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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

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American Society of Maxillofacial Surgeons (ASMS)
BASIC MAXILLOFACIAL PRINCIPLES & TECHNIQUES

August 3-5, 2012
Northwestern University
Chicago, IL

Co-Chairs: Pravin Patel, MD, Warren Schubert, MD, Andy Wexler, MD
Local Host: Victor Lewis, MD

Supported by an educational grant from Osteomed

Location: School of Medicine, Northwestern University
Friday Lecture: Daniel Hale Williams Auditorium, 2nd Floor, 2-320, 240 East Huron
Saturday & Sunday: Lecture Sessions, Baldwin Auditorium 1st Floor (Lurie Building at 303 E. Superior Street)
Lab Session: To be announced

COURSE OUTLINE & LECTURES

Friday
Daniel Hale Williams Auditorium, 240 East Huron, 3rd Floor, Rm 3-320
8:00 a.m. Registration / Continental Breakfast
8:30 a.m. Welcome
Introduction to course facility
Introduction of course faculty
Course Overview
Acknowledgment of corporate sponsors
8:40 a.m. Housekeeping issues
Informal dress.
Wear name tags at all times.
Course Evaluation Forms.
ASMS Application Forms.
Acknowledgment and thanks to corporate supporters.
Reminder of social events.
8:45 a.m. Maxillofacial Trauma: Psycho/Social Aspects.
9:05 a.m. Oral & Dental Anatomy
Teeth and supporting structures (pediatric and adult)
Alveolar bone
Occlusion terminology and assessment: centric, rest, overjet, overbite, and masticatory positions
9:45 a.m. Use of Dental Splints
10:00 a.m. Coffee Break
10:15 a.m. Mandible Trauma & Reconstruction
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
11:45 a.m. Post Traumatic Facial Restoration: A Philosophy of Care
12:15 - 1:15 p.m. Lunch
1:15 p.m. Orthognathic Surgery / Orthodontics / Cephalometrics

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).

3:00 p.m. Coffee break
3:15 p.m. Orthognathic Surgery / Orthodontics / Cephalometrics (continued)
5:00 p.m. Non-Orthognathic Facial Skeletal Aesthetic Contouring
5:30 p.m. Friday Program Concludes
 
Saturday
7:00 a.m. Continental Breakfast
7:30 a.m. Video for Laboratory Session 1

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

9:00 a.m. Laboratory Session #1:
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.
Fourth Exercise:
  1. Construction of an acrylic Gunning splint for a typodont that has mandibular incisors, but is otherwise edentulous.
12:45-1:30 p.m. Lunch
Baldwin, Auditorium, Lurie Building at 303 E. Superior Street, 1st Floor
Lecture Sessions
1:30 p.m. Surgical Approaches to the Midface
1:50 p.m. Orbital Fractures and reconstruction (blow-out, blow-in, entrapment). Zygomatic Fractures.
2:30 p.m. ASMS Membership & Benefits
Introduction to ASMS (History, membership, educational activities)
Why join?
Membership applicatioin.
Upcoming courses and meetings.
3:00 p.m. Maxillary (Le Fort I, II, III) Fractures
Naso-Orbital-Ethmoid (N.O.E.)
Palatal Fractures
3:00 p.m. Maxillary (Le Fort I, II, III) Fractures
Frontal sinus Fractures
Panfacial Sequencing
3:30 p.m. Coffee Break
3:45 p.m. Discussion of fracture plating and wire exercises
4:00 p.m. Laboratory Session #2
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)
6:30 p.m. Saturday program concludes
 
Sunday
7:00 a.m. Continental Breakfast
7:30 a.m. Videos for Laboratory Session 3

Orthognathic videos

8:00 a.m. Laboratory Session #3:
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)
Baldwin, Auditorium, Lurie Building at 303 E. Superior Street, 1st Floor
9:45 a.m. Coffee Break
10:00 a.m. Regional Dental Anesthesia
Maxillary and Mandibular blocks
Complications
10:20 a.m. Treatment of Condylar and Subcondylar Mandible Fractures and the use of Endoscopy
10:40 a.m. Cleft Surgery
11:00 a.m. Pediatric Craniofacial Surgery
11:20 a.m. Navigation, Intraoperative Imaging and Preformed Implants
11:40 a.m. Mandibular Distraction Surgical Considerations
12:00 p.m. Pediatric Fractures
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
12:20 p.m. ASMS Course Adjourns
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