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ASSOCIATION OF MAXILLOFACIAL SURGEONS OF INDIA TAMILNADU AND PUDUCHERRY BRANCH Volume Issue2 EditorDr EmmanuelAzariah Co-Editor DrR Riaz 3 & 4
Editorial Office Dr Emmanuel Azariah DepartmentofOralandMaxillofacial Surgery, Sri Ramachandra Institute of Higher Education and Research emmanuelazariah@sriramachandra.edu.in Contact: Dr Aishwarya Nair Dr Chowdary UVR Dr Atish Kundu Dr Ashish Gupta President Dr Sonal Anchlia Hon. Editor Dr Manikandhan R Immediate Past President Dr Ramakrishna Shenoy Representative to AAOMS Dr Suraj S President Dr Emmanuel Azariah Hon Editor Dr Jimson S Immediate Past President Dr Kannan Balaraman Hon General Secretary Dr Gosla Srinivasa Reddy Vice-President Dr Gaurav Mahesh Gupta Joint Secretary Elected members Dr Arjun Krishnadas Dr Mukesh Soni Dr Akhilesh Kumar Singh Dr ElavenilPanneerselvam HonStateSecretary DrVimalambiga Ramani Vice–President DrElavenil Panneerselvam JointSecretary Dr Nagarajappa DrPramod Kumar Gandra DrAnkush Kishor Bhandari Max Fac Surge Dr Vimalambiga Ramani Hon Treasurer D r A r u n K u m a r K President Elect Dr Yoganandha R Representative to AOMSI Association of Oral Association of Oral & Maxillofacial Surgeons of India Tamil Nadu & Puducherry Branch Maxillofacial Surgeons of India& Elected Members State Office Bearers National Office Bearers Dr Jimson S Hon Treasurer Dr Shaji Thomas President Elect Dr Samiran Ghosh Joint Treasurer Dr Dipesh Rao IAOMS Representative Dr. Abisheik Johnson Babu D Dr. Alagappan RM Dr. Balaguhan B Dr. Janani Anandkumar Dr. Pearlcid Siroraj A Dr. Elengkumaran S DrPradeed Devadoss Dr Raghu K Dr Subramonian S Dr Sneha P
Lead to Read Editorial Message Desk Life in style Physicalwell-being – A foundation for surgical excellence Laugh it out Loud Max-Fax Facts Post Graduate Corner - Event Calendar Travelogue: Travel Diary Pixels Webinars Obituary M. Senthil murugan Case Feature Medical Updates for the Maxillofacial Surgeon
Warm greetings to all! As we reflect on the journey of this past year, it is impossible not to feel a sense of pride in how far we have progressed—not only as an association, but as a united professional fraternity. From academic enrichment programs and hands-on training initiatives to awareness campaigns and milestone events, our collective efforts have strengthened both our specialty and our sense of community. While much has already been discussed regarding the scientific growth, evolving techniques, and future possibilities within Oral and Maxillofacial Surgery, there are certain pressing realities that demand equal attention. The world around us is changing rapidly—not only in medicine, but in society, global politics, and human safety. The growing unrest across nations, the constant shadow of war, and the discussions surrounding the possibility of a larger global conflict remind us that healthcare professionals must always be prepared beyond routine practice. If history has taught us anything from world wars and humanitarian crises, it is that mass casualty situations arrive without warning but leave lasting consequences. As surgeons, we must ask ourselves honestly—are we prepared? Are our institutions ready to respond to large- scale emergencies, trauma surges, and disaster situations where maxillofacial injuries become a major burden? Oral and Maxillofacial Surgeons have always stood at the intersection of trauma care, reconstruction, and rehabilitation. In times of conflict, road disasters, natural calamities, or mass casualty incidents, our specialty becomes indispensable. The old saying, “forewarned is forearmed,” carries profound relevance today. Preparedness is not pessimism—it is responsibility. Training programs must include disaster preparedness, emergency protocols, and coordinated trauma response so that when the unexpected arrives, we respond with confidence and competence. At the same time, while trauma and reconstructive surgery remain our foundation, the scope of OMFS continues to evolve remarkably. Today, our specialty is expanding confidently into domains like facial aesthetic surgery and hair restoration procedures. Facial harmony, rejuvenation, scar revision, rhinoplasty, genioplasty, facial contouring, and minimally invasive aesthetic procedures are increasingly becoming part of our expertise. As specialists trained extensively in facial anatomy, soft tissue handling, and surgical planning, OMFS surgeons are uniquely positioned to contribute meaningfully to these advancing fields. This expansion is not about moving away from our roots, but about strengthening the full scope of our identity. We must encourage structured training, ethical practice, and academic inclusion of these emerging opportunities so that our younger colleagues can confidently pursue both reconstructive excellence and aesthetic mastery. Forewarned is forearmed. Food for thought. On behalf of the State Office, I extend my heartfelt best wishes to the organizing team of the 18th Annual Conference of the Association of Oral and Maxillofacial Surgeons of India – Tamil Nadu & Puducherry, to be held at Kodaikanal on the 18th to 20th of September 2026. May the conference be a grand success and a meaningful platform for learning, collaboration, and progress. Max Fae Surge
