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Lunch and Learn Sessions

Saturday, September 17, 2011
11:30AM - 1:00PM


(C) 108A-B


Controversies in Maxillofacial Reconstruction

Joseph I. Helman, DMD
Professor and Chair, Department of Oral and Maxillofacial Surgery
University of Michigan
Ann Arbor, MI


Paradigms in reconstruction change constantly based on the progression of science and the development of new surgical techniques. The session will concentrate on functional and esthetic outcomes, but not specifically on cosmetic surgery. Many options are available today in the management of patients with soft tissue and bony defects in the maxillofacial region requiring reconstructive surgery. The incorporation of Evidence Based Medicine and Critical Thinking Pathways in the development of the reconstructive approach will be discussed and analyzed. The outcome of different bone grafting sites will be discussed for both, continuity defects as well as relatively small bone grafts and growth factors used for pre-prosthetic and/or pre-implant surgery. The rationale for bone grafts versus bone free flaps in larger continuity defects as well as the reasoning behind the use of distraction osteogenesis in different clinical scenarios will be presented. The surgical and conservative principles in the management of patients with Bisphosphanate Related Osteonecrosis of the Jaws ( BRONJ) and Osteoradionecrosis (ORN) will be scrutinized both from the presenter's experience as well as from the accumulated experience in the literature.

Learning Objectives

At the conclusion of this presentation, participants should be able to:

  1. Evaluate the options of bony reconstruction of the maxillofacial skeleton.
  2. Describe the variety of soft tissue flaps as a valuable aid for functional reconstruction.
  3. Discuss a variety of case scenarios in the management of patient with either BRONJ or ORN.

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