Surgery

Workshop Details

Training Objectives

Through a combination of interactive lectures, video discussions, and hands-on guided simulation sessions using haptic models, surgical participants will learn:

  1. Normal craniofacial anatomy and abnormal anatomy associated with velopharyngeal insufficiency, unilateral cleft lip, unilateral cleft palate, bilateral cleft lip, bilateral cleft palate, revision cleft lip, revision cleft palate and cleft lip rhinoplasty.
  2. Surgical markings of surgical procedures for velopharyngeal insufficiency, unilateral cleft lip, unilateral cleft palate, bilateral cleft lip, bilateral cleft palate, revision cleft lip, revision cleft palate and cleft lip rhinoplasty.
  3. Surgical steps of procedures for velopharyngeal insufficiency, unilateral cleft lip, unilateral cleft palate, bilateral cleft lip, bilateral cleft palate, revision cleft lip, revision cleft palate and cleft lip rhinoplasty.
  4. Hands-on live simulation of surgical procedures for velopharyngeal insufficiency, unilateral cleft lip, unilateral cleft palate, bilateral cleft lip, bilateral cleft palate, revision cleft lip, revision cleft palate and cleft lip rhinoplasty.
  5. Management of complications associated with surgical procedures for velopharyngeal insufficiency, unilateral cleft lip, unilateral cleft palate, bilateral cleft lip, bilateral cleft palate, revision cleft lip, revision cleft palate and cleft lip rhinoplasty.
  6. Postoperative management of patients undergoing procedures for velopharyngeal insufficiency, unilateral cleft lip, unilateral cleft palate, bilateral cleft lip, bilateral cleft palate, revision cleft lip, revision cleft palate and cleft lip rhinoplasty.
  7. Nursing role and considerations in caring for patients with orofacial clefts.
  8. How to build a multidisciplinary cleft team and identify member roles.
  9. Preoperative evaluation of pediatric patients with orofacial clefts.
  10. Anesthetic concerns and considerations in cleft surgery.
  11. Preoperative and postoperative dental care in patients with orofacial clefts.
  12. Feeding strategies and considerations in patients with orofacial clefts.
  13. Role of speech therapy in preoperative and postoperative treatment of patients with orofacial clefts.
  14. Role of cleft surgery Non-Governmental Organizations (NGO).
  15. Ethical considerations in caring for patients with orofacial clefts.
2019 Curriculum

All sessions will be offered with live translation in English, Spanish, and Portuguese. Session materials will also be translated.

Workshop sessions will include:

  • Presurgical Considerations
  • Feeding and Nutrition
    (Overview: NAM, Latham, Role of Infant orthopedics in high volume centers. Establishing best indications and criteria)
  • Primary Unilateral Lip and Nose
  • Primary Bilateral Lip and Nose
  • Primary Maxillary Setback
  • Simulation: Cleft Lip
  • Cleft Palate Repair
  • Hard Palate Repair
    (Overview: Furlow, Radical IVV, Buccal Flap)
  • VPI Surgery I
    (Overview: IVV, Furlow, Buccal Flap, Pharyngeal flap, Sphincter)
  • VPI Surgery II – Innovations and Challenges
    (Overview: Fat graft, VPI management without resources, Free Flap, Prosthesis)
  • Fistula Surgery
    (Turnover flap and re-repair, Buccal flap, Tongue flap, Free flap, Obturator)
  • Simulation: Cleft Palate
  • Rare Facial Cleft
  • Panel: Models of Cleft Care for Latin America (Advantages, Challenges, Path for the Future)
Surgical Simulations

Surgeons registered for the general session may also register for the Cleft Lip Simulation &/or Cleft Palate Simulation. Each session offers:

  • Hands-on training with haptic models provided by Simulare Medical (one model per participant)
  • Video surgery, live lecture, and mentoring by Faculty Speakers
  • Use of a simulation kit during the session (includes surgical instruments, Dingman retractor, sutures, marking pen, headlight & other needed supplies)

Session are limited to 50 participants each.

Day I

Combined Morning Session : Surgery, Dental, & Speech Therapy

Opening Session – Dr. Usama Hamdan

Opening Session – Dr. Fiorella Molinelli, Executive Chair, EsSalud Opening Session – Dr. Roberto Flores

Cleft Care in Latin America- Looking Back Over 40 Years – Dr. Carlos Navarro

PRESURGICAL CONSIDERATIONS AND MANAGEMENT

Feeding and Nutrition – Dr. Maria Carmen Pamplona
Transport/Follow Up/Outreach – Dr. Marcia Dosal
Transport/Follow Up/Outreach – Dr. Cassio Raposo
Transport/Follow Up/Outreach – Dr. Carmen Morovic

PRESURGICAL ORTHOPEDICS

Nasoalveolar Molding – Dr. Pradip Shetye Latham device – Dr. Elcin Esenlik

Dynacleft with nasal prong – Dr. Daniela Tanikawa Presurgical Orthopedic: No need -Dr. Marcus Collares

PRIMARY UNILATERAL LIP AND NOSE

Primary Cleft Lip & Nose: Subunit Approach – Dr. Raymond Tse Morovic – Dr. Carmen Morovic

Perry – Dr. Percy Rossell Perry

Mohler approach for unilateral cleft lip repair – Dr. Roberto Flores

PRIMARY BILATERAL LIP AND NOSE – CHALLENGES AND INNOVATIONS

Bilateral cleft lip – Dr. Percy Rossell Perry Bilateral Cleft Lip – Dr. Ricardo Bennun Bilateral Cleft Lip – Dr. Carmen Morovic Retrograde – Dr. Cassio Raposo