Warm regards, Dr Suraj S President -AOMSI TN & P Greetings! Iam extremely happy to share my thoughts for the third volume of Max Fac Surge – Newsletter Chapter on the occasion of the 16th Annual Conference of the Association of Oral and Maxillofacial Surgeons of India – Tamil Nadu and Puducherry Chapter. It has been a gratifying tenure at the State Office, and I feel proud to have worked alongside our members and the OMFS Departments of various Dental Colleges across Tamil Nadu and Puducherry in organizing several academic and awareness programs throughout the year. The new membership drive has been very encouraging, and I am confident this positive momentum will continue in the years ahead, strengthening our association further. The road traffic safety awareness campaigns and the Sanjeevani Program conducted in association with the IDA Head Office received tremendous response. I sincerely thank all the members who contributed their efforts in making these initiatives successful. I also appreciate the editorial team for their consistent work and dedication in bringing out this issue of Max Fae Surge. My heartfelt best wishes to the organizing team of the 18th Annual Conference of the Association of Oral and Maxillofacial Surgeons of India – Tamil Nadu & Puducherry Chapter at Kodaikanal. I wish the conference great success. With warm regards. AOMSI TN & PPresident's Message Dr SURAJS
Greetings from the Head Office of AOMSI! It gives me great pleasure to know that the Tamil Nadu and Puducherry State Chapter of AOMSI is bringing out the third volume of Max Fac Surge, the newsletter chapter for this year. I extend my warm wishes to President Dr. Suraj S and Hon. Secretary Dr. Elavenil Panneerselvam for their dedicated leadership and for ensuring the regular release of this newsletter. My appreciation also goes to the editorial team led by Dr. Emmanuel Azariah and Dr. R. Riaz, whose sincere efforts and commitment have made this publication possible. A newsletter is more than just a collection of updates—it reflects the academic spirit, professional growth, and unity of our fraternity. It serves as a valuable platform to showcase the achievements, activities, and evolving scope of Oral and Maxillofacial Surgery to both the medical community and the public. I congratulate the State Office, members, postgraduate students, and the OMFS departments of various dental colleges for their active participation in awareness programs, trauma initiatives, and academic events conducted throughout the year. Such collective efforts continue to strengthen our specialty and inspire the younger generation. I also extend my best wishes to the organizing team of the 18th Annual State Conference of AOMSI Tamil Nadu and Puducherry Chapter at Kodaikanal. I am confident that the conference will be a great success and will provide an excellent platform for learning, collaboration, and professional excellence. Wishing the entire team continued success. Jai Hind Dr. Ashish Gupta President, AOMSI Dr ASHISH GUPTA President
Greetings from the Head Office of AOMSI! I am pleased to know that the Tamil Nadu and Puducherry State Chapter is releasing another volume of Max Fac Surge, reflecting the continued academic enthusiasm and professional spirit of the association. My sincere compliments to President Dr. Suraj S and Hon. Secretary Dr. Elavenil Panneerselvam for their committed efforts in leading the state chapter with vision and consistency. I also appreciate the editorial team led by Dr. Emmanuel Azariah and Dr. R. Riaz for their dedication in compiling and presenting this newsletter with such quality and regularity. Publications like these play an important role in strengthening communication within our fraternity. They provide a platform to share academic developments, highlight important events, and showcase the contributions of oral and maxillofacial surgeons across the state. They also help project the strength and scope of our specialty to the wider healthcare community. I would like to congratulate the members, faculty, students, and OMFS departments of various institutions for their active involvement in professional activities, awareness programs, and outreach initiatives conducted under the state chapter. Such participation reflects the unity and growing strength of our specialty. I also convey my best wishes to the organizing committee of the 18th Annual State Conference of AOMSI Tamil Nadu and Puducherry Chapter at Kodaikanal. I am confident the conference will be academically enriching and a memorable gathering for our fraternity. Wishing the state chapter continued progress and success. Dr. Kannan Balaraman Hon. General Secretary, AOMSI HO Secretary's Message Hon. General Secretary
ASSOCIATION OF MAXILLO FACIAL SURGEONS OF INDIA TAMILNADU AND PUDUCHERRY BRANCH HlliHLlliHT!i Dr. Elavenil Panneerselvam editormaxfacsurge@gmail.com Dr.Emmanuel Azariah i... Max Fae SURGE Over 5000 copies circulated across India i... OMFS Articles/ Innovations Newsletter Magazine for OMF Surgeons & OMFS post graduates i... Circulated to all Dental Colleges & Leading Corporate Hospitals in India i... Peer reviewed Scientific/ Research/ Evidence-Based Content -... Travel/ Trivia/ Lifestyle TARIFF For advertisements please contact HonoraryState Secretary Editor, Max Fac Surge Cover Page Back Inner Cover Front Inner Cover Back Full Page Half Page 25,000 (4 Issues) 20,000 (4 Issues) 15,000 (4 Issues) 10,000 (2 Issues) 7,500 (2 Issues) t t t t t
Physical activity plays a vital role in the professional and personal life of oral and maxillofacial surgeons (OMFS). Maxillofacial surgery is a demanding specialty that requires long operating hours, prolonged standing, sustained neck flexion, fine motor precision, high mental concentration, and rapid decision-making under stressful conditions. These occupational demands expose surgeons to physical fatigue, musculoskeletal disorders, obesity, burnout, and reduced career longevity. In recent years, there has been growing awareness regarding the importance of regular physical activity not only for general health but also for maintaining surgical performance, ergonomic efficiency, mental resilience, and long- term professional sustainability. The modern oral and maxillofacial surgeon often spends several hours in operating theatres performing trauma surgery, orthognathic surgery, oncologic resections, implant procedures, and reconstructive surgeries. Such procedures demand static postures with prolonged cervical flexion, shoulder elevation, wrist strain, and