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President’s Message Volume VIII, ISSUE VII, 2016

The American College of Oral and Maxillofacial Surgeons Surgical Excellence Through Education

REVIEW

ACOMS

Dear Friends and Colleagues,

We are in the middle of our summer rush and hoping to finish a great season in a wonderful way!

I would like to take a few moments to remind you of the important role that we play as oral and maxillofacial surgeons in our communities. Our talents as surgeons and healthcare providers are gifts that we have which give us a special place in our society.

The art of giving to others needs to be emphasized more during these hard times. We need to make sure that our communities know and recognize all of the amazing work that we do for others. I am blessed with the opportunity to be around people in our field that have dedicated part of their lives to caring for human beings in need around the world. One such individual has organized a team of people that travel overseas, in particular to Neiva, Colombia. This team has been delivering top care for cleft lip and palate and craniofacial deformities, almost mirroring the care that would be delivered here in the US. Employing help from various specialties, this program has been running now for more than 20 years. There are multiple innovative perks, including speech pathology camps for the patients and their families, ambulatory

orthodontic care, and multiple training camps for health care providers. The team is also involved in teaching local surgeons and health care providers, but they also benefit and learn when skills are shared, observed, and then practiced. It is truly a priceless experience! This all began with just repairing clefts and going on what some may have referred to as “safari” mission trips. However, now through this special individual’s vision, local surgeons and health care providers are engaged by establishing and running a clinic with a team offering cutting edge health care, technology, and the latest medical advancements.

The point is to utilize our gift to help others in the world or in our own communities. It can be as simple as checking with our local school districts and talking to the head nurses. It is amazing to see how many children get sent home because they have a broken, infected tooth that needs to be extracted, but because they do not have insurance (or sufficient insurance), they cannot receive proper care until they run into an emergency situation.

Residents and ACOMS Members, Neiva Healing the Children Trip 2016

President’s Message (continued)

Our local populations are in need and our country is having a hard time right now. Remember that you are who you are because the support of your local community has allowed you to achieve success.

Recently in the Dallas Metroplex, we experienced an extremely tragic situation with the loss of five of our police officers and the resulting chaos. I want to recognize the group of OMFS Residents who were on-call that night at Parkland Memorial Hospital and Baylor University Medical Center in Dallas—the two trauma centers that received the groups of wounded civilians and police officers. These residents were in the Emergency Department, available and working hard alongside many other doctors during this critical time. They tended to those in need even though the majority of the wounds were not in the maxillofacial region. These groups of residents were recognized by the administration of the Health Care Centers for their invaluable work, time, and effort to help others during such a horrific event. May their dedication to the medical specialty and their communities be a reminder to us all that we possess the same talent, the same compassion, and the same ability to help. Above all, remember to love one another!

Please do not forget to visit our website for exciting news and to check out the Question of the Week. The ACOMS Learning Center, as well as information on all of our upcoming courses (Virtual Surgical Planning, Cosmetic Surgery, Sleep Apnea, Zygoma Implants and the Fifth Annual Residents Meeting), will be readily available. Best regards,

Pedro F. Franco, DDS

ACOMS President

Join the Conversation with ACOMS on Social Media!

Drs. Pedro Franco, Sidney Eisig, and David Hoffman, team leader and ACOMS Member

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA

CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Update in Oral and

Maxillofacial Pathology in Children has been approved for one and one quarter (1.25) hours of Continuing Dental Education (CDE) credit. Timing and

Indications on Dental Implants for the Growing Patient has been approved for one and one half (1.5) hours of

Continuing Dental Education (CDE) credit. Bone Graft and Alveolar Reconstruction for the Growing Patient has

been approved for one and one quarter (1.25) hours of Continuing Dental Education (CDE) credit.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality

providers of continuing dental education. ADA CERP does not approve or endorse individual courses or

instructors, nor does it imply acceptance of credit hours by boards of dentistry. Enuclation and Curretage of

Benign Oral and Maxillofacial Pathology has been approved for one (1) hour of Continuing Dental Education

(CDE) credit.

http://www.acoms.org/plan

Membership

Renew Your ACOMS Membership For 2017!

ACOMS memberships run from September 1 through August 31. Membership dues for

2017 for most active Fellows and Members will be due by August 31, 2016. Online

renewal of your membership is highly encouraged. To renew your membership online:

1. Visit acoms.org/renew and enter your username and password. If you do not know

your password, you may retrieve it at acoms.org/password.

