By: Dr Salman Basha, Consultant Maxillofacial Surgeon & Dr
Aminath Reesha, Dentist
A major surgical milestone was reached as our team performed a
highly complex oral and maxillofacial reconstruction, the first of its kind at
our hospital. As one of the longest procedures in our history, this achievement
reflects our advanced expertise in managing severe maxillofacial trauma with
precision, innovation, and seamless multidisciplinary collaboration.
The patient presented with extensive facial injuries following a
road traffic accident. Advanced radiographic evaluation revealed multiple complex
fractures involving the orbit, maxilla, zygoma, and the base of the skull, as
well as an optic canal apex fracture causing critical nerve compression. These
injuries posed life-altering risks, including permanent vision loss, facial
asymmetry, and severe intracranial bleeding and neurosurgical complications.
Upon admission, our ER team immediately activated trauma
protocols. The patient was stabilized in the ICU under neurosurgical care,
while the Ophthalmology team conducted a rapid assessment to address the
progressive blurring of the patient’s vision. Because time was of the essence,
a multidisciplinary team was formed to fast-track surgical management,
supported by our expert Anesthesia and surgical nursing teams.
The Surgery was led by Dr. Mohammed Salman Basha (Consultant Oral &
Maxillofacial Surgeon) and assistant surgeon Dr. Aminath Reesha (Dentist). The team
performed an Open Reduction and Internal Fixation (ORIF) of the fractured
orbit, maxilla, and zygoma, alongside a decompression and reconstruction of the
orbital floor.
Utilizing a state-of-the-art titanium Osseo-synthesis system,
the team restored the patient's anatomical integrity. In a sophisticated move
to preserve facial aesthetics, the surgeons strategically utilized existing
lacerations as access points, minimizing the need for additional incisions. The
procedure lasted approximately 7–8 hours, reflecting the intricate and
demanding nature of the reconstruction.
This success highlights our growing capability to manage high-level
trauma cases locally; procedures that previously required treatment abroad. One
week postoperatively, the patient was discharged in stable condition with
restored facial symmetry.
This milestone stands as a testament to our evolving standards of healthcare in the Maldives and our steadfast commitment to delivering cutting-edge, life-saving treatment for our community.