lumbar stress. Studies show that surgeons face a significant risk of work-related musculoskeletal disorders (WMSDs), particularly involving the neck, shoulders, back, and upper limbs. A 2025 meta-analysis emphasized the high prevalence of WMSDs among surgeons and recommended ergonomic programs and physical conditioning to improve quality of work life. Similarly, a review of surgical ergonomics noted that lack of ergonomics training contributes substantially to surgeon pain, burnout, and even early retirement. For maxillofacial surgeons, physical activity acts as a preventive and therapeutic tool against these occupational hazards. Regular exercise improves muscular strength, flexibility, posture control, cardiovascular endurance, and spinal stability. Strengthening the core muscles supports the lumbar spine and reduces back pain caused by prolonged standing during surgeries. Neck and shoulder strengthening exercises help reduce cervical strain caused by operating under headlights or magnification systems. Stretching exercises improve joint mobility and reduce stiffness after long procedures. Aerobic activities such as walking, jogging, cycling, or swimming improve cardiovascular fitness and reduce obesity, which is increasingly common among busy surgeons with sedentary lifestyles. Physical activity also improves fine motor performance and hand stability, which are essential for delicate maxillofacial procedures such as nerve repair, microvascular anastomosis, and implant placement. Better muscular endurance allows surgeons to maintain precision even during lengthy procedures. Improved physical fitness also enhances reaction time, balance, and neuromuscular coordination, all of which directly affect surgical efficiency and patient safety. Mental health is another major reason why physical activity is essential for OMFS professionals. Surgical practice isassociated with intense stress, emergency responsibilities, medico-legal pressure, sleep deprivation, and emotional exhaustion. These factors contribute to burnout, anxiety, depression, and reduced job satisfaction. Physical Well Being - A Foundation for Surgical Excellence
Physical activity also sets an example for patients. Surgeons who practice healthy lifestyles are more likely to counsel patients effectively regarding smoking cessation, obesity, rehabilitation, and postoperative recovery. A physically active surgeon projects discipline, confidence, and professional credibility, indirectly improving patient trust and compliance. Inconclusion, physical activity is no longer considered optional but essential in the life of a maxillofacial surgeon. Itprotects against musculoskeletal disorders, improves posture, enhances surgical precision, reduces stress, prevents burnout, and increases career longevity. Recent literature highlights that physical activity reduces stress, improves mood, enhances sleep quality, and lowers burnout risk among surgeons. A 2026 scoping review on surgeons’ health found that promoting physical activity helps reduce burnout and improve professional performance and job satisfaction. Exercise stimulates endorphin release, improves emotional regulation, and enhances resilience against occupational stress. Another important aspect is career longevity. Maxillofacial surgery is a physically demanding specialty, and chronic pain or disability may force surgeons to reduce their clinical workload or retire early. Regular exercise contributes to long-term joint preservation, muscle endurance, and prevention of chronic degenerative disorders. A 2025 review in surgical career longevity specifically emphasized that surgeons should exercise regularly to maintain both physical and mental well-being and prolong their surgical careers. Recent trends in OMFS increasingly focus on surgeon wellness, ergonomics, and fitness-based preventive strategies. There is a shift from treating surgeon fatigue to preventing it proactively. Hospitals and training institutions are beginning to emphasize ergonomic education, posture correction, and wellness programs. Structured surgeon fitness protocols involving yoga, resistance training, and posture-based rehabilitation are becoming more popular. Wearable posture sensors and AI-assisted ergonomic monitoring are also emerging trends, helping surgeons detect poor posture early and correct it before chronic injury develops. Reviews on combined ergonomic and physical activity interventions show growing support for integrating both strategies rather than relying on ergonomics alone. Yoga has gained special attention among surgeons because it combines flexibility, posture correction, breathing control, and stress reduction. For OMFS surgeons who frequently work under high stress and physical strain, yoga improves spinal alignment, shoulder mobility, and mental calmness. Similarly, resistance training helps strengthen postural muscles, while swimming offers low-impact full-body conditioning. High-intensity interval training (HIIT) is also becoming popular among busy surgeons because it provides fitness benefits within shorter time periods. There is also increasing awareness about “microbreaks” during surgery. Instead of waiting until after surgery to recover, surgeons now practice short intraoperative stretching breaks to reduce fatigue. These brief physical resets improve concentration and reduce postoperative discomfort. This trend is especially useful in long OMFS procedures such as mandibular reconstruction and orthognathic surgery.
Recent trends strongly support the integration of exercise, ergonomics, wearable monitoring, yoga, and structured wellness programs into the professional life of OMFS surgeons. As the specialty advances technologically, equal importance must be given to preserving the surgeon behind the scalpel. A healthy surgeon is ultimately the foundation of safe surgery, better patient care, and a sustainable surgical career.