2. To renew your membership, simply click on “Securely renew my membership now”

at the top of the "manage profile" section on. From there, you can proceed using

our secure online payment portal by making an instant payment with a credit card.

If you wish to pay your membership dues by check, simply wait for your mailed dues

invoice, which was sent in August. Thank you in advance for your continued support!

Shelly Abramowicz

Maxwell Adams

Luis Alicea

Kevin Arce

Francisco Bermudez

Edwin Del Valle-Sepulveda

Wayne Dudley

David Efaw

John Fidler, Jr.

Damian Findlay

Juan Garcia

Marvin Greene

D. Carl Jackson

Gary Jones

Edward Kozlovsky

Jason Lee

Jason Lustig

Monir Mina

Mark Ranschaert

Gary Raska

Prashant Reddy

Robert Reti

MaryAnn Sabino

Rishad Shaikh

Morgan Strawn

Valerie Swan

Daniel Theberge

Join Us in Welcoming Our New July 2016 Members!

Save the Date!

2017 ACOMS/FACES Winter Meeting

February 27—March 3, 2017

Steamboat Springs, CO

Membership

Purchase an ACOMS Membership Certificate Today

Proud to be an ACOMS member? Show off your commitment to the College by

purchasing a newly-redesigned membership certificate to display at your home

or office! Members wishing to purchase a new certificate may do so online by

visiting the ACOMS website. Discounted framing services are also available by

visiting the Framing Success website.

Visit the ACOMS Career Center

Browse more than 1,000 jobs in oral and maxillofacial surgery, including surgical and

allied staff positions, at the ACOMS Career Center! Have a job to post? ACOMS members

receive a discount on job postings. Visit acoms.org/career to learn more about recently-

posted jobs in oral and maxillofacial surgery, posting an opening of your own, or to set-

up personalized alerts to help you manage your career and your practice.

Online Registration is Now Open! Meeting chair by Dr. Robert Strauss of VCU and host faculty advisor Dr. Deepak Krishnan of the Uni-versity of Cincinnati invite you to attend the Fifth Annual ACOMS Residents Meeting.

Why Should YOU Attend? The Residents Meeting features surgical and practice management lectures by leading experts, time to meet with your peers from other residency programs, and opportunities to present your own findings.

Abstracts and Case Reports The Resident Research Forum at the Residents’ Meeting is an outstanding opportunity for any resi-dent, from PGY-1 through Chief to gain speaking experience by presenting a scientific abstract or interesting/unusual case in a low-pressure environment. Outstanding abstract and case presenta-tions are eligible to win prizes including travel awards to attend next year’s Annual Conference. All accepted scientific abstracts will be published in OOOO Journal. Click here to submit an abstract or case report.

Schedule The meeting will feature surgical and practice-management lectures by leaders in the specialty, including…

Life After Residency—Barry Williams, Practice Evolutions

Interdisciplinary Management of Hereditary Oligodontia—Peter Larsen, DDS

Accelerated Implant Loading Protocols for the Edentulous Patient—Edwin McGlumphy, Jr., DDS, MS Risk Management Considerations for OMS: Discussion and Case Studies– Richard Rymond, JD and Donald Moracz, JD, Reminger Co., L.P.A.

Learn more and register today at www.acoms.org/residents.

ACOMS Cosmetic Surgery Boot Camp: January 28-29,

2017, New Orleans, LA

ACOMS and FACES 30th Winter Meeting: February 26-

March 3, 2017, Steamboat Springs, CO

ACOMS and CAOMS Joint Scientific Conference and

Exhibition: May 3-5, 2017, Vancouver, BC

ACOMS 39th Annual Scientific Conference and Exhibition:

April 21-23, 2018, New Orleans, LA

Save the Date

Visit acoms.org/events to learn more about these and other upcoming events:

Submissions Now Being Accepted for Stuebner Scholarship Program

The ACOMS Stuebner Scholarship is an essay-based competition that awards one board-certified

female oral and maxillofacial surgeon annually the opportunity to attend a post-educational

meeting (organized by ACOMS) to advance their knowledge and skills. The intent is for the doctor

to meet with mentors in the specialty and become involved in a lifelong learning process to stay

well-informed and focused as a surgeon. The program aims to enable award recipients to become

and remain engaged with other women in the specialty throughout their careers to learn, to

mentor in-turn, and to perpetuate the cycle.

