Elledge Surgical Limited

Elledge Surgical Limited A private Maxillofacial service in the West Midlands focused on and 🩺

08/09/2026

Why did I become a maxillofacial surgeon? 🤔

The short answer is… I sort of fell into it 😅

I grew up in Malta and originally trained as a dentist. For a while, I thought dentistry would be my path.

Then I decided I wanted to become an orthodontist, so I moved to Scotland to begin orthodontic training as a Senior House Officer

As part of that journey, I had to complete a placement in maxillofacial surgery - and that changed everything 🙏

I loved the breadth of the specialty. I loved being in a general hospital, working alongside different teams, seeing complex patients and dealing with such a wide range of problems.

So I went back to medical school and trained as a doctor too.

Even then, I explored plenty of other paths. At different points I thought about psychiatry, intensive care and plastic surgery. But when I entered plastic surgery training (as a Core Surgical Trainee) I realised the part I was most drawn to was always the head and neck.

That brought me back to maxillofacial surgery, where I eventually completed my specialist training, followed by fellowships in skin cancer and aesthetic surgery.

So it was definitely a roundabout route - but looking back, every part of it added something 👏

➡️ Dentistry gave me a detailed understanding of the mouth and facial structures.

➡️ Medicine broadened my view of patients as a whole.

➡️ Plastic surgery sharpened my interest in reconstruction and aesthetics.

And maxillofacial surgery brought all of those things together 👏👏👏

Who do I see in clinic? 🤔💭➡️ It’s a question I get asked quite a lot, and the answer is probably broader than people exp...
04/09/2026

Who do I see in clinic? 🤔💭

➡️ It’s a question I get asked quite a lot, and the answer is probably broader than people expect.

A large part of my work involves TMJ and jaw-joint problems, including painful clicking, locking, restricted movement, arthritis and symptoms that haven’t improved with more conservative treatment.

But I also regularly see patients with:

✅ Impacted wisdom teeth
✅ Jaw cysts
✅ A variety of oral health problems
✅ Facial pain
✅ Facial trauma
✅ Facial skin cancer
✅ And more

One of the most important parts of my job is diagnosis.

A painful jaw might be muscular. It might be the joint. It might be arthritis. It might be internal derangement. And sometimes more than one thing is going on at once.

So the aim is never to jump straight to surgery ❌

It’s to understand what the actual problem is, then work out the most appropriate next step ☑️

Hopefully this carousel makes what I do a little easier to understand!

Which of these topics would you like me to explain in more detail next? 💬⬇️

What is TMJ arthroscopy - and is it worth it? 🤔⁣⁣➡️ 𝗙𝗼𝗿 𝘁𝗵𝗲 𝗿𝗶𝗴𝗵𝘁 𝗽𝗮𝘁𝗶𝗲𝗻𝘁, 𝗶𝘁 𝗰𝗮𝗻 𝗯𝗲⁣⁣TMJ arthroscopy is a minimally inv...
02/09/2026

What is TMJ arthroscopy - and is it worth it? 🤔⁣

➡️ 𝗙𝗼𝗿 𝘁𝗵𝗲 𝗿𝗶𝗴𝗵𝘁 𝗽𝗮𝘁𝗶𝗲𝗻𝘁, 𝗶𝘁 𝗰𝗮𝗻 𝗯𝗲⁣

TMJ arthroscopy is a minimally invasive, keyhole procedure that allows us to look inside the jaw joint and, where appropriate, treat problems within it at the same time.⁣

It may be considered for patients experiencing things like:⁣

✔️ Persistent joint-related pain⁣
✔️ Restricted mouth opening⁣
✔️ Recurrent locking⁣
✔️ Internal joint derangement⁣
✔️ Arthritis within the joint⁣
✔️ Symptoms that haven’t improved with appropriate non-surgical treatment⁣

