Annual Report 2010 - St. James's Hospital

Clinical Directorates I Omega
The total outpatient attendance rate for the Omega Directorate
increased in 2010 with an increase in new and return patients.
During 2010 the directorate reviewed patient processing, clinic
schedules, and implemented revised referral criteria to reduce
the waiting times for patients attending each speciality
Outpatient Attendance
No. of Patients
10000
9000
8000
7000
6000
5000
4000
3000
2000
1000
0
NEW
Total 2008
Total 2009
Total 2010
RETURN NEW RETURN NEW RETURN
Maxillofacial
Plastic Surgery
Orthopaedics
Developments in 2010
• Establishment of Omega Health & Safety Committee
• Roll out of Speech recognition and digital dictation across
the directorate
• Electronic patient referral(EPR) for fracture referrals from
Emergency Department
• Consultant Developments
• The Consultants and staff of the Omega Directorate would
like to acknowledge the contribution made to Orthopaedic
Surgery and the National Centre for Hereditary Coagulation
Disorders (NCHCD) by Mr. Hugh Smyth and wish him a
happy retirement. Mr. Padraig O Ceallaigh has taken up his
position as Consultant Maxillofacial Surgeon
Maxillofacial Surgery
The National Maxillofacial unit is a tertiary referral centre
dealing with:
• Facial trauma
• Correction of congenital and acquired facial and
jaw deformities
• Oral cancer and reconstructive surgery
• Salivary gland disease
• Dentoalveolar and orofacial pathology
• Congenital abnormalities
• Implantology
Oral Maxillofacial Cancer
Patients are referred from dentists, GP’s and the Dublin Dental
Hospital for investigation, treatment and surgery for oral
maxillofacial cancer. A multidisciplinary team comprising of
Consultant Oral Maxillofacial Surgeon, Cancer Co-Ordinator,
Nursing staff, Clinical Nutritionist and Speech and Language
therapist provide treatment and care for patients.
Maxillofacial Cancer Newly Diagnosed
No. of Patients
60
50
40
30
20
10
0
2008 2009
2010
Preliminary data for 2010 – awaiting verifi cation July 2011
Cleft Orthodontic Unit
The cleft Orthodontic Unit is a tertiary referral service for
orthodontic management of children and adults born with cleft
lip and palate and craniofacial anomalies.
Regular multi-disciplinary cleft clinics are held in St. James’s
Hospital, Temple Street Children’s University Hospital
and Our Lady’s Hospital for sick Children as part of the
wider Dublin Cleft Centre. Joint clinics are also held with
colleagues in, Plastic Surgery, Maxillofacial Surgery and
Restorative dentistry.
The Cleft Co-Ordinator maintains the cleft database and
co-ordinates the patient’s individual care pathway.
Prosthodontic Unit
The Prosthodontic Unit acts as a tertiary referral centre
primarily for the Prosthodontic management of patients with
cleft lip and palate needs and includes a limited service for
the prosthetic intraoral rehabilitation of head and neck cancer
patients from St. James’s Hospital and Our Lady’s Hospital for
Sick Children, Crumlin.
Out Patient Procedures
The Maxillofacial/Orthodontic and Prosthodontic Unit provides
an outpatient procedure and treatment service for patients
requiring a wide range of procedures including:
• Dentoaveolar surgery
• Biopsy of oral and cavity, lip and skin lesions
• Bracket application and removal
• Plate, screw and islet wire application/removal
• Impressions/study models
• Arch wire/bands/brackets
• Veneers/crowns
• Implants
• Tooth extraction
Year
67