LATE PRESENTATION – CHALLENGES AND INNOVATIONS

Primary maxillary setback – Dr. Usama Hamdan Brian Sommerlad

Secondary Nasal Reconstruction – Dr. Usama Hamdan

CLEFT LIP SEQUELAE OF REPAIR

Classification System for Cleft lip revision – Dr. Usama Hamdan Type V revision: Bilateral Cleft Lip revisions – Dr. Krishna Patel Cleft lip repair sequalae – Dr. Carlos Giugliano

Complications in Cleft lip repair – Dr. Percy Rossell Perry

CLEFT LIP SIMULATION

Simulation Lab for Registered Participants

Day II

Combined All Day Session: Surgery & Speech Therapy

CLEFT PALATE REPAIR – CHALLENGES AND INNOVATIONS

Furlow – Dr. Joseph Losee

Radical IVV with vomer Flap – Dr. Brian Sommerlad Buccal Flap – Dr. Robert Mann

Extended nasal Z-plasty – Dr. Marcus Collares

Protocol for outpatient cleft palate repair – Dr. Carlos Giugliano

SPEECH & HEARING

Speech assessment and intervention – Dr. Ann Kummer Hearing assessment and intervention – Dr. Krishna Patel

Nasoendoscopy and other imaging techniques – Dr. Paul Willging VPI management without resources – Dr. Maria Carmen Pamplona

VPI SURGERY – STANDARD TECHNIQUES

Speech Therapy Perspectives – Dr. Ann Kummer IVV – Dr. Brian Sommerlad

Furlow – Dr. Joseph Losee Buccal Flap – Dr. Robert Mann

Pharyngeal Flap + Sphincterplasty – Dr. Krishna Patel

VPI SURGERY – INNOVATIONS AND CHALLENGES

VPI treatment: Surgery, prosthetic device or speech therapy – Dr. Ann Kummer VPI surgery in the syndromic and older patient – Dr. Carlos Giugliano

Total Immersion speech camps for children with clefts – Dr. Maria Carmen Pamplona Free Flap – Dr. Wieslawa Pawlikowski

FISTULA SURGERY

Buccal flap – Dr. Robert Mann Tongue Flap – Dr. Carlos Giugliano

Local and Regional options for large fistulas – Dr. Percy Rossell Perry Free flap – Dr. Juan Carlos Rodriguez

Palatal Anatomy and Principles to Avoid Fistula – Dr. Raymond Tse

CLEFT PALATE SEQUELAE AND CHALLENGES

Adult VPI – Dr. Carlos Giugliano TBA – Dr. Brian Sommerlad TBA – Dr. Ricardo Bennun

VPI Sequelae – SOBRAPAR experience – Dr. Cassio Raposo

CLEFT PALATE SIMULATION

Moderator: Course Coordinators: Dr. Joseph Losee and Dr. Brian Sommerlad Simulation Lab for Registered Participants

Day III

All Day Combined Session: Surgery and Dental

ALVEOLAR BONE GRAFT – THE ROAD TO SUCCESS I

Orthodontic Preparation Unilateral – Dr. Pradip Shetye Autogenous bone graft – Dr. Nivaldo Alonso Orthodontic preparation bilateral – Dr. Pedro Santiago Premaxillary Setback – Dr. Derek Steinbacher

Post Bone Graft Orthodontics – Dr. Pradip Shetye

ALVEOLAR BONE GRAFT – TRENDS AND INNOVATIONS

Alveolar Bone Graft without presurgical orthodontics – Dr. Cassio Raposo BMP in Cleft Surgery – Dr. Nivaldo Alonso

Tissue Engineering Solutions – Dr. Roberto Flores

ORTHOGNATHIC SURGERY I – PROTOCOLS AND PREDICTABILITY

Presurgical Orthodontics – Dr. Pedro Santiago Orthognathic surgery in outreach settings – TBA Virtual Surgery Planning – Dr. Pradip Shetye LeFort I Advancement – Dr. Rolando Prada Post-Surgical Orthodontics – Dr. Pedro Santiago

ORTHOGNATHIC SURGERY II – PROTOCOLS AND PREDICTABILITY II

LeFort I (Surgery First) – Dr. Derek Steinbacher LeFort I Distraction – Dr. Marcus Collares Alveolar Distraction – Dr. Elcin Esenlik

Two Jaw orthognathic surgery – Dr. Rolando Prada

Multi piece Orthognathic surgery – Dr. Derek Steinbacher

RHINOPLASTY IN CLEFT LIP PATIENTS

Dr. Carlos Giugliano Dr. Rolando Prada Dr. Krishna Patel

Dr. Derek Steinbacher

RARE FACIAL CLEFT

Presurgical Orthopedics – Dr. Elcin Esenlik 3-4 Tessier – Dr. Nivaldo Alonso

5 Tessier – Dr. Rolando Prada 0 Tessier – Dr. Cassio Raposo

Models of Cleft Care for Latin America (Advantages, Challenges, Path for the future)

GSF – Dr. Usama Hamdan BRAZIL – Dr. Nivaldo Alonso MEXICO – Dr. Marcia Dosal CHILE – Dr. Carmen Morovic Dutchcleft – Dr. Corstiaan Breugem PERU – TBA

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Copyright © 2018 Global Smile Foundation, Inc. All Rights Reserved.
Global Smile Foundation, 101 Access Road, Suite 205, Norwood, MA 02062
Phone: +1 (781) 355-2065
Email: info@cleftworkshop.org
Website: www.cleftworkshop.org

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