Pectorialis stretching Upper Trapezius stretching Levator Scapulae stretching Thoracic/Lumbar Mobility using a Foam roller
Dr. R. Riaz Dr. B. Lokesh Artificial intelligence is increasingly being incorporated into diagnosis, treatment planning, and surgical execution in OMFS. One of the most common uses is in radiographic interpretation, especially with CBCT scans and panoramic radiographs. AI-based software can automatically detect impacted teeth, mandibular fractures, cystic lesions, tumors, periapical pathology, and even early signs of osteomyelitis. This improves speed and reduces the possibility of human oversight. In implantology, AI helps in identifying bone density, sinus location, inferior alveolar nerve tracing, and ideal implant positioning. It assists in preoperative planning by generating safer implant trajectories and reducing complications such as nerve injury. In oncology, AI algorithms are being used to analyse lesion margins, predict tumor aggressiveness, and assess the likelihood of recurrence in oral squamous cell carcinoma. This helps surgeons in planning resection margins and postoperative surveillance. AI is also used in facial analysis for orthognathic surgery and facial asymmetry correction. It helps predict postoperative soft tissue outcomes, improving both functional and aesthetic planning. Currently, AI is not replacing surgeons but acting as a decision-support system, improving accuracy, speed, and predictability. Oral and maxillofacial surgery (OMFS) is rapidly evolving with the integration of digital technology, regenerative medicine, minimally invasive techniques, and evidence-based management protocols. These recent medical updates are not merely theoretical advances; they are actively changing daily surgical practice in hospitals, academic institutions, and private clinics. Understanding how these developments are currently used in the field is essential for every practicing maxillofacial surgeon. Department of Oral and Maxillofacial Surgery, Tagore Dental College & Hospital, Chennai 1. Artificial Intelligence (AI) in Oral and Maxillofacial Surgery
••••••••••• Medical updates for Maxillofacial Surgeon 3. Virtual Surgical Planning (VSP) and CAD-CAM Reconstruction 2. Updated Management of Medication-Related Osteonecrosis of the Jaw (MRONJ) Virtual surgical planning is now routinely used in complex reconstructive OMFS procedures. It is especially important in orthognathic surgery, mandibular reconstruction, trauma surgery, and tumor resection. In mandibular reconstruction after tumor resection, surgeons use CT imaging to create a 3D virtual model of the patient’s jaw. The defect is planned digitally before surgery. If a fibula free flap is needed, the donor bone is also virtually planned. Customized cutting guides are fabricated using CAD-CAM technology and sterilized for surgery. These guides help the surgeon make precise osteotomies both at the recipient site and donor site. Patient-specific reconstruction plates can also be manufactured before surgery. This significantly reduces intraoperative plate bending, shortens surgical time, and improves symmetry and occlusion. MRONJ is now one of the most important challenges in OMFS due to the widespread use of bisphosphonates and denosumab for osteoporosis, metastatic cancers, and multiple myeloma. Current use in the field begins with prevention. Before patients start antiresorptive therapy, OMFS surgeons are involved in dental clearance. Non- restorable teeth are extracted, infections are treated, and oral hygiene is optimized to reduce future risk. In diagnosed MRONJ cases, treatment depends on staging. Early-stage disease is often managed conservatively with chlorhexidine mouth rinses, antibiotics, pain control, and regular monitoring. The goal is infection control and symptom reduction. For advanced stages with exposed necrotic bone, pain, fistula, or pathological fracture, surgical management is increasingly preferred. This includes sequestrectomy, marginal resection, segmental resection, and reconstruction depending on severity. Recently, adjunctive therapies such as platelet-rich fibrin (PRF), laser therapy, teriparatide, and fluorescence-guided surgery are being used to improve healing outcomes. MRONJ management has shifted from delayed intervention to early aggressive diagnosis and personalized surgical planning
PRF has become a routine part of modern OMFS because it is simple, autologous, low-cost, and highly effective in improving healing. Currently, PRF is prepared by drawing the patient’s blood immediately before surgery and centrifuging it without anticoagulants. This produces a fibrin matrix rich in growth factors and leukocytes. In extraction sockets, especially third molar surgery, PRF is placed to reduce postoperative pain, swelling, and dry socket incidence. It also improves soft tissue healing. In implant surgery, PRF is used around implants and graft sites to improve osseointegration and accelerate bone healing. During sinus lift procedures, PRF is combined with bone grafts to improve graft stability and promote new bone formation. In MRONJ patients, PRF is increasingly used after surgical debridement to enhance mucosal closure and reduce recurrence. For TMJ surgery and bone defects, advanced regenerative approaches involving PRF, PRP, and stem cells are under active clinical use and research. The major reason for PRF popularity is that it improves outcomes without significant additional cost or morbidity In orthognathic surgery, VSP helps simulate maxillary and mandibular movements, allowing highly accurate splint fabrication and predictable postoperative outcomes. In trauma, particularly comminuted mandibular fractures, digital planning improves anatomical reduction and fixation. This update has transformed surgery from “intraoperative judgment” to “preoperatively engineered precision. . 4. Platelet-Rich Fibrin (PRF) and Regenerative Medicine Max Fae Surge 7
••••••••••• Medical updates for Maxillofacial Surgeon 6. 5.Endoscopic and Minimally Invasive Maxillofacial Surgery Customized Total Temporomandibular Joint (TMJ) Replacement Customized total temporomandibular joint (TMJ) replacement is an important recent advancement in oral and maxillofacial surgery, especially for patients with end-stage TMJ disease where conservative treatment and conventional surgeries have failed. It is commonly indicated in severe ankylosis, advanced osteoarthritis, condylar resorption, post-traumatic deformity, failed grafts, tumor resection defects, rheumatoid arthritis, and recurrent TMJ surgeries. Earlier, TMJ reconstruction was mainly done using autogenous grafts such as costochondral grafts. Although useful, these had several disadvantages like donor site morbidity, graft resorption, fracture, ankylosis recurrence, and unpredictable outcomes. Customized alloplastic TMJ prostheses have largely overcome these problems. Minimally invasive surgery is becoming a preferred approach in OMFS because it reduces morbidity while maintaining surgical precision. In condylar fractures, endoscopic-assisted reduction allows fracture fixation through smaller incisions, reducing facial scarring and minimizing facial nerve injury compared to open approaches. In TMJ surgery, arthroscopy and endoscopic procedures are now widely used for internal derangement, adhesions, and lavage. These techniques reduce hospital stay and postoperative discomfort. For orbital fractures, endoscopic approaches allow better visualization of the orbital floor and medial wall with minimal external scars. In salivary gland surgery, sialendoscopy is used to diagnose and remove ductal stones while preserving the gland, avoiding traditional gland excision. In sinus surgery and cyst management, endoscopic visualization improves precision and reduces unnecessary tissue trauma. This approach is especially valuable in young patients where cosmetic outcomes are important. The modern trend strongly favors “smaller incisions with better outcomes”
Currently, treatment begins with high-resolution CT imaging and virtual surgical planning. A 3D model of the patient’s craniofacial skeleton is created to assess the joint anatomy, occlusion, facial asymmetry, and extent of disease. Using CAD-CAM technology, a patient- specific prosthesis is fabricated to match the patient’s exact anatomy. The prosthesis usually has two parts: the fossa component and the mandibular component. These are made from biocompatible materials such as titanium alloy and ultra-high molecular weight polyethylene, providing strength and durability. During surgery, the diseased joint is removed and the custom prosthesis is fixed in place using preplanned screw positions. Since the prosthesis is predesigned, surgical time is reduced and accuracy is improved. This technique is especially useful in recurrent TMJ ankylosis because it restores mouth opening, improves mandibular movement, reduces pain, and lowers recurrence rates. It is also valuable in oncology cases where condylar resection is required. Postoperatively, patients show better mouth opening, improved chewing, speech, facial symmetry, and quality of life. Since there is no graft healing period, rehabilitation is faster. Although cost and availability remain limitations, customized TMJ replacement is increasingly becoming the gold standard for selected severe TMJ disorders and represents the future of advanced reconstructive OMFS These medical updates are already deeply integrated into present-day oral and maxillofacial surgery. AI improves diagnosis and planning, MRONJ protocols improve patient safety, VSP enhances reconstructive precision, PRF supports healing and regeneration, endoscopic surgery minimizes surgical trauma. Together, they represent the future direction of OMFS—more precise, more personalized, less invasive, and more technologically advanced. The maxillofacial surgeon of today must not only master surgical skill but also understand digital systems, regenerative science, and multidisciplinary innovation to provide the highest standard of patient care. Conclusion: .
