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Facial Plastic and Reconstructive Surgery

3D Planning of Maxillary Reconstruction: Hands-On Approach With Live Demonstration

Tuesday, October 3, 2023
8:00 AM - 9:00 AM East Coast USA Time
Location: Cumberland 5/6

    Lead Instructor(s)

  • Mark K. Wax, MD

    Professor Otolaryngology/Maxillofacial Surgery, Program Director
    OHSU
    Portland, OR, United States

    • Instructors(s)

  • Joseph M. Curry, MD

    Professor
    Thomas Jefferson University Hospital
    Wynnewood, PA, United States

  • LS

    Larissa Sweeny, MD

    Associate Professor, Otolaryngology - Head and Neck Surgery
    University of Miami Health System
    Miami, FL, United States

  • Matthew O. Old, MD

    Professor and Director, Otolaryngology Head and Neck Surgery
    The Ohio State University
    Columbus, OH, United States

Disclosure(s):
Mark K. Wax, MD, FACS, FRCS: No relevant relationships to disclose.
Larissa Sweeny, MD: No relevant relationships to disclose.
Matthew O. Old, MD: No relevant relationships to disclose.
PROGRAM DESCRIPTION: Composite defects of the maxilla may be a result of oncologic ablation, trauma, or other benign disease processes. This region is fundamental to many physiologic processes that make life possible as well as pleasant. When these areas undergo an ablative process, the defect needs to be reconstructed to address cosmesis, oronasal separation, functional restoration of swallowing and finally complete orodental rehabilitation. Addressing all of these concerns is a complex issue. The ability to 3 dimensionally reconstruct the maxilla can be difficult and time-consuming. The advent of computer-assisted design processes that will allow one to plan the ablative portion as well as design templates for osteotomies and bony reconstruction with a patient specific plate have markedly decreased the time needed for reconstruction as well as improved the contour.

In this simulation presentation we will utilize an online computer module with an actual planning session for a simple Hemi infrastructure maxillary defect, a complex complete Hemi maxillary defect, and a total infrastructure maxillectomy defect. The online interactive modeling will allow for audience participation and interaction at all stages of the session. Finally, each presenter will utilize preoperative intraoperative and postoperative photo documentation to complement the planning session.

OUTCOME OBJECTIVE 1: Demonstrate understanding of the role of computer simulation in the planning for oncologic ablation that includes maxillectomy.

OUTCOME OBJECTIVE 2: Demonstrate understanding of the role of computer simulation and the planning for maxillary reconstruction.

OUTCOME OBJECTIVE 3: Attendees will be able to utilize computer online simulation for reconstruction in their particular practice setting.

BACKGROUND STATEMENT: Integrating computer simulation with 3D printing allows for optimization of reconstruction of the maxillary complex. This submission will introduce attendees to the procedure with a live demonstration to familiarize attendees with interactive computer simulation.