Tokuda Hospital Sofia

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Maxillofacial and Plastic Surgery

Maxillofacial surgery is a synthetic specialty that integrates therapeutic and surgical methods of Surgery, Stomatology, Neurosurgery, ENT, Ophthalmology.

Maxillofacial Surgery Unit of Tokuda Hospital Sofia has a highly specialized team, the most modern and high-tech facilities for diagnosis and surgical treatment.

The unit works closely with one of the leading schools of Plastic and Reconstructive Surgery in Paris and with the world famous surgeon Dr. Darina Krastinova with option for consulting complex medical cases via video-conferencing.

Maxillofacial Surgery Unit in Tokuda Hospital Sofia works in all areas of oral and maxillofacial surgery.

Sections of maxillofacial surgery. Diagnosed and treated conditions

Reconstructive, Plastic and Aesthetic Maxillofacial Surgery

One of the priority directions of the Maxillofacial Surgery Unit in Tokuda Hospital Sofia is reconstructive, Plastic and Aesthetic Maxillofacial Surgery

Reconstructive maxillofacial surgery restores deformed or completely lost organs and tissues of the face and neck after traumatic injuries of soft tissues and bone structures as a result of congenital diseases, tumor processes, traumatic injuries, domestic trauma, burns or surgery interventions.

In plastic-reconstructive surgery besides traditional reconstruction (with tissues adjacent to the defect, plastic with various figures, free transfer of skin and bone, etc.) the most modern methods of microvascular transfer and transplantation are used. Operations include procurement of tissues from the patient (bone, muscle, skin, etc.) and their transfer in the maxillofacial area.

Special attention is paid to the extremely complicated reconstruction of the upper facial segment and in particular of bone orbits.

The methods and procedures include:

  • Rhinoplasty (nose correction)
  • Facelift
  • Septorhinoplasty
  • Оtoplasty
  • Mentoplasty (Chin surgery)
  • Blepharoplasty
  • Microvascular reconstruction and transplantation
  • Distraction osteogenesis
  • Maxillofacial Prosthetics (anaplastology)
Face reconstructive surgery 
  • Congenital defects of the face (soft tissue, jaw bones, orbital bone) 
  • Plastic and reconstructive surgery defects after injuries or surgery on the occasion of tumor diseases
  • Congenital malformations
    • Types:
      • Craniosynostosis: V-shaped skull (trigonocephaly), scaphoid skull (scaphocephaly), short skull (brachycephaly), изкривен череп (plagiocephaly); syndromic craniosynostosis (the syndrom of Crouzon, Apert, Pfeiffer, Jackson Weiss, Saether-Chotzen и Carpenter).
      • Otocraniostenosis (hemifacial microsomia, otomandibular syndrome, Goldenhar syndrome, Syndromes of the First and Second Branchial Arches)
      • Facial hyperplasia
  • Congenital craniofacial malformations.

Surgical treatment of congenital craniofacial malformations is multistaged. There is a major surgery with subsequent reconstructive interventions.

Aesthetic surgery of the face

Aesthetic surgery of the face is mostly used for corrections of the effects of aging and aesthetic corrections of individual parts of the face:

  • Face lifting (rhytidectomy)
  • Blepharoplasty
  • Rhinoplasty
  • Оtoplasty
  • Mentoplasty (Chin correction)
  • Face sculpting with lipofilling (with person's own fat tissue)
  • Dermabrasion
  • Lip enhancement
  • Cosmetic facial injections (Botox, chemical peels, etc.)
  • Neck liposuction 
Orthognathic surgery

Surgical treatment of congenital and acquired defects in the maxillofacial area

  • Maxillofacial defects
  • Laterognathia
  • Genioplasty
Maxillofacial oncology 

Surgical treatment of tumors of the maxillofacial area

Surgical treatment of oncological diseases in the maxillofacial area covers benign and malignant formations of soft tissue and bone structures of the face, tongue, salivary glands, orbital area and neck.