••••••••••• Medical updates for Maxillofacial Surgeon References 1. 2. 3. 4. 5. 6. 7. Rana M, et al. Artificial Intelligence in Oral and Maxillofacial Surgery. Journal of Clinical Medicine. 2026;15(2). This review discusses AI applications in diagnosis, CBCT interpretation, implant planning, orthognathic surgery, and surgical navigation in OMFS. Kim SG. The New Face of Oral and Maxillofacial Surgery. Journal of the Korean Association of Oral and Maxillofacial Surgeons. 2025;51(3):127–129. This article highlights AI integration and the future of digital OMFS practiceFox, R. I. (2005). Sjogren's syndrome. The Lancet, 366(9482), 321-331. Kim JW, et al. Medication-Related Osteonecrosis of the Jaw: An Evidence-Based Approach to Its Prevention and Management. Journal of the Korean Association of Oral and Maxillofacial Surgeons. 2025. This review explains updated staging, diagnosis, prevention, and treatment protocols for MRON Antonelli A, et al. Oral and Maxillofacial Surgery: Current Updates and Emerging Trends. 2026 Review. This article discusses VSP, CAD-CAM reconstruction, patient-specific implants, and digital workflows in OMFS Advanced PRF in OMFS is discussed in recent regenerative medicine literature focusing on socket healing, implantology, sinus lift procedures, and MRONJ management. A recent review in Bioengineering highlights the clinical use of PRF and A-PRF in maxillofacial surgery and bone regeneration. Beltrán V, Fuentes R, Engelke W. Endoscopic Visualization of Anatomic Structures as a Support Tool in Oral Surgery and Implantology. This study highlights the role of endoscopic techniques in improving surgical precision and minimizing morbidity in OMFS Recent OMFS literature strongly supports customized total TMJ replacement using CAD-CAM and patient-specific prostheses for ankylosis, severe osteoarthritis, recurrent joint disease, and tumor defects. Current reviews describe improved function, reduced recurrence, and better long-term outcomes using alloplastic TMJ prostheses.
Department of Oral and Maxillofacial Surgery, Tagore Dental College & Hospital. Cetuximab is no longer preferred over cisplatin for HPV-positive oropharyngeal cancer: Transoral Robotic Surgery (TORS) is increasingly preferred for early-stage oropharyngeal tumors: TORS PV-positive oropharyngeal carcinoma now has a separate staging system and better prognosis than HPV-negative disease: separate staging system for HPV-mediated (p16 positive) oropharyngeal squamous cell carcinoma commonly affect younger patients, nonsmokers, and have significantly better survival rates. Neck node metastasis may be the first presenting sign. Treatment de-intensification trials are also being studied because prognosis is better in these patient Earlier there was interest in replacing cisplatin with cetuximab to reduce toxicity, but major trials showed that cetuximab is inferior to cisplatin in overall survival and local control. The 5-year OS was better with cisplatin (84.6%) compared with cetuximab (77.9%). Hence, cisplatin-based chemoradiation remains the standard of care for eligible patients. Modern OMFS and head-neck oncology areincreasingly using cancers because it offers precise tumor removal with less morbidity, better swallowingoutcomes, and for selected oropharyngeal improved postoperative quality of life compared with open surgery. It is especially useful in HPV- positive tumors and base-of-tongue lesions TheAJCC uses a , because these tumors behave differentlyfromtobacco-relatedcancers. They
••••••••••• Max-Fax Facts Virtual Surgical Planning (VSP) with 3D printing is becoming standard for mandibular reconstruction Sentinellymph node biopsy (SLNB) is becoming an alternative to elective neck dissection in early oral SCC For early-stage oral squamous cell carcinoma with clinically N0 neck, SLNB is increasingly preferred because it reduces morbidity compared with elective neck dissection while still providing accurate staging. It helps avoid unnecessary neck dissection in node-negative patients and preserves function. This is a major modern oncologic shift in OMFS practice Mandibular defects after trauma, pathology, or tumor resection are now commonly managed using VSP + patient-specific cutting guides + fibula free flap reconstruction. This improves accuracy, occlusion, facial symmetry, and reduces operating time. It is one of the biggest modern advancements in reconstructive OMFS surgery.
