Schedule

• Evaluate facial skin defects based on their location, size, depth, aesthetic unit, and involvement of critical anatomic structures to formulate an appropriate reconstructive plan.
• Apply the principles of local flap design, tissue movement, tension-vector management, and scar placement to optimize functional and aesthetic outcomes.
• Develop interdisciplinary referral relationships and coordinated workflows with dermatologists, Mohs surgeons, and other specialists to incorporate facial skin-defect reconstruction into clinical practice.

Lecture
This lecture and hands-on training will review the pre-operative patient evaluation and intraoperative assessment, and discuss management strategies for the difficult airway in consideration of office- and hospital-based anaesthetic and surgical care. Strategies to rescue the failing airway, as well as provision of the definitive emergency front of neck access, will be reviewed and practiced.   

Learning Objectives

• Review factors increasing the risk of a difficult airway
• Review strategies for the failing airway
• Review emergency front-of-neck access

Lecture: Updates in Medicine and Anesthesia

This lecture will focus on high-yield, frequently encountered medical topics like atrial fibrillation, heart failure, anticoagulation, and immunomodulation therapies. Current medical practices will be reviewed so OMFS practitioners can best navigate the perioperative period safely. Anesthesia considerations will be included, along with current evidence for best practices. 

Learning Objectives:

• Comprehend current medical management of common medical comorbidities including atrial fibrillation and heart failure.
• Understand the evidence supporting selection of anticoagulation agents, mechanisms of action, reversal agents, and apply this to the perioperative period. 
• Review the anesthetic implications of current medical therapies with a focus on major changes in the last 24 months.

Lecture: Sequential Management of Patients With Cleft Lip and Palate 

The care of patients with cleft lip and palate is a complex, longitudinal process that requires coordinated multidisciplinary management from infancy through adulthood. This lecture will provide an overview of the sequential treatment of patients with cleft lip and palate, beginning with prenatal diagnosis, family counseling, and early feeding considerations. The role of presurgical infant orthopedics, including nasoalveolar molding, will be discussed, followed by the timing and principles of primary cleft lip and palate repair.

As the child grows, the lecture will address ongoing assessment and management of speech and velopharyngeal function, hearing and middle-ear disease, dental development, and craniofacial growth. Particular attention will be given to orthodontic treatment, preparation for and timing of secondary alveolar bone grafting, management of residual oronasal fistulae, and treatment of secondary nasal and lip deformities. During adolescence, the evaluation and management of maxillary hypoplasia, malocclusion, and the potential need for orthognathic surgery will be reviewed. Definitive septorhinoplasty, dental rehabilitation, and other procedures that complete facial reconstruction will also be discussed.  

Throughout the lecture, emphasis will be placed on treatment sequencing, interdisciplinary decision-making, anticipated outcomes, and the evolving functional, aesthetic, and psychosocial needs of patients with cleft lip and palate.

Learning Objectives:

• Describe the sequential stages of cleft lip and palate management.
• Identify key clinical and developmental factors that influence treatment planning at different ages
• Apply a multidisciplinary, longitudinal approach to treatment planning by coordinating the roles of surgery, orthodontics, dentistry, speech-language pathology, audiology, and other cleft team. disciplines to optimize functional, aesthetic, and psychosocial outcomes.