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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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BASIC MAXILLOFACIAL PRINCIPLES & TECHNIQUES
University of Miami Leonard M. Miller School of Medicine
Miami, Florida

Co-chairs: Joe Garri MD, DMD, Pravin Patel, MD, Warren Schubert, MD, Andy Wexler, MD
Local Host: Seth Thaller MD, DMD

KLS Martin L.P.
Supported by an educational grant from KLS-Martin

Location: University of Miami Leonard M. Miller School of Medicine
Michael S. Gordon Center for Research in Medical Education-Clinical Research Building
1120 N.W. 14th Street, 1st Floor, Miami, Florida 33136

Rosenstiel Medical Sciences Building
1600 N.W. 10th Avenue, Miami, Florida 33136
Friday Lecture: Michael S. Gordon Center for Research in Medical Education, 1st Floor
Sat. & Sun. Lab: Rosenstiel Medical Sciences Bldg., 5th Floor Labs 1 through 4
Sat. & Sun. Lecture: Rosenstiel Medical Sciences Bldg. 5th Floor Auditorium

COURSE OUTLINE & LECTURES

Friday, January 25, 2013
Michael S. Gordon Center for Research in Medical Education
Clinical Research Building
1120 N.W. 14th Street 1st Floor
Miami, Florida 33136
7:00 am Registration / Continental Breakfast
7:30 am Welcome
Introduction of course faculty
Introduction to ASMS (History, membership, educational activities)
Course Overview
Acknowledgment of corporate sponsors
7:35 am Housekeeping issues
How did registrants find out about the course?
Who in their training program do the registrants identify as their ASMS contact?
Course Evaluation Forms.
ASMS Application Forms.
Acknowledgment and thanks to corporate supporters.
7:40 am Oral and Dental Anatomy
Mucosa and salivary glands
Teeth and supporting structures (pediatric and adult)
Alveolar bone
Occlusion terminology and assessment: centric, rest, overjet, overbite, and masticatory positions
TMJ anatomy
8:10 am Use of Dental Splints
8:25 am Orthognathic Surgery
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).
10:20 am Coffee Break
10:35 am Cephalometric Analysis
Participants will learn the practical aspects of cephalometric analysis and surgical treatment prediction.
12:35-1:30 Lunch Clinical Research Building
1:30 pm Head and Neck Anatomy
2:00 pm Video (Joe Garri and Pravin Patel)
3:00 pm. Coffee Break
3:15-6:30 pm 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.
6:30 pm Program Concludes
Saturday, January 26, 2013
Rosenstiel Medical Sciences Bldg., 5th Floor Auditorium, 5th Floor Labs 1 through 4
7:00 am Continental Breakfast (5th Floor Auditorium)
7:30 am 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 ondylar)
Defect mandibular injuries (comminuted, edentulous, segmental defect)
Teeth in the line of fracture
Treatment of avulsed teeth
Options for mandibular reconstruction
8:30 am Midface Fractures Part I
Surgical approaches
Orbital Fxs and reconstruction (blow-out, blow-in, entrapment)
Zygomatic Fxs
Nasal Fractures
Naso-Orbital-Ethmoid (N.O.E.)
9:30 am ASMS Membership & Benefits
Why join?
Membership applicatioin.
Upcoming courses and meetings.
9:35 am Coffee Break (Rosenstiel Medical Sciences Bldg, outside hall of 5th Floor Auditorium)
9:50 am Midface Fractures Part II
Maxillary (Le Fort I, II, III)
Palatal Fractures
Frontal sinus Fractures
Panfacial Sequencing
10:50 am Pediatric Facial Fractures
11:10 am Discussion of Fracture Plating Exercises
11:40 am Lunch
2:45 pm 5th Floor Labs 1 through 4

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).
2:45 pm Coffee Break
3:00 pm Craniofacial Surgery
3:30 pm Comprehensive Management of Facial Fractures
4:00 pm Pre Lab Discussions:
Videos on Orthognathic Surgery
4:30-6:30 pm Lab Session #3: Rosenstiel Medical Sciences Bldg. (Labs 1-4)

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)
6:30 pm Program Concluded

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