Mr Praveen, a 23-year-old male, presented with a history of facial trauma and chief complaints of pain and swelling over the left zygomatic region. The patient also reported difficulty in mouth opening and facial asymmetry since the incident. On clinical examination, tenderness and depression were noted over the left zygomatic region, with associated periorbital swelling. Mouth opening was restricted, and step deformity was palpable along the zygomatic buttress. Radiographic investigations, including CT, confirmed a left zygomaticomaxillary complex (ZMC) fracture with displacement. The final diagnosis was established as a left zygomaticomaxillary complex fracture. The patient underwent surgical management on April 7 under general anesthesia. Open reduction and internal fixation (ORIF) of the left zygomaticomaxillary complex fracture was performed. Postoperative recovery was uneventful. Facial symmetry was restored, and mouth opening improved significantly. The patient was discharged in stable condition with advice for regular follow-up.
Department of OMFS, Tagore Dental College & Hospital Chennai 2. 3. 6. 7. 1. 4. 5. 8. Fatani, B., & Alshalawi, S. S. (2025). Advances in microvascular head and neck reconstruction using free fibula and radial forearm free flap to reconstruct various orofacial defects: a mini review. International Journal of Otorhinolaryngology and Head and Neck Surgery, 11(4), 465–468. https://doi.org/10.18203/issn.2454-5929.ijohns20252264 Qin Q, Chu T, Zhao Y, Fu Y, Yang H, Liu Q. Facial artery-based flap for oral and maxillofacial defects: a narrative review. Clin Oral Investig. 2025 Jul 14;29(8):382. doi: 10.1007/s00784-025-06219-2. PMID: 40658270. Lis E, Michalik W, Bargiel J, Gąsiorowski K, Marecik T, Szczurowski P, Wyszyńska- Pawelec G, Dubrowski A, Gontarz M. Reconstruction of the Oral Cavity Using Facial Vessel-Based Flaps-A Narrative Review. Cancers (Basel). 2025 Sep 2;17(17):2890. doi: 10.3390/cancers17172890. PMID: 40940987; PMCID: PMC12428173. Staricha, Kelly & Smith, Joshua & Raad, Richard & Sridharan, Shaum & Contrera, Kevin & Chinn, Steven & Spector, Matthew. (2025). Next generation of head and neck free flap reconstruction: the future of innovation and refinement. Current Opinion in Otolaryngology & Head & Neck Surgery. 33. 10.1097/MOO.0000000000001077. Yin X, Hua Q, Ye J, Xie S, Lv R, Cai L and Li H (2025) Clinical application and developmental direction of free flaps in plastic and reconstructive surgery procedures: a bibliometric analysis. Front. Surg. 12:1661571. doi: 10.3389/fsurg.2025.1661571Fricton J. Myofascial Pain: Mechanisms to Management. Oral MaxillofacSurgClin North Am. 2016 Aug;28(3):289-311. doi: 10.1016/j.coms.2016.03.010. PMID: 27475508. Zahran, M., Hoffman, G., Eisenberg, R. et al. Late Free Flap Failure in Head and Neck Reconstruction: Unusual Etiology in Two Case Studies and Literature Review. Indian J Otolaryngol Head Neck Surg 74 (Suppl 2), 2527–2532 (2022). https://doi.org/10.1007/s12070-020-02256-3 Watson, J.A., Könneker, S., Esposito, G. et al. Robotic assisted free flap reconstruction of the scalp using the Symani surgical system. Acta Neurochir 167,® 93 (2025). https://doi.org/10.1007/s00701-025-06501-y Longfellow GA, Matthews M, Adams G, Benaim EH, Hackman T, Sullivan CB. Head and Neck Free- Flap Reconstruction in Patients With Pre-Existing Coagulopathies: A Case Series. Ear, Nose & Throat Journal. 2025;0(0). doi:10.1177/01455613251356340 Flaps in Oral and Maxillofacial Reconstruction
••••••••••• 9. Lead to Read 2. 1. 8. 3. 4. 5. 6. 7. 10. IJi, X., Yang, X., Jiang, Z. et al. Pedicled versus free flap reconstruction in head and neck surgery: analysis of complications and quality of life. BMC Surg 26, 165 (2026). https://doi.org/10.1186/s12893-026-03543-6 Chakraborty PK, Patel S, Mulla MF, Kulkarni MM, Sheikh RA, Shukla AK. Comparison of Different Reconstruction Flap for Maxillofacial Region: An Original Research. J Pharm Bioallied Sci. 2023 Jul;15(Suppl 1):S252-S255. doi: 10.4103/jpbs.jpbs_475_22. Epub 2023 Jul 5. PMID: 37654262; PMCID: PMC10466590. Bavestrello Piccini G, Sfondrini D, Tomulescu SA, Esposito C, Piccioni A, Caputo G, Voza A, Zanza C, Longhitano Y, Savioli G. Modern management of maxillofacial trauma in the emergency department. World J Emerg Med. 2026 Jan 1;17(1):15-27. doi: 10.5847/wjem.j.1920-8642.2026.003. PMID: 41624619; PMCID: PMC12856085. Yousief, Salah & Baeisa, Majid & Alghamdi, Khalid & Aljadani, Ali & Alotaibi, Turki & Alim, Nourelhoda & Halabi, Omar. (2025). Recent Advances in the Management of Oral and Maxillofacial Trauma: An Update with an AI-Systematic Review. Chukwuemeka L. Anyikwa, Favour C. Okoroafor, Ekene P. Onyebuchi, Olusegun Olaopa, Felix N. Chukwuneke, Gururaj Arakeri, Peter A. Brennan, Surgical approaches and postoperative outcomes in zygomatic fractures: a systematic review, British Journal of Oral and Maxillofacial Surgery, Volume 63, Issue 9, 2025 Pages 613-620, ISSN 0266- 4356, https://doi.org/10.1016/j.bjoms.2025.08.007. Babu Lal, Keshav Ganesh, Ragavi Alagarsamy, Snehil