No one (at least not me) bashing OMFS. Unless they’re doing boob jobs, and then yeah they shouldn’t be. And if an ENT guy who didn’t do a PRS fellowship is doing boob jobs, then they should also be ashamed. I’ve never come across that, but anything is definitely possible. Medical societies allow you to do anything, but they do rely on your rational mind and sense of humility to stick to what you’re trained to do. It’s allowed because so far no one has found it necessary to spell out what you can or can’t do (although hospital credentialing committees do that, you can just circumvent it by owning a surgery center). So far it’s only a relatively small cadre of ballsy charlatans who take advantage of this, but they’re out there. Some of them are oral surgeons. Some of them are probably ENT guys, but both are a problem. You could start offering all the services a naturopath offers, too, but most people done because they just have too much pride. the medical board allows it, but common sense prevents it. Save for some “aesthetic centers,” which are only vaguely medical practices at best. Surely we all understand that there’s a difference between what you -can- do and what you -should- do.
I know a ton of Oral Surgeons who won’t go in to a sinus, and some others yet who really freak out when they do. They call me about it. I agree with you, they shouldn’t. It happens all of the time. If you do maxillary advancements, it happens every time. But yet I have definitely come across guys who won’t get near anything in the sinus on many occasions. no doubt that isn’t all oral surgeons. A lot of them just haven’t done much facial trauma or advancement surgery in a long time. Some still do sinus lifts, but I can’t tell you how often I get a referral from an oral surgeon because he “breached the mucosa” doing a lift and he wants me to check it out. It’s cool. I do it. But, you know, who cares? It’s going to heal fine.
while I find it weird, I’ve never been critical of that. I don’t mind going in the sinus, so that’s all good. If the guy in question didn’t -want- do to the case he should just say so. If he -doesn’t- do those cases, there must be a reason. Honestly getting a bullet out of a sinus endoscopically might be easier way harder depending upon the location. Who knows. All I said was if it was in the sinus he may not have felt comfortable going after it. Maybe that’s because he thought endoscopic was a better option. He apparently didn’t share that when he refused outright to see the patient.