If you go to the following website, you can see the accreditation standards for OMFS Fellowships (i.e. the required number of cases):
www.ada.org/prof/ed/accred/standards/omsf.pdf
Excerpted from this document:
Esthetic Oral and Maxillofacial Surgery: An esthetic surgery fellowship is a
structured post-residency educational experience devoted to the enhancement
and acquisition of skills in esthetic surgery.
Goals/Objectives: Knowledge and surgical skills in maxillofacial esthetic
surgery must be taught to a level of competency. The training must include
diagnosis and management of complications.
Surgical Experience: Surgical experience must include the following procedures
and must exist in sufficient number and variety to ensure that objectives of the
training are met. No absolute number can ensure adequate training but
experience suggests that a minimum of 125 maxillofacial esthetic cases is
generally required. These procedures include, but are not limited to:
blepharoplasty, brow lifts, treatment of skin lesions, cheiloplasty, genioplasty,
otoplasty, rhinoplasty and rhytidectomy.
The Head and Neck Oncology requirements are even more stringent:
Oral and Maxillofacial Oncology:
Definition: Oral and maxillofacial oncology is that area of the specialty which
manages patients with malignant tumors of the maxillofacial region.
Surgical Experience: Surgical experience must include the following procedures
and must exist in sufficient number and variety to ensure that objectives of the
training are met. No absolute number can ensure adequate training but
experience suggests that at least 90 major surgical cases should be documented.
These procedures include, but are not limited to:
extirpative surgery for malignant and benign tumors, supraomohyoid,
functional, radical and selective radical neck dissections, major soft and hard
tissue reconstruction, as well as free, local and regional flap procedures.
1. Excision of malignant tumors.
2. Major soft tissue excision for benign or malignant tumors, e.g.
hemiglossectomy, floor of mouth excision, parotidectomy,
submandibular gland incision.
3. Jaw excision for benign and malignant disease, e.g. marginal or
segmental mandibulectomy, partial maxillectomy.
(60 total cases for category 1, 2 and 3)
4. Neck dissection which must include radical and limited (e.g.
supraomohyoid) neck dissection.
(20 cases for category 4)
6-2.1 The overall surgical experience must be broad and must include
experience in primary and secondary reconstruction.
Reconstructive techniques must include soft and hard tissue
replacement. Reconstruction should be performed by the fellow.
If some reconstructive techniques are undertaken by a consulting
service e.g., microvascular service, the fellow must be involved in
the surgery and gain knowledge of these techniques.
6-2.2 There must be close liaison between a radiation oncology
department or a radiation oncology office and a depart ment of
medical oncology or medical oncologist. The fellow must be
trained in the role of radiation therapy and chemotherapy in the
treatment and management of malignant tumors of the
maxillofacial region.
