Ming-Chih CHANG DDS, MDS
Superintendent
FaceMaker Joint Clinic
Orthognathic Surgery is performed by oral & maxillofacial surgeons in the majority, and by plastic surgeons, too. In light of the complexity of this head & neck surgery, involvement of occlusion, and alteration of the airway, hospitals seem to be more appropriate for this procedure. However, more and more clinics are capable of orthognathic surgery along with optimization of their hardware and reinforced collaboration between surgeons, anesthesiologists, and orthodontists.
The reason why people choose large hospitals to have their surgery is based on safety, the authority of the doctors, and even the reliability of the hospitals. With comprehensive upgrades on all these aspects, clinics would hold a candle to hospitals.
In addition to your heedful preoperative evaluation, for safety, please make sure all first-aid equipment and medicines are prepared, cooperate with the licensed anesthesiologists, offer professional post-operative care by qualified medical personnel and work up your standard operating procedure, including routes of emergency transfer. The surgeons clinch their expertise, for the authority, and have to keep advancing their masterliness while, with sufficient communication, refraining from misleading their patients. The ambiance of your facility and positive patient-physician relationship will cater to security, and in return, grant you people's reliability. Sometimes, you need seasonable publicity, and time will prove it.
Fortunately, my facility is the first and the only specialist clinic of oral & maxillofacial surgery, which earned the Aesthetic Medicine Clinic Quality Certification (AMCQC) from the Ministry of Health & Welfare, and specializes in orthognathic surgery as well as facial contouring surgery. We will keep it up and set the industry benchmarks for all other oral & maxillofacial surgeons dedicated to their clinics prospering.
Lastly, I would like to share some rundowns of my clinic and wish they would help.
口外專科診所的正顎手術
煥顏聯合診所 張明智 院長
正顎手術主要由口腔顎面外科及部分整形外科醫師所執行，由於屬於頭頸部精密手術,且涉及咬合及呼吸道改變，一直被認為適合在大型醫院執行。
然而隨著診所設備的優化，手術醫師、麻醉醫師、矯正醫師團隊整合的強化，軟硬體安全性的提升，越來越多診所具有執行正顎手術的能力。
民眾選擇在大型醫院接受手術的理由主要在於安全性考量，醫師的權威性，甚至對醫院本身的信賴度。診所要能在這些方面提升，才有辦法跟醫院相抗衡。
在安全性方面，除了謹慎術前評估，還必須備齊所有急救設備及藥物，選擇麻醉專科醫師配合，專業醫療人員術後照顧及建立後送路線SOP。在醫師的權威性面，除了醫師本身的專業技術外，也必須不斷進修成長，充分與病患溝通可以避免認知落差造成不必要糾紛。在對診所的信賴度方面，除了安全的環境，及良好醫病關係外，有時需要搭配適時的宣傳與分享，這是需要時間證明的。
幸運的，我的診所是第一家也是目前唯一一家口腔外科診所通過衛服部正顎手術及削骨診所美容醫學品質認證，我們會繼續努力，期望能成為其他有心發展口腔外科診所醫師的標竿。
最後提供我們診所的一些流程跟大家分享，希望能對大家有所幫助～