👉But this is the important part: 𝗻𝗼𝘁 𝗲𝘃𝗲𝗿𝘆 𝗽𝗮𝗶𝗻𝗳𝘂𝗹, 𝗰𝗹𝗶𝗰𝗸𝗶𝗻𝗴 𝗼𝗿 𝘀𝘁𝗶𝗳𝗳 𝗷𝗮𝘄 𝗻𝗲𝗲𝗱𝘀 𝘀𝘂𝗿𝗴𝗲𝗿𝘆.⁣

In many cases, symptoms may be better managed with physiotherapy, jaw exercises, medication, an occlusal appliance or changes to diet and habits.⁣

The real question is 𝗻𝗼𝘁 simply “Do I have TMJ pain?”⁣

It’s ⬇️⁣

“What is causing my TMJ pain?”⁣

Because muscular pain, internal joint problems and arthritis can all behave very differently and may require very different treatment 🙏⁣

𝗦𝗼, 𝗶𝘀 𝗧𝗠𝗝 𝗮𝗿𝘁𝗵𝗿𝗼𝘀𝗰𝗼𝗽𝘆 𝘄𝗼𝗿𝘁𝗵 𝗶𝘁?⁣

If there is a genuine joint problem, symptoms are significantly affecting your quality of life and appropriate conservative treatment hasn’t helped, it may be a very useful next step.⁣

👉 But the right procedure for one patient may be completely wrong for another.⁣

A proper consultation, examination and review of your imaging is where that decision should begin ✅👨🏻‍⚕️⁣

Find out more and book a consultation: elledgesurgical.com⁣

30/08/2026

3 common types of jaw pain 👇⁣

Jaw pain isn’t one single diagnosis - and understanding where that pain is coming from is an important part of deciding how best to treat it 🙏⁣

Three of the common causes I see are:⁣

1️⃣ 𝗜𝗻𝘁𝗲𝗿𝗻𝗮𝗹 𝗷𝗼𝗶𝗻𝘁 𝗱𝗲𝗿𝗮𝗻𝗴𝗲𝗺𝗲𝗻𝘁⁣

This is when the jaw joint itself isn’t moving as it should. The cartilage or disc within the joint may not be moving correctly, which can lead to parts of the joint becoming irritated, inflamed and painful.⁣

2️⃣ 𝗔𝗿𝘁𝗵𝗿𝗶𝘁𝗶𝘀 𝗼𝗳 𝘁𝗵𝗲 𝗷𝗮𝘄 𝗷𝗼𝗶𝗻𝘁⁣

In some patients, the joint surfaces themselves can degenerate over time. As the normal smooth, lubricated movement of the joint becomes compromised, the joint can become painful and stiff.⁣

3️⃣ 𝗠𝘆𝗼𝗳𝗮𝘀𝗰𝗶𝗮𝗹 𝗽𝗮𝗶𝗻⁣

This is by far one of the commonest causes.⁣

The muscles around the jaw joint can become sore and overworked due to clenching, grinding or other parafunctional habits.⁣

👉 Think of it a little like going to the gym.⁣

If you overwork a muscle, it can ache afterwards. The same thing can happen to the muscles around your jaw if they’re constantly being asked to work harder than they should.⁣

➡️ And importantly, 𝘁𝗵𝗲𝘀𝗲 𝗽𝗿𝗼𝗯𝗹𝗲𝗺𝘀 𝗱𝗼𝗻’𝘁 𝗮𝗹𝘄𝗮𝘆𝘀 𝗲𝘅𝗶𝘀𝘁 𝗶𝗻 𝗶𝘀𝗼𝗹𝗮𝘁𝗶𝗼𝗻.⁣

You can have a degree of clenching and myofascial pain as well as internal joint derangement. Or long-term overloading may contribute to degeneration within the joint over time.⁣

So patients don’t always fit neatly into one box ❌⁣

That’s exactly why proper assessment matters - because successful treatment starts with understanding what is actually causing the pain, and whether there is more than one factor involved 🙏⬇️👨🏻‍⚕️⁣

Get in touch to find out more: elledgesurgical.com⁣

27/08/2026

“My jaw clicks… do I need surgery?” 👀🤔⬇️

➡️ In most cases, no!