The most modern and advanced methods for surgical treatment of benign and malignant tumors in the maxillofacial area and neck:

  • Tumors of the skin (lips, eyelids, etc.).
  • Tumors of the facial bones and jaws
  • Tumors of the tongue
  • Tumors of the neck
  • Tumors of the salivary glands

·         Tumor formations

  • Benign tumors
    • Epithelioma, papilloma, fibroma, myoma, neurinoma, lymphangioma, adenoma, hemangioma, nevus
  • Malignant tumors
    • Malignant melanoma and squamous cell carcinoma (of the skin), adenolymphoma (lymph nodes), squamous cell carcinomas of the oral cavity (mucosa), connective tissue tumors, tumors of the salivary glands, odontogenic tumors (teeth)
 Maxillofacial Traumatology

Surgical treatment of injuries of the maxillofacial area

Surgical treatment of injuries of the maxillofacial area covers soft tissues and bone structures damages in the maxillofacial area.

The unit has a full range of last generation special consumables (titanium miniplates and screws) for the treatment of fractures of the facial bones and jaws.

Traumatic diseases in the maxillofacial area

  • Soft tissues injuries - from abrasions and bruising to tissues loss
  • Fractures of the jaw and facial bones
Surgical treatment of inflammatory diseases in maxillofacial area

It includes surgical interventions in the treatment of inflammatory diseases of the face, neck, oral cavity, sinuses, jaws, lymph nodes, etc. The most common causes of inflammation are dental infections, infections of the mucous, the skin, etc.

Inflammatory diseases in maxillofacial area

  • In dental infections
    • Mucosal inflammation
    • Osteomyelitis
    • Infections caused by jaw cysts
    • Infections in skin inflammations
    • Infections in paranasal sinuses inflammation
    • Infections in inflammation of the salivary glands and lymph
Other diseases in the maxillofacial area

Diseases of the salivary glands

  • Inflammation of the salivary glands
  • Viral diseases
  • Сysts
  • Sialolitiasis

Diseases of the mandibular joints

  • Arthritis
  • Arthrosis
  • Injuries, partial dislocation and dislocation
Leading specialists
Dr. Radoslav Slavchev - Head of Maxillofacial Surgery

Dr. Radoslav Slavchev is a specialist in Oral and Maxillofacial Surgery. Has a Master degree in Health Management.

Dr.Slavchev is one of the founders of Tokuda Hospital Sofia - in December 2006 founded the Department of Maxillofacial and plastic surgery.

Graduated from Medical University in Plovdiv in 1987.  His first specialty in Dentistry Dr.Slavchev received in 1990 in Medical University of Sofia. In 2000 he defended his second specialty in maxillofacial surgery in Medical University of Sofia.

From 1987 to 2006 he passed through numerous specializations in the country and abroad:

  • 1987 г. - Department of Maxillofacial Surgery, Military Medical Academy - Sofia
  • 1990 г. - Plastic and Reconstructive Surgery Clinic, Medical Academy - Sofia
  • 1994 г. - Maxillofacial Surgery in the Neurosurgery Clinic, Pirogov - Sofia
  • 1994–1999 - Specialization in Maxillofacial Surgery in the Department of Maxillofacial Surgery, Dental Faculty of Medical University - Plovdiv.
  • 1999–2000 - France, Paris - specialization in plastic, reconstructive and craniofacial surgery at the hospital "Foch" in the team of Dr. D. Krastinova
  • 2000 – Nice, France - High level master-classes in surgical anatomy, Dr. Krastinova Prof. Santini
  • 2000-2001 г. - Innsbruck, Austria, "University Hospital Prince Leopold" - specialization in maxillofacial, reconstructive surgery in the team of prof. Valdhart.
  • 2002-2005 – Paris, France - additional courses for training in plastic, reconstructive and craniofacial surgery in the team of Dr. Krastinova
  • 2006 г. – Japan (Tokyo, Osaka, Fukuoka, Kamakura) - specialization in the hospitals of Tokuchukai Medical Corporation

Professional realization:

  • His professional career started in the Stara Zagora, Bulgaria in 1987.
  • From 1989 to 1994 he worked in dental surgery at the Medical University, Stara Zagora.
  • In 1994 is a Head of the Maxillofacial Surgery sector at University Hospital, Trakia University, Stara Zagora.
  • After the competition in 1996 was elected as a regular assistant at the Department of General surgery in Trakya University, and subsequently was elected as a senior assistant.
  • From 2001 to 2006 - Head of Maxillofacial Surgery Sector of Neurosurgery Clinic at the Trakya University.
  • Since 2006 has been a Head of Maxillofacial and Plastic Surgery Department in Tokuda Hospital Sofia.

