clinical assessment of patients
- Model based pre-operative planning systems, computer aided planning systems
- Analogue and digital planning systems for elective surgery
- Design principles for devices and surgical aids for orthognathic surgery
- Analysis and classification of facial deformities using manual and computer aided analysis techniques
- Theatre protocols
- Surgical procedures relevant to orthognathic and craniofacial surgery
Materials used in craniofacial treatment planning:
- Titanium alloys: Constitution, structure and properties and influence of processing on properties
- Examples of alloy selection for dental applications
- Polymeric and composite materials
- Additive manufactured materials
- Novel emerging materials
- Material properties – testing and selection
- Biocompatibility: Soft and hard tissue response to biomaterials
- Material degradation: biological environment, factors leading to deterioration of materials
Infection control microbial interactions:
- Microbial adhesion and biofilm formation, locations, incidence of device related infection, consequences, diagnosis and control strategies
- Typical microorganisms associated with device related infections
- Methods for prevention of cross infection
- Sterilisation and disinfection methods
Quality management systems and product liability:
- Requirements of accurate patient data
- Background to quality management systems
- Quality management principles applied to quality management system standards
- The ISO 9000 series of standards
- MHRA guidelines
- Materials testing standards (e.g. BSI, ASTM and ISO)