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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

January 21-23, 2022
University of Miami
Miami, FL

Co-Chairs: Raymond Harshbarger, MD and Jack Yu, MD
Local Host: Seth Thaller, MD

Supported by an educational grant from KLS Martin

 
Friday, January 21
7:30 am Registration / Continental Breakfast
8:00 am Welcome
Seth Thaller, MD
Raymond Harshbarger, MD
  • Introduction to course facility
  • Introduction of course faculty
  • Course Overview
  • Acknowledgment of corporate sponsors
8:05 am Housekeeping issues
Raymond Harshbarger, MD
  • Informal dress
  • Wear name tags at all times
  • Course Evaluation Forms
  • ASMS Online Membership Application
  • Acknowledgment and thanks to corporate supporters
8:10 am 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
8:40 am Use of Dental Splints
Joe Garri, MD
9:00 am Head and Neck Anatomy
Jim Stuzin, MD
Raymond Harshbarger, MD
9:40 am Dental Extraction
Joe Garri, MD
  • Overview of Dental Extraction Instruments
  • Techniques of extraction of different teeth (including third molar)
  • Surgical Videos recommended
10:20 am Coffee Break
10:30 am Surgical Approaches to the Craniofacial Skeleton
Seth Thaller, MD
11:00 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
12:00-12:45 Lunch
12:45 Faculty - Lab Set Up
12:45 pm Orthognathic Surgery / Orthodontics / Cephalometrics
Pravin Patel MD
  • Practical aspects of cephalometric analysis and surgical treatment prediction surgical treatment planning in patient with maxillofacial deformity.
  • Surgical techniques (LeFort I, BSSO, and Genioplasty),
  • Supportive orthodontic management and prosthodontic treatment (osseointegrated implants).
2:45 pm Coffee Break
3:00 pm Orthognathic Surgery / Orthodontics / Cephalometrics (continued)
Pravin Patel, MD
4:00 pm Live Computer Assisted Cephalometric tracing orthognatic treatment planning
Gaby Doumit, MD
5:00 pm Friday Program Concludes
 
Saturday, January 22
7:00 am Continental Breakfast
7:00 am Laboratory Video
Andrew Wexler, MD
Videos on taking dental impressions, making splints, making a fracture model, construction of a Gunning splint.
8:15 am Laboratory Session 1a: Taking Dental Impressions
First Exercise:
  1. Take dental impressions of the typodont with alginate.
  2. Use dental stone to make dental models.
  3. Use the clear plastic molds when you pour these models, so they fit into the articulator.
  4. Make wax bite impressions with typodonts. Mount dental models on articulator with wax bite
Second Exercise:
  1. Using the dental models, make an occlusal splint. Check accuracy of splint with typodont.
Laboratory Session 1b: Use of Mandibular Fracture Model
Exercise:
  1. A model of a mandibular fracture malunion with corresponding maxilla are provided. Cut the mandible model to replicate the fracture.
  2. Use maxillary model, mandibular pieces and Play-Doh to re-establish pre-morbid occlusion. Cutting or burring the edges of the model may be needed to re-establish 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 on the articulator and recheck occlusion. (It should replicate the occlusion of your typodont, from which the models were originally casted.)
  5. Make an acrylic splint.
11:00 pm Orbital Fractures and reconstruction
Raymond Harshbarger, MD
(blow-out, blow-in, entrapment), Zygomatic Fractures.
11:30 pm Nasal Fractures, Naso-Orbital-Ethmoid (N.O.E.) Zygomatic Fractures
Jack Yu, MD
12:00-1:00 Lunch
Lecture Sessions
1:00 pm ASMS Membership & Benefits
Jack Yu, MD
  • Introduction to ASMS (History, membership, educational activities)
  • Why join? Membership application.
1:05 pm Maxillary (Le Fort I, II, III) Fractures
Frontal Sinus Fractures

Peter Taub, MD
1:35 pm Panfacial Sequencing
Gaby Doumit, MD
2:05 pm Coffee Break
2:20 pm Discussion of fracture plating and wire exercises
Warren Schubert, MD
2:35 pm Laboratory Session #2
All Faculty

Part A: Application of Plates & Screws to Mandible & Midface Fractures on 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:
  7. Mini-plates for zygoma fracture
  8. Mini-plates for hemi-LeFort I fracture
  9. Orbital floor fracture - implant technique
5:35 pm Saturday program concludes
 
Sunday, January 23
7:00 am Continental Breakfast
7:30 am Videos for Laboratory Session
Orthognathic videos of Sabine Girod

Pravin Patel, MD
8:00 am Laboratory Session #3:
All Faculty

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 am Coffee Break / Faculty debriefing Session
10:00 am Principle of Osteo-integrated Impant
Pravin Patel, MD
10:30 am Cleft Palate
Mimis Cohen, MD
10:50 am Cleft Lip
Mimis Cohen, MD
11:10 am Humanitarian Surgical Missions
Seth Thaller, MD
11:30 am Pediatric Fractures
Renata Maricevich, 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
12:00 Course Adjourns

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