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ASMS: The American Society of Maxillofacial Surgeons
ASMS: The American Society of Maxillofacial Surgeons

Leaders in the Education, Art, and
Science of Facial Reconstruction

ASMS/ASPS Annual Meeting, September 28 - October 2, 2018
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American Society of Maxillofacial Surgeons (ASMS)
BASIC MAXILLOFACIAL PRINCIPLES & TECHNIQUES

July 27-29, 2018
Northwestern University
Chicago, IL

Co-Chairs: Gaby Doumit, MD; Pravin Patel, MD;
Local Host: Arun Gosain, MD

LOCATION
Friday Lurie Children's Hospital
225 E. Chicago Ave, 11th Floor
Conference Room 11142
Chicago, Illinois
Saturday/Sunday Northwestern Center for Advanced Surgical Education (NCASE)
240 E. Huron St.
Chicago, IL

COURSE PRELIMINARY OUTLINE & LECTURES
 
Friday, July 27, 2018
11th Floor - Conference Room 11142

8:30 am Registration / Continental Breakfast
9:00 am Welcome
Arun Gosain, MD
Lurie Children's Hospital, Chicago, IL
  • Introduction to course facility
  • Introduction of course faculty
  • Course Overview
  • Acknowledgment of corporate sponsors
9:10 am Housekeeping issues
Gaby Doumit, MD
Cleveland Clinic, Montreal, QC
  • Informal dress.
  • Wear name tags at all times.
  • Course Evaluation Forms.
  • ASMS Application Forms.
  • Acknowledgment and thanks to corporate supporters.
  • Reminder of social events.
9:15 am Oral & Dental Anatomy
Andrew Wexler, MD
Southern California Kaiser Permanente, Los Angeles, CA
  • Teeth and supporting structures (pediatric and adult)
  • Alveolar bone
  • Occlusion terminology and assessment: centric, rest, overjet, overbite, and masticatory positions
9:45 am Use of Dental Splints
Gregory Pearson, MD
Ohio State University, Columbus, OH
10:00 am Principle of Dental extraction
Donald Mackay, MD
Penn State Hershey, Hershey, PA
  • Review of instruments used for dental extraction
  • Surgical Techniques of Dental extraction
  • Extraction Of impacted third molar
10:30 am Surgical Approaches to the Craniofacial Skeleton
Delora Mount, MD
University of Wisconsin, Madison, WI
11:00 am Mandible Trauma & Reconstruction
Warren Schubert, MD
University of Minnesota, St. Paul, MN
  • Surgical approaches
  • Mandibular biomechanics
  • Controversy of the use of mini-plates versus large plates, compression plates, lag screws (with discussion of various techniques)
  • Mandibular (simple symphyseal, para-symphyseal, body, angle, ramus and condylar)
  • Defect mandibular injuries (comminuted, edentulous, segmental defect)
  • Teeth in the line of fracture
  • Treatment of avulsed teeth
  • Options for mandibular reconstruction
12:00-1:00 pm Lunch
1:00 pm Orthognathic Surgery / Orthodontics / Cephalometrics
Donald Mackay, MD

Participants will lean the practical aspects of cephalometric analysis and surgical treatment prediction for the following session. Participants will gain an understanding of surgical treatment planning in patient with maxillofacial deformity. The discussion will emphasize the surgical techniques (LeFort I, BSSO, and Genioplasty), the supportive orthodontic management and prosthodontic treatment (osseointegrated implants).

2:30 pm Coffee break
2:45 pm Orthognathic Surgery / Orthodontics / Cephalometrics (Continued)
Pravin Patel, MD
University of Illinois, Chicago, IL
4:00 pm Live Computer Assisted Cephalometric tracing orthognatic treatment planning
Gaby Doumit, MD

"Dry lab" for all faculty to review next day's lab and to be during the Orthognathic / Cephalometric Analysis lecture

5:00 pm Friday Program Concludes
 
Saturday, July 28, 2018
NCASE

7:00 am Continental Breakfast
7:30 am Laboratory Video
Andrew Wexler, MD

Videos on taking dental impressions, making splints, making a fracture model, construction of a Gunning splint.

8:30 am Laboratory Session #1:
All Faculty Members

The Use of Fracture Models and the taking of Dental Impressions: Discussion of alginate, dental stone, plaster, acrylic, wax bite, typodonts, and articulators.

