Thursday, September 15, 2011
3:30PM - 5:30PM
(C) 104A-B
Daniel Buchbinder, DMD, MD
Professor and Chief, Otolaryngology, Head and Neck Surgery
Beth Israel Medical Center
New York, NY
Mark Urken, MD, FACS
Professor and Chief, Head and Neck Oncology, Otolaryngology / Head and Neck Surgery
Beth Israel Medical Center
New York, NY
This presentation will go over the systematic approach to oro-mandibular and palato-maxillary reconstruction that our multidisciplinary team has developed over the past 23 years. A defect oriented Classification scheme that allows for the selection of a specific reconstructive technique and the timing of fixture placement will be discussed. The rationale and evidence for primary fixture placement will be made. The use of alloplasts, free bone grafts and Vascularized flaps will be presented. The use of bone containing vascularized flaps has become the main stay of this type of reconstructive procedure because the predictable blood supply of the reconstructed structures affords additional safety when delivering adjunctive radiotherapy in the post operative period. Furthermore the ability to transfer bone of sufficient stock to provide an adequate platform for the placement of endosteal fixtures to help anchor tissue or implant borne prostheses has allowed the reconstructive team to functionally restore these patients. Reconstructive success can no longer be measured by the satisfactory restoration of form but rather by the patient’s ability to function.
At the conclusion of this presentation, participants should be able to:
93rd AAOMS Annual Meeting