Many oral surgeons are not very familiar with facial fractures, and in this episode of Everyday Oral Surgery, we are getting a great introduction to these treatments and repairs from an oculoplastic surgeon. Today, we are joined by Dr. Harkaran Rana to discuss Naso-Orbito-Ethmoid (NOE) and frontal sinus fracture repairs. Tuning in, you’ll hear about the different ways of diagnosing NOE and frontal sinus fractures, how to identify different kinds of fractures, surgical interventions for these injuries, and more! We delve into the treatment management for NOE and frontal sinus fractures before discussing the most common kinds of facial fractures. We even talk about where to put plates and drill holes to protect the brain. Finally, Dr. Rana tells us about the TV shows and books he’s loving right now. Thanks for listening!

Key Points From This Episode:

• Welcoming today’s guest, Dr. Harkaran Rana.
• Diagnosing NOE and frontal sinus fractures.
• Breaking down different types of these fractures.
• Treatment management for NOE and frontal sinus fractures.
• Some common mistakes during these treatments.
• The most common kinds of fractures.
• Why Dr. Rana tries to place plates as far back as possible.
• Protecting the brain during these procedures.
• Dr. Rana shares the books and shows he’s enjoying now.

Links Mentioned in Today’s Episode:

Dr. Harkaran Rana on LinkedIn — https://www.linkedin.com/in/harkaran-rana-aa3637179/

Dr. Harkaran Rana Email Address — harkaran.s.rana@gmail.com

NOE Type I — https://surgeryreference.aofoundation.org/cmf/trauma/midface/noe-type-i/definition#general

NOE Type II — https://surgeryreference.aofoundation.org/cmf/trauma/midface/noe-type-ii/open-reduction-internal-fixation#selection-of-approach

Empire of Pain — https://www.amazon.com/Empire-Pain-History-Sackler-Dynasty/dp/0385545681

Shoe Dog — https://www.amazon.co.za/Shoe-Dog-Memoir-Creator-NIKE/dp/1471146723

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059

During this episode, Dr. Grant Stucki is joined by Dr. Andy Loetscher, an Oral Maxillofacial Surgeon practicing in Atlanta, Georgia to discuss Orthognathic surgery. The conversation centers around some of the nuances of Orthognathic surgery, and how to adapt it to improve airways. We start by discussing different approaches for disparate ages and concerns, before exploring how to find the ongoing balance between aesthetics and function. Next, we discuss why airway concerns must be dealt with urgently, unpack what a clinical examination can help to determine, and hear some success stories from Dr. Loetscher’s patients. This conversation also touches on how patients discover Dr. Loetscher, how he works to prevent complications, and how he prepares patients for the changes they may see in their facial structure after surgery. We touch on healing in older patients, post-op meds and anesthesia, maintaining the structures of the face, and much more. Thanks for listening!

Key Points From This Episode:

• Welcome to Dr. Andy Loetscher and background on how his practice has evolved in the context of Orthognathic surgery.
• How treatment differs between younger patients and older patients with disparate concerns.
• Weighing aesthetics versus airway concerns.
• An example of why it is so valuable to address airway issues sooner rather than later.
• The role of a clinical examination and clinical history in diagnosing a problem.
• Success stories from Dr. Loetscher’s patients and the incredible results they experience.
• How most patients land up in Dr. Loetscher’s chair.
• Avoiding complications during the healing process for older patients.
• Preparing patients for changes in their facial structure.
• Why sensation returns slower in older patients and how the blade can impact the process.
• His approach to post-op meds and anesthesia.
• Exploring different diagnostic options.
• Role of the septum and other facial structures.
• Opening up the bone to avoid structural changes in the face.
• A case study with a 72-year-old patient.
• What Dr. Loetscher is watching at the moment: Landman.
• Book recommendations and more.

Links Mentioned in Today’s Episode:

Dr. Andy Loetscher on LinkedIn — https://www.linkedin.com/in/andy-loetscher-41a352a/

Dr. Andy Loetscher Email — jawimplant@aol.com

Atlanta Oral and Maxillofacial Surgery and Dental Implant Center — https://www.jawimplant.com/

Landman

Revenge of the Tipping Point

David and Goliath
Can’t Hurt Me
Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059

As cannabis use becomes more widespread, its effects on oral surgery are becoming increasingly evident, but what does this mean for oral surgeons? In this episode of Everyday Oral Surgery, Dr. Grant Stucki welcomes back Dr. Robert John, an oral and maxillofacial surgeon from Troy, Michigan, to discuss the implications of cannabis use in oral surgery. Dr. John shares insights from a recent discussion with dentists in Michigan, where legalized marijuana has led to notable complications in dental procedures. Together, they unpack the risks associated with sedation, increased bleeding, dry mouth, and post-surgical healing difficulties. They also explore strategies for screening patients, adjusting sedation protocols, and educating individuals about the oral health risks of cannabis use. Join Dr. Stucki and Dr. John to discover practical strategies and expert insights to help you navigate the evolving landscape of oral surgery in the age of cannabis legalization. Tune in now!

Key Points From This Episode:

• Discover how cannabis causes issues with sedation during oral surgery.
• Find out why cannabis users experience more bleeding during surgery.
• Uncover the link between cannabis use and dry mouth, and why it matters.
• Thrush and fungal infections associated with patients who use cannabis regularly.
• Explore how cannabis use can affect healing and post-operation recovery.
• Learn the signs and signals of patients who are under the influence of cannabis.
• How Dr. John has adapted his protocols and surgical approach for cannabis users.
• Hear why understanding the complications caused by cannabis use is important.
• Why it is advised that patients avoid any cannabis use before a consultation.
• Recommendations on how to educate patients about the risks of cannabis use.
• Dr. John explains why the dental community needs to advocate for policy changes.
• The prevalence of cannabis use among teenagers and why it is a problem.

Links Mentioned in Today’s Episode:

Dr. Robert John — https://www.troyoralsurgery.com/

Dr. Robert John Email — info@troyoralsurgery.com

Dr. Robert John Phone — (248) 665-8769

Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/

Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/

Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059