Diagnosis for jaw osteomyelitis in University Hospital Saarland Homburg

About the department

The Department of Oral and Maxillofacial Surgery at the University Hospital Saarland Homburg provides the full range of diagnostic and therapeutic services to patients suffering from diseases of the oral cavity, jaw, face, and neck. One of the priorities of the department's surgeons is the resection of malignant oral and maxillofacial tumors. Patients with such cancers are treated in close cooperation with otolaryngologists within the specialized center certified by the German Cancer Society (DKG). The department also regularly admits patients with temporomandibular joint disorders, facial skeleton fractures and injuries, inflammatory processes in the maxillofacial region, cleft lip and palate, and other pathologies. The medical facility has several operating rooms with state-of-the-art equipment, thanks to which surgeons can perform operations of any degree of complexity. Special attention should be given to the outstanding professionalism of the department's medical team. The doctors at the medical facility guarantee not only high standards of medical care, but also high-quality care, a friendly attitude, and respect for the patient's individual needs and wishes. The department is headed by Prof. Dr. med. Dr. med. dent. Kolja Freier.

The department's surgeons work in the advanced operating rooms, where they annually perform many successful operations to treat benign and malignant oral and maxillofacial tumors. Of particular interest to the department's experts is the resection of malignant neoplasms of the oral cavity, facial skin, scalp, and salivary glands. Prior to surgery, a patient undergoes comprehensive diagnostics, which may include CT scans of the head and neck, so that oral and maxillofacial surgeons can obtain the necessary information on the particular type of tumor, its size, exact localization, involvement of lymph nodes, and other organs. At the preoperative stage, the necessary laboratory tests and instrumental examinations are also performed to assess the patient's general health condition and eliminate any surgical risks. The task of surgeons is complete tumor removal, followed by microvascular reconstruction of the tissues affected during surgical manipulations by transplanting skin, muscles, and bone tissues. 3D planning computer systems are widely used in the department, with the help of which surgeons can optimally plan the reconstructive stage of the intervention and provide the patient with an excellent functional and aesthetic result. After malignant maxillofacial tumor resection, patients often require radiation therapy and/or chemotherapy, the decision to conduct which is made at a tumor board together with highly specialized experts. After the course of treatment is completed, the patient is recommended to have regular check-ups, including CT or MRI scans.

The department's specialists also have unique professional skills in dysgnathia treatment. The pathology is a deformation of the jaw, which may provoke problems with chewing function and speech and also cause severe pain. Dysgnathia is often associated with aesthetic defects that affect a person's self-esteem and quality of life. The department uses two main approaches to the treatment of dysgnathia. The first one involves orthodontic treatment with fixed braces, followed by corrective surgery (osteotomy). The second treatment approach excludes pre-orthodontic treatment, so dysgnathia is eliminated only with surgery. The advantage of the second therapy option is that the treatment period is significantly reduced. However, in most cases, patients with dysgnathia have severe jaw curvatures, so they cannot do so without the help of an orthopedist. At the preparation stage for corrective osteotomy, a patient undergoes a digital 3D X-ray, on the basis of which a 3D computer system models the predicted result of the intervention. After the operation, the jaws are immobilized with tight rubber ligatures over the braces, and special splints can also be used. Depending on the severity of the clinical case, a hospital stay after corrective osteotomies is usually 3-7 days.

The department's surgical options are complemented by operations for temporomandibular joint dysfunction. At the early stages of the pathology, doctors successfully use conservative treatment methods, including the placement of special splints or caps, drug therapy with pills or intra-articular injections, physiotherapy, etc. The operation is a last-line treatment option and is prescribed only in the most complex clinical cases. The department's oral and maxillofacial surgeons usually perform temporomandibular joint surgery with low-traumatic arthroscopic techniques.

The department's key clinical activities include:

• Surgical treatment of benign and malignant oral and maxillofacial tumors with follow-up reconstructive plastic surgery
• Surgical treatment of cleft lip and palate and other oral and maxillofacial malformations
• Surgical treatment of facial bone diseases and injuries 
• Surgical treatment of soft tissue traumatic injuries in the face and neck
• Surgical treatment of temporomandibular joint diseases
• Carrying out the necessary preparatory measures before placing dental implants
• Septic oral and maxillofacial surgery
• Dentoalveolar surgery: impacted tooth removal, dental implantation, bone augmentation, etc.
• Other surgical services