A clicking jaw is actually very common and, importantly, if that click is painless and isn’t affecting how your jaw functions, it often doesn’t need treating at all.

And if you’ve been a patient of mine, you’ll probably already know I like to use my own knees as an example…

They make all sorts of noises these days that they never used to - particularly when I’m walking downstairs 😅

But am I planning to see an orthopaedic surgeon about them?

No.

Because despite the noises, they’re painless, they function perfectly well and I’ve actually just managed to run a half marathon! 🏃

➡️ The same principle can apply to the jaw.

Noise alone doesn’t automatically mean there is a problem that needs surgery.

If I had a slogan for TMJ surgery embroidered onto a pillow, it would probably say:

“We don’t treat painless clicking jaws” - a quote I say pretty much daily!

What matters far more is whether that clicking comes with symptoms such as pain, locking, restricted movement or difficulty using the jaw normally.

➡️ That’s when it may be worth investigating further.

So if your jaw clicks but causes you absolutely no trouble? It may simply be one of the many noises our bodies make.

And no - clicking alone certainly doesn’t mean you need surgery 🙏

If your jaw is painful, clicks and impacts your daily life; get in touch to arrange a consultation: elledgesurgical.com

22/08/2026

The three procedures I perform most often in my practice… 👨‍⚕️

My work as an Oral & Maxillofacial Surgeon covers a broad range of conditions, but there are three procedures I find myself performing particularly frequently:

1️⃣ TMJ arthroscopy

Keyhole surgery of the jaw joint has become a particular area of interest for me. I’m one of a relatively small number of surgeons providing Level 2 arthroscopy, allowing more advanced interventions to be carried out through minimally invasive keyhole techniques.

2️⃣ Facial skin cancer surgery and reconstruction

This can involve removing skin cancers from areas including the cheek, lips, nose, forehead and scalp, as well as reconstructing the resulting defect.

I also regularly work alongside dermatology colleagues performing Mohs surgery. Once the cancer has been completely removed, the patient may be referred to me for reconstruction, where the aim is always to restore both function and appearance as effectively as possible.

3️⃣ Wisdom teeth and oral surgery

Impacted wisdom teeth and related oral surgery procedures make up another large part of my practice. Many can be performed while the patient is awake under local anaesthetic, while more complex cases - or those involving significant anxiety - may be better suited to treatment under general anaesthetic.

Three very different areas of surgery, but all with the same priority: careful assessment, appropriate treatment and the best possible outcome for each individual patient.

Get in touch to find out more: elledgesurgical.com

     

After 1.5 years of constant jaw pain, finding the right person to listen can mean everything 🙏⭐️⭐️⭐️⭐️⭐️“Excellent servi...
20/08/2026

After 1.5 years of constant jaw pain, finding the right person to listen can mean everything 🙏

⭐️⭐️⭐️⭐️⭐️

“Excellent service throughout our journey. Both Mr. Elledge and his team were amazing - professional, helpful and so caring throughout. From our first meeting with Mr. Elledge we knew we had found the right person for our daughter after 1.5 years of constant jaw pain and having visited with many, many consultants. Mr. Elledge really listened to us and he and his teams constant communication was so reassuring. We are truly grateful we found Mr. Elledge and his team.”

Orla, via Google

—-

When someone has already seen multiple consultants and is still living with ongoing pain, the consultation isn’t just about looking at scans or symptoms.

➡️ It’s about taking the time to really listen, understand the full history and make sure both the patient and their family feel supported throughout the process.

