Our services at a glance:
Reconstructive and cosmetic maxillofacial surgery
If large portions of the jaw and/or facial bones are lost due to trauma or cancer surgery these can be replaced with bone grafts taken from the jaw or hip, or with a combination of vascularised bone and soft-tissue grafts. In the area of soft tissue reconstruction we offer a comprehensive range of techniques involving use of the patient's own tissue. Different transplantation procedures, involving the use of local and distant flaps allow us to provide cosmetic as well as functional rehabilitation.
Dysgnathia surgery (surgery for malformations of the jaws)
Dysgnathia surgery is aimed at all clinical presentations that include functional and cosmetic problems arising from a malformation or misalignment of the jaws. The aim of surgery is to achieve functional and cosmetic rehabilitation.
Our treatment concept, which is widely recognised and focuses on restoring and maintaining normal function whilst minimising any impact on the masticatory muscles and the temporomandibular joint, was developed in-house and involves close collaboration with the best orthodontists in Germany. In cases characterised mainly by functional problems involving the jaws and/or hyperactivity of the masticatory muscles, we can offer a conservative treatment approach (physiotherapy). Sometimes minimally-invasive surgery may be required prior to physiotherapy, to allow optimal functional results to be achieved.
Surgical procedures offered include repositioning of the upper and/or lower jaws, as well as correction of the chin, cheekbones and angle of the jaws.
Treatment for cleft lip, jaw and palate, and malformations of the skull and face
We work closely with anaesthetists, dentists, paediatricians, gynaecologists, ENT specialists, speech and language therapists and orthodontists to ensure that our young patients are exposed to minimal surgical risks, while also being offered early functional and cosmetic rehabilitation.
Our aim is to ensure that an absolute minimum of surgical procedures, performed at the optimal point in time can provide optimal speech-related, as well as functional and cosmetic rehabilitation by the time the child is three or four years old.
For patients requiring secondary surgery we offer the full range of secondary correction procedures available, including corrective surgery for the jaw, nose and lips, as well as procedures to improve the child's speech.
In the area of malformations of the skull and face, the Clinic specialises in developmental abnormalities of the lower jaw and the temporomandibular joint. Distraction devices are used in a well-timed manner to counteract the effects of arrested development. Growth is encouraged through gradual and gentle stretching of the lower jaw and surrounding soft tissue. This process is maintained until symmetry of the jaws has been achieved.
Tumours of the face and jaws
The Clinic offers treatment for all benign and malignant disorders affecting the facial skin or oral mucosa, as well as the mouth and jaw bones.
For patients presenting with benign tumours, surgery will usually be limited to the removal of the tumour and some cosmetic tissue reconstruction to achieve a satisfactory cosmetic appearance. For patients with malignant maxillofacial tumours, surgery may need to include additional procedures, such as removal of lymph nodes.from the neck. Where appropriate, we can offer additional therapy options (radiotherapy and chemotherapy) to improve the patient's chances of a positive outcome, as well as improving their quality of life. These therapies are offered in close collaboration with other specialities.
Temporomandibular joint diseases and disorders
By allowing us to chew and talk, the temporomandibular joint is one of the most important joints in the human body. It is also one of the most complex ones. The Clinic offers the most up-to-date treatment for disorders affecting the temporomandibular joint and masticatory muscles. Our treatment approach is defined by a stepped increase in the level of invasiveness of techniques used and is initially limited to conservative and minimally invasive measures such as splints and physiotherapy. If this conservative approach fails to achieve a satisfactory level of improvement of the symptoms, minimally invasive techniques are introduced to treat the masticatory muscles and/or the temporomandibular joint. Only if these minimally invasive techniques fail to produce positive result, will the most up-to-date invasive techniques to restore functionality and permit further rehabilitation of these chronic pain patients be used.
A new approach to treatment is used for recurrent temporomandibular joint dislocation: Botulinum toxin type A is injected into the affected temporomandibular joint, preventing the affected muscle from being excessively clenched, whilst allowing normal functioning. The procedure leaves the patient pain-free for a minimum duration of four months and allows the temporomandibular joint time to heal. Botulinum toxin is commonly used in the cosmetic treatment of facial wrinkles caused by muscular contractions.
Treatment for maxillofacial trauma
The Clinic specialises in the treatment of injuries affecting the facial bones, including the jaws, attachment apparatus and teeth, such as soft tissue injuries, fractures and dislocations. Close interdisciplinary cooperation with our neurosurgical colleagues allows us to perform surgery on fractures of the skull and skull base. Fractures of the facial bones usually result in a change in the alignment of the jaws even when the jaw itself has not been fractured. In addition, many accidents result in damage to the teeth. In order to be able to offer optimal treatment, our general medical and surgical expertise has to be combined with specialist skill and expertise in the techniques of oral reconstruction. These include techniques for tooth repositioning and replantation, as well as techniques for bone restructuring and tooth implantation.
Patients presenting with complex traumatic injuries need to be treated by specialists with expertise in both oral and maxillofacial as well as plastic surgery. This specialist input is required from the the start and continues until functional and cosmetic rehabilitation has been achieved. Treatment involves the use of mini- and microplates made of titanium, as well as resorbable materials. These are used to achieve maximum stability of the facial bones and jaw and to allow optimal functioning. Surgical procedures can often be performed via the mouth, or by using minimally invasive techniques. This way, incisions are kept very small and may not even be visible from the outside. In addition to ensuring optimal cosmetic appearance, this also reduces the amount of time the spent in hospital and leads to the patient returning to work sooner.
Our aim is to restore the patient's face and jaw to its condition prior to injury and, in most cases this will be achieved after a single operation. The more serious trauma cases have access to the full range of techniques available in the field of reconstructive surgery, including microsurgical tissue transfers, computer-assisted procedures such as intraoperative navigation, and custom-made CAD/CAM implants.
Oral surgery and dental implants
We offer treatment for all diseases affecting the teeth, attachment apparatus, jaw and mucous membranes.
Our Clinic's extensive expertise in dental implants is constantly expanding, allowing us to offer dental implants (artificial tooth roots) to patients with jaw defects, as well as patients with serious comorbidities. We specialise in dental implants for complex cases which involve underlying bone deficit and/or represent a difficult cosmetic challenge and offer the most up-to-date modern equipment and expertise available in the field of bone restructuring and implant technology.