Presenters: Robert J. Mann M.D. John A. Girotto M.D.
Description: The buccal myomucosal flap has proven that it has great applicability in cleft palate repair. This will be demonstrated through video, slide, didactic presentation and audience interaction. The senior presenter will relate his experiences with over 1,000 buccal flaps surgeries used in various cleft palate applications.
Presenters: Alvaro Figueroa, Russell Reid, Louis Mercuri, Christina Tragos
Description: This session will review the challenges of traditional reconstructive options for patients with congenital absence or deficiency of the TMJ and mandible. The evolution of TJR prosthesis development, indications, design, virtual surgical planning, and surgical technique will be presented in detail.
Presenters: Alison Kaye, Oksana Jackson, Leanne Magee, Susan Hughes, Susan McCormack
Description: This session will explore ways in which cleft care for medically complex patients may or may not differ from those without concomitant diagnoses. A multidisciplinary panel will examine the various issues surrounding the comprehensive management of patients with rare and complex cleft-associated conditions. Case studies will be used to highlight the medical, surgical, and psychosocial challenges presented by this special subset of Cleft Team patients. Management guidelines will be outlined and we will investigate reasons for delayed or avoided surgeries, adaptations in surgical techniques, and under-addressed or residual needs encountered in the care of these patients. The process of genetic diagnosis of ultra-rare or provisionally unique conditions will be reviewed. The role of early dismissal from Cleft Team or active non-treatment in these patients will also be discussed.
Description: This advanced course will be designed as four 20 minute mini-lectures followed by 3 minutes of Q&A for each presenter. The topics that will be covered will include: 1)The fundamentals of orthodontic preparation and skeletal anchorage, 2) Virtual Surgical Planning for Patients with Challenging Craniofacial Anomalies, 3) Indications for Surgery First, and 4) Complications in Cleft Orthognathic. Following these 20 expert lecture, there will then be 25 minutes of case presentations related to each individual topic or a combination of with discussion by the panel. Q &A will follow each case presented to open dialogue with the audience.
Description: This upper level course will start with a brief discussion of HFM and its etiology. We will then review our extensive experience with distraction osteogenisis. Emphasis will be placed on long term follow up and the significant relapse that is experienced with these unique patients. For patients with class IIB and III HFM, we will present our techniques for customized TMJ reconstruction. The role of orthodontic coordination is emphasized. Goals of orthodontic care at various ages will be discussed. The soft tissue envelope will be addressed next. Comparisons between microsurgical interventions and fat grafting will be presented. Finally, our preferred method for autologous ear reconstruction and the unique technical challenges of the patient with HFM are reviewed. Objectives: Attendees will: Explore traditional treatment options and their shortcomings. Understand the significance of relapse following distraction. Gain new knowledge regarding patient specific / customized prosthetic TMJ. Be able to discuss the pros and cons of soft tissue reconstruction methods Understand the various stages of orthodontic treatment Construct a surgical algorithm for timing / sequence of treatment in HFM