Craniomaxillofacial Trauma Anatomy Course Sample Agenda

0630 – 0730: Introduction to Craniomaxillofacial Trauma - David B. Powers, MD, DMD, FACS, FRCS                                                                      

• Combined PRS/OTOHNS Grand Rounds (Handouts available for participants not able to attend the presentation)

Strategies of CMF Fracture Management

1700 – 1730: Principles of Dental Anatomy, Occlusion and Surgical Plating

1730 – 1800: Virtual Surgical Planning Demonstration    

1800 – 1820: Airway Management Options for the Trauma Patient

1820 – 1840: Management of Nasal Trauma                   

1840 – 1900: Break & Dinner

1900 – 1915: Management of Dentoalveolar Trauma and Principles of Intermaxillary Fixation

1915 – 1930: Radiology Review for CMF Trauma           

1930 – 2100: “Saw-Bones” Laboratory           

1. Maxillo-mandibular fixation
2. Symphyseal fractures:  Lag screw technique
3. Parasymphyseal fractures
4. Mandibular angle fracture with miniplate
5. Locking reconstruction plate stabilization of tumor resection defect
6. Naso-ethmoidal fractures (NOE)
7. Zygomaticomaxillary Orbital (ZMO) fractures

0830 – 0845: Breakfast

0845 – 0900: Surgical approaches to the mandible          

0900 – 0915: Surgical approaches to the TMJ                

0915 – 0930: Surgical approaches to the midface            

Cadaver Laboratory Sessions

0935 – 0945: Landmarks for local anesthesia administration

0945 – 1030: Orbital reconstruction

• Transconjunctival
• Percutaneous
• Transcaruncular

Will incorporate orbital reconstruction with various biomaterials

1030 – 1110:Calvarial reconstruction

• Coronal incision – dissection to the arches bilaterally
• Frontal sinus fracture management
• Tempoparietal fascia flap
• Temporalis flap

1110 – 1200: Calvarial reconstruction – Part II

• Split calvarial harvest
• Medial canthal tendon repair
• NOE fractures
• Reconstruction of vertical pillars of support
• Nasal dorsal strut graft

1200 – 1300: Lunch

1230 – 1250: Sequencing of panfacial fractures               

1300 – 1340: Midfacial fracture

• Zygomaticomaxillary complex
• Zygomatic arch
• Carroll – Girard screw

1340 – 1420: Closure techniques

• Scalp
• Orbit
• Canthopexy                   
• Intraoral
• Ear –Bolster dressings

1420 – 1440: Break

1440 – 1510: Maxillomandibular fixation techniques

• IMF screws
• Erich arch bars
• Risdon cables for pediatrics
• Hybrid MMF

1510 – 1550: Mandible

• Approaches to the TMJ
• Retroauricular approach
• Plating of the condyle

1550 – 1630: Surgical approaches to the angle

• Extraoral
• Introral

Multiple plating options for the angle – Compression plate, Strut plate

0800 – 0815: Breakfast

0815 – 0900: Principles of “Cosmetic” Trauma Surgery   

Cadaver Laboratory Sessions

0900 – 0940: Mandible

• Symphysis fracture – Surgical approaches
  • Submental approach
  • Transcervical approach
    • Lag screws
    • Two plate technique

0940 – 1010: Mandible

• Body fracture
• Locking plate

1010 – 1115: Transfacial wiring

• Independent laboratory time for completion of objectives

1115 – 1200: Review of cases

• Question & Answer session

Adjourn