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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)

July 28-30, 2017
University of Pennsylvania
Philadelphia, PA

Co-Chairs: Gaby Doumit, MD, Don Mackay, MD, Joseph Losee, MD, DDS, Jesse Taylor, MD
Local Host: Joseph Serletti, MD

Location: School of Medicine, University of Pennsylvania
Lectures: Biomedical Research Building 2/3 (BRBII/III), Auditorium - Ground floor level, 421 Curie Boulevard
Lab: Edward J. Stemmler Hall, Second Floor, Human Tissue Lab, 3450 Hamilton Walk

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Friday, July 28, 2017
Biomedical Research Building 2/3 (BRBII/III), Auditorium- Ground floor level, 421 Curie Boulevard

8:00 am Registration & Continental Breakfast
8:30 am Welcome
Joseph Serletti, MD
Introduction of course faculty
Introduction to ASMS (History, membership, educational activities)
Course Overview
Acknowledgment of corporate sponsors
8:35 am Housekeeping issues
Gaby Doumit, MD
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.
8:40 am Oral & Dental Anatomy
Andrew Wexler, MD, DDS
Mucosa and salivary glands
Teeth and supporting structures (pediatric and adult)
Alveolar bone
Occlusion terminology and assessment: centric, rest, overjet, overbite, and masticatory positions
9:10 am Use of Dental Splints
Anand Kumar, MD
Indications for Palatal Fractures
Use of Lingual Splints
Use of Dentures Splints in Edentulous Patients to Maintain Mandibular Height
Possible Use of Splints for Pediatric Mandibular Fractures
9:30 am Principle of Dental extraction
Eric Granquist, MD, DDS
Review of Instruments used for Dental Extraction
Surgical Techniques of Dental extraction
Extraction Of Impacted Third Molar
10:00 am Head and Neck Anatomy / Approaches to the craniofacial skeleton
William Hoffman, MD
Coronal, Upper and Lower Eyelids Incision, Intra oral incisions, Risdon, Retro Mandibular Incisions
10:35 am Coffee Break
10:45 am Mandible Trauma & Reconstruction
Warren Schubert, MD
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 am Orbital Fracture
Anand Kumar, MD
Orbital Fx's and reconstruction (blow-out, blow-in, entrapment)
Zygomatic Fx's
12:10 - 12:50 pm Lunch
12:50 pm Orthognathic Surgery / Orthodontics
Donald Mackay, MD, DDS
2:50 pm Coffee Break
3:00 pm Cephalometric Analysis
Pravin Patel MD
Participants will learn the practical aspects of cephalometric analysis and surgical treatment prediction.
4:30 pm Live Computer Assisted Cephalometric tracing and orthognatic treatment planning
Gaby Doumit, MD
5:30 pm Friday Program Concludes
6:30 pm Welcome Reception in the Library at the Inn at Penn
Saturday, July 29, 2017
Biomedical Research Building 2/3 (BRBII/III), Auditorium- Ground floor level, 421 Curie Boulevard

7:00 am Continental Breakfast
7:30 am Garri - Patel Video
Donald Mackay, MD, DDS &
Gaby Doumit, MD

Edward J. Stemmler Hall, Second Floor, Human Tissue Lab, 3450 Hamilton Walk
8:15 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. When you are finished with this exercise, do not throw these molds away as they will be reused for future courses.
  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 Naso Orbito Ethmoid / Nasal Fracture
Phuong Nguyen, MD
1:30 pm Frontal Sinus Fracture
Chad Gordon MD
2:00 pm ASMS Membership & Benefits
William Hoffman, MD
Why join?
Membership applicatioin.
Upcoming courses and meetings.
2:05 pm Maxillary (Le Fort I, II, III)
Ray Harsbarger, MD
Palatal Fracture
Orbital Reconstruction
2:30 pm Panfacial Sequencing
Joseph Serletti MD
3:05 pm Coffee Break
3:20 pm Discussion of Fracture Plating Exercises
Warren Schubert, MD

Edward J. Stemmler Hall, Second Floor, Human Tissue Lab, 3450 Hamilton Walk
3:35 pm 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)
5:35 pm Saturday program concludes
Sunday, July 30, 2017
Lobby, Biomedical Research Building 2/3 (BRBII/III), Auditorium- Ground floor level, 421 Curie Boulevard

7:00 am Continental Breakfast

Edward J. Stemmler Hall, First Floor, Labs - 106A, 106B and 106C, 3450 Hamilton Walk
7:30 am Videos for Laboratory Session
Jesse Taylor MD
Orthognathic videos of Sabine Girod and Pravin Patel

Edward J. Stemmler Hall, Second Floor, Human Tissue Lab, 3450 Hamilton Walk
8:00 am Pediatric Fractures
Joseph Losee, MD
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
8:30 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)

Biomedical Research Building 2/3 (BRBII/III), Auditorium- Ground floor level, 421 Curie Boulevard
10:30 am Coffee Break
10:45 am Pediatric Craniofacial Surgery
David Staffenberg MD
11:15 am Distraction of the craniofacial skeleton
Jesse Taylor, MD
Maxillary and Mandibular blocks
11:45 am Surgical Treatment of Migraine Headache
Frank Papay, MD
12:15 pm ASMS Course Adjourns
12:15 pm - 1:00 pm Faculty debriefing Session (box lunch for faculty)
All faculty members are strongly encouraged to attend
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