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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, October 16-19, 2020

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

August 21-23, 2020
Northwestern University
Chicago, IL

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

Locations:
Friday: 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 21, 2020
8:00 a.m.
Registration/Continental Breakfast
8:30 a.m.
Welcome
Arun Gosain, MD

Introduction to course facility
Introduction of course faculty
Course Overview
Acknowledgment of corporate sponsors
8:35 a.m.
Housekeeping issues
Gaby Doumit, MD

Informal dress.
Wear name tags at all times.
Course Evaluation Forms.
ASMS Application Forms.
Acknowledgment and thanks to corporate supporters.
Reminder of social events.
8:40 a.m.
Oral & Dental Anatomy
Andrew Wexler, MD

Teeth and supporting structures (pediatric and adult)
Alveolar bone
Occlusion terminology and assessment: centric, rest, overjet, overbite, and masticatory positions
9:20 a.m.
Use of Dental Splints
Cathy Garland, MD
9:40 a.m.
Principle of Dental extraction

Review of instruments used for dental extraction
Surgical Techniques of Dental extraction
Extraction Of impacted third molar
10:15 am
Surgical Approaches to the Craniofacial Skeleton
Delora Mount, MD
10:45 a.m.
Coffee break
11:00 a.m.
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
12:00-1:00 p.m.
Lunch
1:00 p.m.
Orthognathic Surgery / Orthodontics / Cephalometrics
Pravin Patel, MD / David Morris, MD / Lee Alkuraishi, 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 p.m.
Coffee break
2:45 p.m.
Orthognathic Surgery / Orthodontics / Cephalometrics (continued)
Pravin Patel, MD / David Morris, MD / Lee Alkuraishi, MD
4:00 p.m.
Live Computer Assisted Cephalometric tracing
Gaby Doumit, MD

Orthognatic treatment planning

'Dry lab' for all faculty to review next day's lab and to be during the Orthognathic / Cephalometric Analysis lecture
5:00 p.m.
Friday Program Concludes

SATURDAY, AUGUST 22, 2020
7:30 a.m.
Continental Breakfast
8:00 a.m.
Laboratory Video
Andrew Wexler, MD

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:
All faculty members

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 p.m.
Lunch
Lecture Sessions
1:00 p.m.
Orbital Fractures and reconstruction
Arun Gosain, MD

(blow-out, blow-in, entrapment), Zygomatic Fractures.
1:30 p.m.
Nasal Fractures, Naso-Orbital-Ethmoid (N.O.E.) MD
Amir Dorafshar, MD

Frontal sinus Fractures
2:00 p.m.
ASMS Membership & Benefits
Delora Mount, MD

Introduction to ASMS (History, membership, educational activities)
Why join?
Membership application.
Upcoming courses and meetings.
2:05 p.m.
Maxillary (Le Fort I, II, III) Fractures
Edward Davidson, MD
Palatal Fractures
2:35 p.m.
Panfacial Sequencing
Victor Cimino, MD
3:05 p.m.
Coffee Break
3:20 p.m.
Discussion of fracture plating and wire exercises
Warren Schubert, MD
3:40 p.m.
Laboratory Session #2
All faculty members


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

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 p.m.
Saturday program concludes

SUNDAY, AUGUST 23, 2020
7:30 a.m.
Continental Breakfast
8:00 a.m.
Videos for Laboratory Session
Pravin Patel, MD

Orthognathic videos of Sabine Girod, MD
8:15 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)

10:00 a.m.
Coffee Break & Faculty debriefing Session
All faculty members are strongly encouraged to attend
10:15 a.m.
Dental Implant
Pravin Patel, MD

VSP Planning
Surgery - Video
10:45 a.m.
Pediatric Fractures
TBD
11:15 a.m.
Pediatric Craniofacial Surgery
Steven Buchman, MD
11:45 a.m.
Migraine Headache
Francis Papay, MD
12:15 p.m.
Course Adjourns
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