First Exercise:

  1. Take dental impressions of each other with alginate.
  2. Use dental stone to make dental models of each other. Use the clear plastic molds when you pour these models, so they fit into the articulator.
  3. Make wax bite impressions, and mount your own dental models in the articulator with wax bite.

Second Exercise:

  1. Using your own dental models, make an occlusal splint.
  2. Using your own dental models, make a lingual and possible palatal splint, so that you are prepared for your next mandible and palatal fracture.

Third Exercise:

  1. A fracture model of a malunion of a mandible and the corresponding maxilla will be provided. Cut the mandible model to replicate the fracture.
  2. Use the maxillary model, mandibular pieces and Play-Doh to re-establish the proper pre-morbid occlusion. You may need to cut or burr the edges of the model in order to remove corners that interfere with re-establishing the proper occlusion.
  3. Once the proper occlusion is established, stabilize the reduction mandible fracture with a glue gun, and then with plaster.
  4. Mount the maxilla and mandible in the articulator and recheck that you have properly established the pre-morbid occlusion. It should replicate the occlusion of your typodont, from which the models were originally casted.
  5. Make an acrylic splint.
12:00-1:00 pm Lunch
  Lecture Sessions:
1:00 pm Orbital Fractures and reconstruction (blow-out, blow-in, entrapment), Zygomatic Fractures
John van Aalst, MD
CCHMC, Cincinnati, OH
1:30 pm Nasal Fractures, Naso-Orbital-Ethmoid (N.O.E.) Palatal Fractures
Arun Gosain, MD
2:00 pm ASMS Membership & Benefits
Donald Mackay, MD
  • Introduction to ASMS (History, membership, educational activities)
  • Why join?
  • Membership application.
  • Upcoming courses and meetings
2:05 pm Maxillary (Le Fort I, II, III) Fractures Frontal sinus Fractures
Ali Totonchi MD
Totonchi Plastic Surgery Cleveland, OH
2:45 pm Panfacial Sequencing
Ahmed Afifi, MD
University of Wisconsin, Madison, WI
3:15 pm Coffee Break
3:30 p.m. Discussion of fracture plating and wire exercises
Warren Schubert, MD
4:00 p.m. Laboratory Session #2:
All Faculty Members

Lab Session #2, Part A: Application of Plates & Screws to Mandible & Midface Fractures using Saw Bone Models:

Mandible fracture exercises:

  1. Champy plate for angle fracture
  2. Lag screw fixation for symphyseal fracture
  3. "Box plate" for symphyseal fractures
  4. Mini-plate for subcondylar fracture
  5. "Locking screw" of a large reconstruction plate for mandibular defect using a template
  6. Introduction to trochars for screw placement

Midface fracture exercises:

  1. Mini-plates for zygoma fracture
  2. Mini-plates for hemi-LeFort I fracture
  3. Mesh plate for orbital floor fracture

Lab Session #2, Part B: Use of Typodont for MMF Exercises and Splint Construction:

  1. Interdental & intermaxillary wiring techniques (arch bars, Ivy loops, Ernst ligature, interdental wiring, and spanning wire technique for midline fractures)
6:00 pm Saturday program concludes
 
Sunday, July 29, 2018
NCASE

7:00 am Continental Breakfast
7:30 am Videos for Laboratory Session Orthognathic videos of Sabine Girod
Pravin Patel, MD
8:00 am Laboratory Session #3:
All Faculty Members

Osteotomies for Genioplasty and Orthognathic Surgery:

  1. Advancement Genioplasty with plating.
  2. Bilateral Sagittal Split Osteotomy, (BSSO), of the mandible with plating & screw fixation.
  3. Le Fort 1 Osteotomy & plating.

Resorbable plates demonstration ("one on one" in the lab)

9:45 am Coffee Break
10:00 am Dental Implant
Pravin Patel, MD
  • VSP Planning
  • Surgery - Video
10:30 pm Computer assisted planning in Craniofacial Surgery
Gaby Doumit, MD
11:00 am Migraine Headache
Ahmed Afifi, MD
University of Wisconsin, Madison, WI
11:30 am Pediatric Craniofacial Surgery
Thomas Samson, MD
Penn State Hershey, Hershey, PA
12:00 pm Pediatric Fractures
Alexander Lin, MD
Saint Louis University, St. Louis, MO
  • Unique pediatric problems regarding mandible Fx's
  • Unique problems regarding pediatric dentition
  • Discussion of possible unique needs of splinting for pediatric fractures Midface Fx's
  • Controversies regarding pediatric plating and the use of absorbable plates and screws
12:30 pm Course Adjourns
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