Gupta, Mohit Kumar, Arivarasan Barathi, Post-traumatic stress disorder in maxillofacial trauma victims- A systematic review and meta- analysis, Journal of Stomatology, Oral and Maxillofacial Surgery, Volume 125, Issue 5, Supplement 2, 2024, 101993, ISSN 2468-7855, https://doi.org/10.1016/j.jormas.2024.101993. Ricardo Grillo, Leandro Bottura, Bernardo Correia Lima, Natacha Kalline de Oliveira, Fernando Melhem-Elias, Maria Cristina Zindel Deboni, The complex dynamics of maxillofacial trauma in blast and fragmentation injuries: Current understanding and gaps in scientific evidence, Journal of Cranio- Maxillofacial Surgery, Volume 53, Issue 10, 2025, Pages 1762-1768, ISSN 1010-5182, https://doi.org/10.1016/j.jcms.2025.07.017. Maniaci, A.; Lentini, M.; Vaira, L.; Lavalle, S.; Ronsivalle, S.; Rubulotta, F.M.; Lentini, L.; Paternò, D.S.; Galletti, C.; Sorbello, M.; et al. The Global Burden of Maxillofacial Trauma in Critical Care: A Narrative Review of Epidemiology, Prevention, Economics, and Outcomes. Medicina 2025, 61, 915. https://doi.org/10.3390/medicina61050915Ah-See KW, Evans AS. Sinusitis and its management. BMJ: Brit Med J. 2007 Feb l 7;334(7589):358. MAXILLOFACIAL TRAUMA
••••••••••• Lead to Read 9. 10. N Pearl, Craig B., Fournier, Maxime Y., Pullara, Jonathon M., AND Atack, Cody M.. "Review of anesthesia in maxillofacial trauma" Journal of Oral and Maxillofacial Anesthesia [Online], Volume 3(12 November 2024) Keenan S. Fine, Caroline C. Bay, Gina Krause, Robert E. George, Camille J. LaLiberte, Daniel Y. Cho, C. Corlin Jewell, Hani I. Kuttab, Adult facial Fractures: A review and guide for emergency medicine clinicians, JEM Reports, Volume 4, Issue 2, 2025, 100170, ISSN 2773-2320, https://doi.org/10.1016/j.jemrpt.2025.100170.
Kodaikanal Marvelat the misty peaks crowned by clouds and the sprawling "Gift of the Forest" that is K odaikanal October to June March to June Kodaikanal Bus Stand Kodai Road Railway Station Madurai Airport ,located right in the heart of the town. , approximately 80–95 km away. ,about120km away. . Known as the "Princess of Hill Stations," this tranquil retreat invites you to experience a world where nature remains untamed and the air is perpetually scented with eucalyptus and pine. Tour the winding forest paths, make memories by the shimmering waters, and savor the unique high-altitude charm of this iconic destination. Kodaikanal translates in Tamil to "The Gift of the Forest," and once you navigate the scenic ghat roads, you will understand why. Fog often blankets the hills, moving like a silent spirit over the lush greenery. Untouched by the frantic pace of city life, the town center is built around a magnificent star- shaped, man-made lake, which serves as the heart of all activity. Notable landmarks here include the towering Pillar Rocks, the mysterious Guna Caves (also known as Devil's Kitchen), and the cinematic Pine Forests. Enjoy the breathtaking panoramic views of the Vaigai plains from Coaker’s Walk, a one-kilometer paved pedestrian path built in 1872. Do visit the Silver Cascade Falls, where the overflow of the lake plunges 180 feet in a spectacular white foam. Stroll through the meticulously maintained Bryant Park, home to hundreds of species of flowers and shrubs. You might also trek to Dolphin’s Nose for a thrilling vista of the surrounding valleys from a height of 6,600 feet. Keep your cameras ready, as a perfect shot of the Kurinji flowers, which bloom once every twelve years, is a rare and enchanting sight. is the ideal period to visit. (Summer) offers the most pleasant weather for outdoor activities and the Annual Kodai Show. How to reach Best time to visit KodaikanalKodaikanal
ORTHOGNATHIC SURGERY
Max Fac Surge INTERNATIONAL OMFS DAY CELEBRATIONS • • • • • • • The Department of Oral and Maxillofacial Surgery Dhanalakshmi Srinivasan Dental College celebrated OMFS Day on 13.02.2026 to create awareness on the scope and advancements of OMFS in managing trauma, cleft lip & palate, oral cancer and reconstructive surgery. The celebration featured a creative academic-themed invitation, a traditional welcome for Chief Guest Dr. Saumya Tripathi with theme-based rangoli and displays on trauma, cleft and cancer awareness, followed by a guest lecture on “Comprehensive Management of Cleft Lip and Palate” highlighting multidisciplinary care and rehabilitation. Student engagement was ensured through e-poster, photo wall & digital painting, face painting, logo designing and social media awareness competitions. The Department of Oral & Maxillofacial Surgery, Government Dental College, Cuddalore, commenced its week-long celebrations on the occasion of OMFS Day 2026 with great enthusiasm. The inaugural ceremony was held in the presence of Dr. Nandhu, Chief Guest, Dr. Ram, Guest of Honour and Speaker, and Dr. Kannan, Guest of Honour. Young achievers Dr. Jothish (Young Alumni Achiever) and Dr. Vishal (Best Outgoing PG 2026) were felicitated during the event. The celebrations continued with a series of academic and cultural events, concluding on 13th February 2026.