Clear communication, reassurance and continuity of care matter just as much as the treatment itself 👏

Thank you for trusting myself and my team with your daughter’s care - and for taking the time to share your experience 🙏

14/08/2026

What’s 𝘁𝗵𝗲 𝗼𝗻𝗲 𝗽𝗵𝗿𝗮𝘀𝗲 𝗜 𝘀𝗮𝘆 𝗺𝗼𝘀𝘁 in clinic? 🤔⁣

Probably this ⬇️⁣

“We don’t treat painless clicking joints”⁣

Not every click needs a fix ❌⁣

If your jaw joint clicks, but it’s not causing pain, limiting how far you can open your mouth, changing what you can eat or affecting your day-to-day function, then it may not need treatment at all.⁣

➡️ Lots of people have clicky joints.⁣

🔹 Clicky knees.⁣
🔹 Clicky elbows.⁣
🔹 Clicky jaw joints.⁣

And sometimes, that clicking is simply a variation of normal - 𝗻𝗼𝘁 a surgical problem waiting to be solved.⁣

This is often one of the most important conversations I have with patients, because many arrive understandably convinced that if something clicks, something must be wrong, and if something is wrong, it must be fixed.⁣

𝗕𝘂𝘁 𝘀𝘂𝗿𝗴𝗲𝗿𝘆 𝗶𝘀 𝗻𝗼𝘁 𝗰𝗮𝘀𝘂𝗮𝗹 ❌⁣

Every intervention has risks, and if the joint is painless and functioning well, the risks of treatment can outweigh the potential benefit.⁣

So no, I’m not 𝗶𝗴𝗻𝗼𝗿𝗶𝗻𝗴 the click ⬇️⁣

I’m assessing whether the click is 𝗮𝗰𝘁𝘂𝗮𝗹𝗹𝘆 a problem.⁣

➡️ Pain?⁣
➡️ Locking?⁣
➡️ Limited opening?⁣
➡️ Difficulty eating?⁣
➡️ Functional restriction?⁣

That is a different conversation 💬⁣

But a painless click, in an otherwise functioning jaw joint, often does not need fixing.⁣

Sometimes the best treatment is reassurance.⁣

And sometimes the most important thing a surgeon can say is ⬇️⁣

“You don’t need surgery.”⁣

What’s one phrase you say most in your line of work? 💬⁣

🔗To find out more, visit:
elledgesurgical.com

11/08/2026

𝗤: What does a Maxillofacial Surgeon 𝗮𝗰𝘁𝘂𝗮𝗹𝗹𝘆 treat?⁣
𝗔: Probably more than you think 👀⁣⬇️

Oral and Maxillofacial Surgery is a specialist area that sits at the crossroads of medicine, dentistry and surgery - treating conditions affecting the face, mouth, jaws, jaw joints and facial skin.⁣

As a Consultant Oral and Maxillofacial Surgeon, my work can involve a wide range of complex conditions, including:⁣

➡️ TMJ and jaw joint problems⁣
➡️ Keyhole jaw joint surgery⁣
➡️ Total jaw joint replacement⁣
➡️ Wisdom teeth and oral surgery⁣
➡️ Impacted teeth⁣
➡️ Jaw cysts⁣
➡️ Facial pain⁣
➡️ Facial trauma⁣
➡️ Skin cancer surgery⁣
➡️ Facial reconstruction⁣
➡️And more!⁣

When it comes to your face, mouth and jaw, 𝙚𝙫𝙚𝙧𝙮𝙩𝙝𝙞𝙣𝙜 𝙞𝙨 𝙘𝙤𝙣𝙣𝙚𝙘𝙩𝙚𝙙 - how you eat, speak, chew, smile, open your mouth and live day to day.⁣

𝗔𝗻𝗱 𝘁𝗵𝗮𝘁’𝘀 𝘄𝗵𝗲𝗿𝗲 𝗜 𝗰𝗼𝗺𝗲 𝗶𝗻 👨🏻‍⚕️🙏⁣

Specialist surgery for the face, mouth, jaws and jaw joints - with function, safety and patient care at the centre of it all.⁣

So now you know!⁣

What did you think a Maxillofacial Surgeon treated before this video? 👇⁣

Address

The Lewis Building, 35 Bull Street
Birmingham
B46EQ

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

+442033263827

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