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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)

August 19-21, 2016
Northwestern University
Chicago, IL

Gaby Doumit, MD; Pravin Patel, MD; Warren Schubert, MD; Andrew Wexler, MD

Local Host:
Arun Gosain, MD

Supported by an educational grant from Stryker

Northwestern Memorial Hospital, Feinberg A Room– Conference Center
251 E. Huron, 3rd Floor, Chicago, IL 60611

Saturday/Sunday: Northwestern Center for Advanced Surgical Education (NCASE)
240 E. Huron St. Chicago, IL


Friday, August 19, 2016
Feinberg Room A
8:30 a.m. Registration / Continental Breakfast
9:00 a.m. Welcome
Arun Gosain, MD
9:10 a.m. Housekeeping issues
Gaby Doumit, MD
9:15 a.m. Oral & Dental Anatomy
Andrew Wexler, MD
9:45 a.m. Use of Dental Splints
Gregory Pearson, MD
10:00 a.m. Principle of Dental extraction
Ray Jurado, DDS
10:30 am Surgical Approaches to the Craniofacial Skeleton
Delora L Mount, MD
11:00 a.m. Mandible Trauma & Reconstruction
Warren Schubert, MD
12:00 - 1:15 Lunch
1:15 p.m. Orthognathic Surgery / Orthodontics / Cephalometrics
Pravin Patel, MD, David Morris 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).
2:00 p.m. Coffee break
2:30 p.m. Orthognathic Surgery / Orthodontics / Cephalometrics (continued)
Pravin Patel, MD, David Morris MD
4:00 p.m. Live Computer Assisted Cephalometric tracing orthognathic treatment planning
Gaby Doumit, MD
5:00 p.m. Friday program concludes
Saturday, August 20, 2016
7:00 a.m. Continental Breakfast
7:30 a.m. Laboratory Video
Andrew Wexler

Videos on taking dental impressions, making splints, making a fracture model, construction of a Gunning splint.
9:00 a.m. 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.
12:45 PM Lunch
Lecture Sessions
1:30 p.m. Orbital Fractures and reconstruction
John Van Aalst, MD

(blow-out, blow-in, entrapment), Zygomatic Fractures.
2:00 p.m. Nasal Fractures, Naso-Orbital-Ethmoid (N.O.E.)
Arun Gosain, MD

Palatal Fractures
2:30 p.m. ASMS Membership & Benefits
Arun Gosain, MD
2:35 p.m. Maxillary (Le Fort I, II, III) Fractures
Ali Tontochi, MD

Frontal sinus Fractures
3:05 pm Panfacial Sequencing
Victor Cimino, MD
3:35 p.m. Coffee Break
3:50 p.m. Discussion of fracture plating and wire exercises
Warren Schubert, MD
4:05 p.m. Laboratory Session #2
All faculty

Lab Session #2, Part A:
All faculty members

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, August 21, 2016
7:00 a.m. Continental Breakfast
7:30 a.m. Videos for Laboratory Session
Pravin Patel, MD

Orthognathic videos of Sabine Girod
8:00 a.m. 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 a.m. Coffee Break
10:00 a.m. Dental Implant
Pravin Patel, MD

VSP Planning
Surgery - Video
10:45 a.m. Pediatric Craniofacial Surgery
Frank Papay MD
11:15 a.m. Distraction of the Craniofacial Skeleton
Albert Woo, MD
11:45 pm Pediatric Fractures
Ananth Murthy, MD
12:15 p.m. ASMS Course Adjourns
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