INTERNATIONAL OMFS DAY CELEBRATIONS • • • The Department of Oral and Maxillofacial Surgery, Vinayaka Mission's Sankarachariyar Dental College, celebrated OMFS Day 2026 on 13th February 2026 at Founder's Hall with great academic fervour. The highlight of the celebraHon was an insigh]ul Guest Lecture on “Management of Emergencies in Dental Chair” by Dr. Melvin Dominic, MD., DNB (Emergency Medicine), Associate Professor & Head- in- Charge, VMKVMCH, which immensely benefited faculty and postgraduates. The event reflected the department’s commitment to enhancing clinical preparedness and academic excellence among students and faculty. • • • RVS Dental College & Hospital, Coimbatore organized a district-level free dental camp on 13th Feb 2026 at Sengathurai Kalaiarangam on the occasion of InternaHonal OMFS Day, under the guidance of Chairman Dr. K.V. Kuppusamy. Inaugurated by Former Minister Dr. S.M. Velusamy and graced by Trustee Er. Balachandran, the camp led by Principal Dr. Vijay V.K., Dr. Prabhu Sankar K. (HOD, OMFS) & Dr. Umesh (HOD, PHD) offered free check- up, counselling, toothbrush distribuHon and an oral cancer awareness skit by III-year students on tobacco hazards. Free oral cancer screening at Dept. of OMFS and an E-Poster compeHHon on “Know Your Maxillofacial Surgeon” were also held as a part of OMFS Day celebraHons 2026. Max Fac Surge
• • • The Department of Oral and Maxillofacial Surgery, Saveetha Dental College & Hospitals, SIMATS, proudly celebrated InternaHonal Oral and Maxillofacial Surgeons Day along with the 5th Anniversary CommemoraHon of Prof. Dr. C. K. Dhanasekaran and the Prof. Dr. C.K.D. Lecture Series 2026, The keynote academic session by Dr. Suresh Kumar Palani on “Dental Implants” enriched faculty and postgraduates with contemporary concepts and advances in implantology. A significant highlight was the introducHon of a new academic tradiHon – Postgraduate ScienHfic Lecture in remembrance of Prof. CKD Sir’s vision of nurturing emerging talent. Dr. Poorva K., III MDS, Meenakshi Ammal Dental College, delivered a structured lecture on “TMJ Ankylosis – A Flow Chart for Management,” showcasing exemplary clarity and academic depth. • • The Department of Oral and Maxillofacial Surgery, Tagore Dental College and Hospital, celebrated InternaHonal OMFS Day with great enthusiasm and academic spirit. The celebraHon was graced by Prof. Dr. C. Kumaravelu as the Chief Guest. As part of the week-long commemoraHon, the department organized a series of engaging and socially relevant acHviHes including Quiz CompeHHon, Drawing CompeHHon, Public Awareness Talks and MulHple Oral Cancer Screening Camps, creaHng significant awareness about the scope and importance of Oral and Maxillofacial Surgery among students and the public. The event reflected the department’s dedicaHon towards academic enrichment, early cancer detecHon and community outreach. 2026. Max Fac Surge INTERNATIONAL OMFS DAY CELEBRATIONS •
Max Fac Surge Max Fac Surge STAR SURGEON Star surgeon is a small but meaningful initiative by the Tamil Nadu & Puducherry AOMSI chapter to celebrate the achievements of our fellow oral and maxillofacial surgeons. Through this initiative, we have been highlighting and congratulating our colleagues for their academic achievements, professional milestones, leadership, and contributions to our speciality. The idea behind ‘Star Surgeon’ is simple — to recognise the people within our own fraternity, celebrate their accomplishments, and inspire others to continue striving for excellence. Every achievement, whether big or small, deserves to be celebrated. We hope that this initiative will continue to bring our fraternity closer together by sharing and celebrating the success stories of our maxillofacial surgeons. We look forward to making Star Surgeon a continuing celebration of the talent, dedication, and achievements within our AOMSI family.
Max Fac Surge Max Fac Surge Max Fac Surge STAR SURGEON
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Max Fac Surge Max Fac Surge MAX FACTS DR KALYANI P DR EMMANUEL AZARIAH DR R RIAZ EDITOR MAXFACTS CO-ORDINATOR JOINT EDITOR AHEAD. MAXFACTS — YOUR WEEKLY DOSE OF CUTTING-EDGE KNOWLEDGE IN ORAL & MAXILLOFACIAL SURGERY. FROM LANDMARK INDIAN RESEARCH TO CLINICAL CAUTIONS AND FASCINATING FACTS, STAY SHARP, STAY INFORMED, STAY
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Dr. M. Senthil Murugan 03/07/1973 - 27/01/2026 An active leader in the professional community, he served as a key member of the Association of Oral and Maxillofacial Surgeons of India (AOMSI) and contributed significantly to academic and clinical advancements in the specialty. Dr. M. Senthil Murugan was not just a surgeon — he was a visionary who dedicated his life to restoring faces, rebuilding hope, and transforming lives through the art of reconstructive microsurgery. He founded Dwijan Drive with a singular mission: to train the next generation of maxillofacial surgeons and ensure that no patient is left without a second chance. His hands healed thousands. His teachings will heal thousands more. Though he is no longer with us, his legacy lives on in every surgeon he trained, every life he touched, and every smile he restored. Dr. Senthil Murugan has completed his BDS in 2001 from TN MGR Medical University and MDS from Saveetha University. He has also specialized in Cleft Lip, Palate and Craniofacial Surgery and obtained Fellowship from CCI, Switzerland, FIBOMS (Fellow of the Indian Board of Oral and Maxillofacial Surgery), FRMS (Fellow of Reconstructive Microsurgery), and Diplomate in Reconstructive Microsurgery Max Fac Surge