 Scientific Organization Memberships: 

  • European Association for Cranio-Maxillo-Facial Surgery
  • The association of oral and maxillofacial surgeons in Bulgaria

 Scientific Publications: 

Author of over 20 publications in Bulgarian and foreign scientific journals. Lecturer and participant in many Bulgarian, European and world forums and congresses in the field of maxillofacial, cranio-maxillo-facial surgery. 

Contacts:

r_slavchev@abv.bg

tel.: +359 884 933 120, +359 888 26 15 79

 

 Assoc. Prof. Dr. Anton Yordanov Dzhorov, MD

Leading specialist in orthognathic and reconstructive surgery in Bulgaria.

Graduated from Medical University in Sofia in 1982. Acquired specialties in General Dentistry, Surgical Dentistry and Maxillofacial Surgery.

He specialized in the Department of Oral and Maxillofacial Surgery in Military Medical Academy of Sofia under the direction of Prof. N. Georgiev, and concerning orthognathic problems and microvascular surgery at the Military Hospital in Prague under the direction of prof. Nemeth  and in Havana in the National surgical center "Brothers Ameheras" with prof. Kruanyas.

Passed courses in anesthesiology and intensive care, implantology, microvascular, orthognathic and craniofacial surgery.

In 2005 defended his dissertation and acquired educational and scientific PhD degree. Since 2008 has a habilitation as an associate professor.

Professional realization:

Till 1987 he worked in Dolna Banya by distribution. After a concours in 1987 he was chosen for an assistant in Oral and Maxillofacial Department of Medical University Sofia, where he worked till 2008. From 2008 to 2012 he was chief of diagnostic and treatment activities in Specialized Hospital for Maxillofacial surgery in University Hopsital Sofia. From 2012 to 2013 he was an associate professor in Military Medical Academy Sofia.

  • For the first time in Bulgaria he executed succesful vascularized transplantations of illiac bone through microsurgical technique for reconstructions of lower jaw.
  • He introduced in Bulgaria sagittal osteotomy by Epker and transcutaneous mandibular osteosynthesis.
  • For the first time in Bulgaria he reconstructed significant mandibular defects through distraction osteogenesis.
  • He introduces in Bulgaria arthroplastics through bone chondral transplant with preserved growing center in the treatment of ankylosis and created a method for arthroplastics of mandibular joint with coronary outgrowth.
  • For the first time in Bulgaria he uses intraoral implants for holding silicone epithesis in significant facial defects
  • He uses distraction osteogenesis in reconstruction of the middle face. 

Professional Organizations Memberships: 

  • Chairman of the Cooperation of the Oral and Maxillofacial Surgeons in Bulgaria
  • Member of the Board of the Balkan Association for Maxillofacial Surgery
  • Member of the European Association for Cranial Maxillofacial Surgery
  • Member of the World Association of the Oral and Maxillofacial Surgery                                                                            

Assos. Prof. Dzhorov is an author of monography, 45 scientific publications, 2 ratiaonalizations and 18 reports, presented at international congresses. He participated in the creation of the textbooks: "Maxillofacial and Oral Surgery" and "Oral Surgery". He was a chief coach for the postgraduate qualifications of doctors in the specialties Oral Surgery and Maxillofacial Surgery. He participated in the creation of the Medical Standards for Maxillofacial Surgery, adopted by the Ministry of Healthcare. 

His personal interests are directed to reconstructive surgery of congenital and acquired deformities of the skeletal structures in the maxillofacial area. He speaks Spanish.

Department

Maxillofacial Surgery

Hospital location

51B "Nikola I. Vaptsarov" blvd. (if you drive, the entrance is from "At. Dukov" str.), "Hladilnika" distr., 1407 "Lozenets".

The hospital has a parking lot. The first 30 min. are free of charge, then a fee of 3 bgn/hours applies.

Public transport:
Buses: №88, 120
Shuttle bus: 32

Subway: Getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.

Map 

From the Central Railway Station

Bus line №305 getting off at "Romanian embassy" stop
From "Romanian embassy" stop – Bus line №120 getting off at "Tokuda Hospital" stop.
(after the traffic lights at "Atanas Dukov" str.

With a subway, from "Central Railway Station" station, getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.