Audit of the workload in a maxillofacial and oral surgical unit in Johannesburg

Keywords: retrospective and cross-sectional, Dentoalveolar surgery


Maxillofacial and oral surgical (MFOS) audits are able to provide data to both current and prospective patients regarding the quality of care an institution is capable of providing. The more frequently performed MFOS procedures can be determined and the allocation of funding and resources can therefore be achieved more appropriately. To conduct an audit to evaluate the workload and scopeof practice of the MFOS unit of the Charlotte Maxeke Johannesburg Academic Hospital (CMJAH) for the year 2015 by quantifying MFOS conditions and the respective treatment modalities. The study was retrospective and cross-sectional. Data was retrieved from the patient logbook of the unit which was then entered into a Microsoft Excel Spreadsheet. Pie graphs and bar charts representing the data were then generated. A total of 1 750 patients were treated in the unit. The male to female ratio was 1.3:1 and the majority of these patients were in their 3rd and 4th age decade. Most patients required a tooth extraction mainly for an impacted 3rd molar. Dentoalveolar surgery was the most commonly performed procedure followed by the treatment of facial fractures. Pathological and other MFOS conditions were less commonly encountered. The CMJAH MFOS unit treats a high volume of patients according to comparisons with global studies.


1. Ivers N, Jamvedt G, Flottorp S, et al. Audit and feedback: effects on professional practice and healthcare outcomes. The Cochrane database of systematic reviews. 2012; 13: CD000259.

2. Govaert JA, van Bommel ACM, van Dijk WA, et al. Reducing healthcare costs facilitated by surgical auditing: A systematic review. World Journal of Surgery. 2015; 39: 1672-80.

3. Anyanechi CE, Saheeb BD. Audit of the demographic patterns of oral and maxillofacial surgical cases in a Nigerian teaching hospital. International Journal of Medicine and Health Development. 2011; 16: 18-27.

4. debayo ET, Ajike SO, Abite MG. Audit of oral and maxillofacial conditions seen at Port Harcourt, Nigeria. Annals of African Medicine. 2008; 7: 29-34.

5. Moshy J, Hamza O, Moshiro C. An audit of 6 years of oral and maxillofacial surgical conditions admitted for interventional treatment at Muhimbili National Hospital, Dar es Salaam - Tanzania. East and Central African Journal of Surgery. 2012; 17: 95-101.

6. Islam MA, Haider IA, Uzzaman MH, Tymur FR, Ali MS. One year audit of in-patient department of oral and maxillo-facial surgery Dhaka Dental College Hospital. J Maxillofac Oral Surg. 2016; 15: 229-35.

7. Rehman B, Din QU. Two years audit of maxillofacial surgery department at Khyber College of Dentistry, Peshwar. Pak Oral Dent J. 2009; 29: 13-8.

8. Damtew MM. Changing trends in maxillo-facial and oral surgery at Chris Hani Baragwanath Hospital: A comparison between two time periods in 1987 and 2007. [Accessed 2 February 2017].

9. Uddin N, Ahmed MU, Haider IA, Moral AKMS. Annual clinical audit of Indoor, Dhaka Dental College and Hospital (January 2004 to December 2005). Bangladesh Journal of Dental Research and Education. 2015; 5: 37-9.

10. Rogers SN, Lowe D. British Association of Oral and Maxillofacial Surgeons first national audit in support of revalidation. Br J Oral Maxillofac Surg. 2011; 49: 478-9.

11. Brennan DS, Spencer AJ, Singh KA, Teusner DN, Goss AN. Practice patterns of oral and maxillofacial surgeons in Australia: 1990 and 2000. Int J Oral Maxillofac Surg. 2004; 33: 598-605.

12. Ricciardo P, Bobinskas A, Vujcich N, Nastri A, Goss A. Survey of Australasian oral and maxillofacial surgeons 2011 - scope and workforce issues. Int J Oral Maxillofac Surg. 2015; 44: 1569-73.

13. Porter M, Lownie M, Cleaton-Jones P. Maxillofacial injury: a retrospective analysis of time lapse between injury and treatment in a South African academic maxillofacial and oral surgery unit. S Afr J Surg. 2013; 51: 138-42.

14. Khan M, Mehbhoob B, Shajahan K. Extraction of wisdom teeth under general anaesthesia - A study. Journal of Kyber College of Dentistry. 2014; 5: 20-4.

15. Lee K. Global trends in maxillofacial fractures. Craniomaxillofac Trauma Reconstr. 2012; 5: 213-22.

16. Desai J, Lownie JF, Cleaton-Jones P. Prospective audit of mandibular fractures at the Charlotte Maxeke Johannesburg Academic Hospital. S Afr J Surg. 2010; 48: 122-6.

17. Oginni FO, Oladejo T, Alake DP, Oguntoba JO, Adebayo OF. Facial bone fractures in Ile-Ife, Nigeria: An update on pattern of presentation and care. J Maxillofac Oral Surg. 2016; 15: 184-90.

18. Oginni FO, Ugboko VI, Ogundipe O, Adegbehingbe BO. Motorcycle-related maxillofacial injuries among Nigerian intracity road users. J Oral Maxillofac Surg. 2006; 64: 56-62.

19. Statistics South Africa. <> [Accessed 2 February 2017].

20. Mayr F, Yende S, Angus D. Epidemiology of sepsis. Virulence 2014; 5: 4-11.

21. Chircanovic BR. Open vs. closed reduction: Comminuted mandibular fractures. Oral Maxillofac Surg. 2013; 17: 95-104.

22. Bezerra MF, Avelar RL, de Oliveira RB, Studart-Soares EC, Pretto MS. Assessment of the oral and maxillofacial surgery services in a teaching hospital. The Journal of Craniofacial Surgery. 2011; 22: 50-3.
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