Maxillofacial surgery in Angola: overcoming challenges, advancing care through online collaboration

Purpose: This study aims to document the experiences of the authors during a maxillofacial humanitarian mission in Angola, with a focus on assessing the challenges faced by local maxillofacial surgeons. Additionally, the study evaluates the role of internet-based tools in planning and executing such missions to enhance the efficiency and impact of future interventions. Material and Methods: The study involved two parts: (1) An online survey conducted with maxillofacial surgeons across various regions of Angola to assess local needs, difficulties, and obstacles before the mission. The survey, administered via Google Forms®, included demographic questions and queries about specific challenges. (2) The humanitarian mission itself, which took place in March 2023 at Hospital Josina Machel in Luanda. During the mission, the researchers documented maxillofacial disorders treated and outcomes for the patients attended by Angolan surgeons. Data collected from medical charts included demographic variables, types of maxillofacial disorders, and treatment outcomes. Results: The survey revealed significant challenges, including a lack of materials in surgical centers and outpatient clinics, and the need for more specialized professionals. The humanitarian mission involved treating 26 emergency cases and 17 inpatients, with significant educational sessions conducted for local surgeons. Despite resource limitations, complex surgeries were successfully performed, demonstrating the potential for online collaboration and meticulous planning to overcome logistical challenges. Conclusions: This study underscores the significant challenges faced by maxillofacial surgeons in Angola. It demonstrates how online tools and international collaboration were crucial in improving mission planning and execution.