Conference Schedule
Study Sessions: Group I (A–H)
2:30-4:00PM
Separate registration fee required.
Codes:
Instruction Level
B=Beginner
I=Intermediate
A=Advanced
V=Varied
Format
L=Lecture
H=Hands-on
P=Panel
R=Roundtable
- NASOALVEOLAR MOLDING AND PRESURGICAL COLUMELLA ELONGATION IN PATIENTS WITH UCLP AND BCLP
In this study session, we present a paradigm shift from the traditional methods of presurgical infant orthopedics. The Nasoalveolar Molding (NAM) technique utilizes wire and acrylic nasal stents attached to an oral molding plate to shape the nasal alar cartilages into normal form and position. We demonstrate how to non-surgically elongate the columella in bilateral cleft lip and palate, through the application of tissue expansion principles, eliminating surgical scars associated with traditional columella reconstruction. (V, L)
Barry Grayson, DDS, Court B. Cutting, MD, Laurence Brecht, DDS, Margy Maroutsis, Judah S. Garfinkel, DMD, MS - THE GOTHENBURG, SWEDEN 2-STAGE PALATAL CLOSURE METHOD: A PROTOCOL FOR GOOD LONG-TERM MAXILLARY GROWTH AS WELL AS SPEECH DEVELOPMENT
We will present our surgical method and long-term results after using early velar closure and delayed hard palate repair in patients with clefts. Details about the surgery as well as the outcome will be compared to reports from other teams also practicing the 2-stage protocol. The participants should then be able to understand how surgical details will be decisive for a good long-term result, both regarding maxillary growth and speech development. (V, L)
Jan Lilja, MD, DDS, PhD, Hans Friede, DDS, PhD, Anette Lohmander, PhD - SUBJECTIVE AND OBJECTIVE MEASURES OF LIP FUNCTION FOR THE SURGEON
In this course, participants will gain insight into the difficulties associated with subjective evaluations for treatment planning and outcome assessment of revision surgery in patients with a cleft lip. A systematic approach to subjective assessment will be presented based on static and dynamic facial views of patients and new objective dynamic measurements. (I, L)
Carroll-Ann Trotman, MA, BDS, MS, John A. van Aalst, MD - TISSUE REGENERATION VS. TISSUE GRAFTING
Alveolar bone may be absent due to periodontal disease, birth defects, trauma, or other genetic problems. Treatment may be a bone graft, soft tissue graft, a tissue regeneration procedure, or tissue augmentation procedure. Should the graft material be osteoinductive or osteoconductive? Should the material be an autograft, an allograft, a xenograft, or an alloplast? Should a membrane be utilized? What determines the success of the procedure? The purpose of this presentation is to provide evidence based information to evaluate various grafting materials based upon clinical, esthetic, functional, and histological results in humans. (V, L)
Donald Callan, DDS - TEAM COORDINATION 101
This presentation is directed toward new or less experienced team coordinators and other professionals who are interested in ways to effectively manage a cleft/craniofacial team. Topics will include models of team care, record keeping, insurance issues, communication, growth, multiple roles the coordinator has and overall management to facilitate satisfied families and team members. (B, L)
Jamie S. Idelberg, BS, RDH, Iris H. Sageser, RDH, BS - SETTING UP A CHILDRENS HOSPITAL-BASED CRANIOFACIAL ORTHODONTIC PRACTICE: LESSONS LEARNED
Recognizing the critical need for orthodontic services for their patients, a children’s hospital craniofacial and cleft program approached the hospital administration to gain support for the recruitment of a full time, fellowship-trained craniofacial orthodontist and the establishment of an orthodontic practice within the hospital. This lecture will describe the systematic process of selling a new service to hospital administrators, including both clinical and fiscal justifications, and describe the actual set-up process, including how to avoid potential pitfalls. (V, L)
Deji V. Fashemo, BDS, MPH, Eric H. Hubli, MD, Kevin S. Hopkins, MD - WHAT'S YOUR TEAM MISSING? SLEEP APNEA
This session will review the importance of screening patients for symptoms of sleep apnea. We will present our screening tools and patient results. The impact of sleep apnea on all facets of care will be discussed, including the specific link between speech and apnea. Formal sleep study data will be presented and psychosocial implications reviewed. Finally, we will discuss a two surgeon approach to treatment. Our goal is to emphasize the importance of evaluating all team patients for sleep apnea. We then present a systematic approach to diagnosing and treating obstructive sleep apnea in the child with a cleft/craniofacial difference. (I, P)
John Girotto, MD, Heidi Connolly, MD, Ken Whittemore, MD, Merideth Rao, MA, Margaret Carno, PhD, RNC - SPEECH PATHOLOGY CORE CURRICULUM FOR CRANIOFACIAL TEAM MEMBERS
Because normal speech is the primary purpose for surgical management of cleft palate, all craniofacial professionals, including surgeons, should have an understanding of the complexity of speech production and the many factors that can affect speech or resonance. Through lecture and simple “science experiments,” this course will provide information on the physiology and physics of speech production and how alterations in structure can have a significant effect on the acoustic product of speech. (I, L)
Ann W. Kummer, PhD