CPAC SUMMARY – PAEDIATRIC ORAL-MAXILLOFACIAL (OMF) SURGERY

CLINICAL PRIORITY ACCESS CRITERIA

Service Category: Clinic Type: Outpatient (1st Assessment) PAEDIATRIC ORAL-MAXILLOFACIAL (OMF) SURGERY Urgent Category Definitions: Semi-Urgent Routine If a patient presents to primary care with any of the following acute conditions, please contact the OMF Surgery consultant or registrar on call, for advice and transfer to Hospital Emergency Department: Immediate Examples (Not an exhaustive list) Treatment immediately or within 24 hours • Open and compound facial fracture

including Le Fort I, II and III fractures of the • Significant or uncontrolled bleeding mid-face • Life threatening conditions • Multi-trauma victim with severe facial injury • Acute and significant functional impairment • Oral-facial trauma with potential to cause • Infection airway distress • Severe/acute oral medical conditions. • Potential airway compromise • Acute bilateral TMJ dislocation • Acute oral and facial sepsis • Ludwigs Angina • Large abscesses of the face or neck • Primary herpetic stomatitis • Stevens Johnson drug reaction • Pemphigus

• Suspected malignancy • Congential problems with airway , feeding Urgent • Uncontrolled pain and speech problems • Uncontrolled oral • Ulcer in the mouth lasting longer than 10 infection/ulceration days • Oral/facial trauma not requiring • Oral/facial lumps/swellings increasing in size immediate treatment • Primary herpetic stomatitis • Acute unmanageable dental infection. • Pemphigus • Undisplaced fractures • Mandibular trismus • Infected bone plates PH # ORIF • Acute osteomyelitis

• Pain, adequately controlled • TMJ dysfunction pain or locking Semi- • Facial/jaw cyst • Dentigerous cysts, keratocysts Urgent • Chronic infections • Sinus pathology • Salivary gland pathology • Chronic Osteomyelitis • Congenital conditions • Salivary calculi • Non malignant tumours of the jaws and salivary glands

Revised December 2014 CPAC SUMMARY – PAEDIATRIC ORAL-MAXILLOFACIAL (OMF) SURGERY

• Oral medical conditions • Lichen Planus Routine • Pemphigus • Aphthous ulceration • Xerostoma

• Congenital malformations • Prognathism, maxillary hypoplasia • Branchial arch abnormalities • Hypodontia, delayed eruption of teeth • Tongue tie

• Cranio-facial rehabilitation • Post traumatic deformities • Chronic TMJ dysfunction (osteoarthropathies) • Implants, eg ears, eyes etc. • Oral implants for cleft palates, missing teeth.

• Non-malignant growths • Fibroma, Haemangioma. • Hyperplastic tissue. • Bony enlargement, eg Mandibular or palatal exostoses.

NOTES:

• Paediatric outpatient referrals are triaged by the consultant and allocated urgency category based on the information contained in the referral. • A completed GP referral which includes presentation, findings of physical examination, blood tests, any radiological investigation results and treatment to date will facilitate prompt triage • The minimum demographic data required in order for our Clerical Staff to process your patients referral is: o Childs full name and Date of Birth o Mother’s maiden name o Next of Kin details if different to the mother o Contact address and phone numbers for Next of Kin o Country of birth (if known) if Australia which hospital • Failure to provide these details may result in delays in the processing of your referral.

Revised December 2014