Oral and Maxillofacial surgery

Oral and maxillofacial surgery is the medical specialty concerned with the diagnosis and treatment of diseases affecting the face, neck, mouth, and jaws. It is a unique speciality as it requires a dual qualification in medicine and dentistry.

The range of conditions managed by oral and maxillofacial surgeons is vast and includes the diagnosis and management of broken jaws, head and neck cancers, salivary gland diseases, facial deformities, facial pain, impacted teeth, cysts and tumours of the jaws as well as other oral problems such as mouth ulcers and infections.

Services

  • Dentoalveolar/Oral surgery which is surgery of the tooth-bearing part of the jaws. This includes impacted teeth, complex tooth extractions, cysts and lesions of the lining of the mouth and management of dental infection
  • Facial and dentoalveolar trauma which includes the management of broken jaws, cuts and other soft tissue injuries
  • Facial pain - diagnosis and initial treatment
  • Head and neck cancer service under the support of the University College London Hospitals and Barts London Trust head and neck cancer multidisciplinary team, following the NICE guidance of a multidisciplinary approach.  Combined clinics are held with maxillofacial surgery, ear, nose and throat (ENT) surgery, radiotherapy, radiology, histopathology and Macmillan nurse input. Patients are treated following assessment and treatment planning, which may include chemotherapy and radiotherapy.
  • Oral medicine including the diagnosis and management of conditions of the lining of the mouth such as ulcers, lichen planus and thrush
  • Orthognathic surgery which involves surgically moving the jaws to correct some problems with the face and mouth. This is jointly managed with our Orthodontic team
  • Salivary gland disease such as salivary gland obstruction, inflammatory diseases and benign and malignant tumours
  • Skin surgery which includes surgery of benign and malignant lesions.

Contact numbers

Call the main switchboard 01708 435 000 then dial one of the following extensions:

Oral and Maxillofacial surgery secretaries ext 2702 or 3777

Patient Pathway Manager ext 6867

Maxillofacial admissions ext 3554

Maxillofacial Minor Ops admissions ext 2568

Location

The Oral and Maxillofacial Surgery department is located in Outpatients team 2 – first floor Orange zone at Queen’s Hospital, where you will also find our on-site maxillofacial surgery laboratory and technician.

Clinicians 

Consultants 

Mr Neil Shah MSc, FDSRCS, FRCS (CSiG), FRCS (OMFS)  

Special interests: head and neck cancer, salivary gland disorders and skin surgery

Ms Elena Pappa MD, DDS, PhD, FRCS (OMFS), MSc

Special interests: orthognathic surgery, paediatric maxillofacial surgery, skin surgery and obstructive sleep apnoea

Mr Ramunas Nekrasius MD. BDS

Special interests: trauma, dentoalveolar

Dr Thushala Ubaya

Lead Consultant Orthodontist

Speciality Doctor 

Ms Latoni Gilbert BDS (Hons), MFDS RCSEd, MJDF RCSEng

Principal Maxillofacial Technician 

Fabian Mitchell MIMFT

Referrals

Referrals to the Maxillofacial team are accepted from:

  • General dental practitioners
  • Other hospital departments
  • GPs

GPs should refer by NHS e-Referrals.  For suspected cancer, use the two week wait referral pathway. For other urgent maxillofacial referrals, call the main switchboard on 01708 435000 and ask to speak to the on-call maxillofacial surgery SHO. 

General dental practices should refer by emailing bhrut-omfsreferrals@nhs.net as per the pan-London criteria.