The program provides a scholarship award up to $5,000 and additional recognition nationally and

amongst ACOMS members. We encourage all members of ACOMS to share information about this

program with their colleagues and other networks.

To Apply: Participants competing for the scholarship must submit an essay expressing the

factors that influenced them to become an oral and maxillofacial surgeon and the impact that

becoming an oral and maxillofacial surgeon has had on their lives.

Essays may not exceed 2,000 words and must be submitted no later than 11:59 p.m. EDT,

September 30, 2016 via the official submission form located at acoms.org/page/SAS.

Support Education: Donate Today

Please consider supporting education by making a donation to ACOMS. Donations of all sizes

and payment plans are appreciated. Whether it's a one-time gift, a monthly contribution, or

part of a matching gifts program, your donation helps sustain ACOMS operations and supports

education and research to advance the specialty of oral and maxillofacial surgery.

You may choose to donate to any of the following funds:

ACOMS General Fund: Donations support the daily operations of ACOMS.

Resident Travel Fund: Donations are used to fund travel opportunities for OMS residents

to attend our Annual Conference and educational courses.

The Stuebner Scholar Program: Established by ACOMS in 2016, this program provides

opportunities for female surgeons to advance through participation in scientific meetings

organized by the College.

ACOMS Foundation: A donor advised fund (DAF) of the Oral and Maxillofacial Surgery

Foundation. Donations support education and research to advance the specialty and

improve patient care.

Please visit acoms.org/donate to learn more and to make your donation!

Your donation is tax deductible!

ACOMS is a 501(c)(3) non-profit organization incorporated in the United States. Donations are

tax deductible as charitable contributions for federal income tax purposes. Please contact your

tax advisor for guidance. ACOMS federal tax ID number is 11-2420729.

ACOMS expresses its gratitude to the founding sponsors of the Stuebner scholarship program:

MedPro’s OMS Preferred program is specifically designed to serve the unique needs of oral

and maxillofacial surgeons across the country. MedPro is the leader in healthcare malpractice

insurance and was the first company involved when malpractice allegations became prevalent more

than a century ago. MedPro has been defending the reputations and assets of oral and maxillofacial

surgeons since 1899 and will continue to do so for years to come.

Rise of the Machines: Robotic Surgery, Patient Safety, and Liability

By Laura M. Cascella, MA

Endnotes 1 Lowes, R. (2013, September 5). Complications of robotic surgery underreported, study says. Med-scape. Retrieved from http://www.medscape.com/viewarticle/810490 2 Society of Gastrointestinal and Endoscopic Surgeons–Minimally Invasive Robotic Association (SAGESMIRA) Consensus Group. (2007). A consensus document on robotic surgery. Retrieved from http://www.sages.org/publications/guidelines/consensus-document-robotic-surgery/ 3 Carreyrou, J. (2010, May 4). Surgical robot examined in injuries. The Wall Street Journal. Retrieved from http://online.wsj.com/news/articles/SB10001424052702304703104575173952145907526 4 Bhavna, J. K., Dodwad, V., & Singh, T. (2012). Robotic dentistry — The future is at the horizon. Journal of Pharmaceutical and Biomedical Sciences, 16(16). 5 Sindet-Pedersen, S. (2013, February). The use of robotics in dentistry. Today International AEEDC Du-bai 2013, p. 6.

The turn of the 21st century was witness to a significant technological milestone in American healthcare — the approval of the first robotic surgical system (RSS) by the U.S. Food and Drug Ad-ministration. Now, more than a decade later, robotic surgery is used for hundreds of thousands of procedures in the United States each year, and the number continues to grow.1

Unlike in open surgery or traditional laparoscopy, in which the surgeon stands over the patient and uses his or her hands to operate the surgical instruments, robotic surgery uses a computer-assisted robot as an intermediary in the surgical process. The surgeon sits at a console and uses hand and foot controls to maneuver instruments and a small camera on thin robotic arms through small inci-sions in the patient. The surgeon is able to monitor progress using a threedimensional viewer on the console.

During robotic surgery, the surgeon typically is in the operating room, but removed from the pa-tient. However, the technology also offers the possibility of robotic telesurgery, in which the sur-geon operates the robot from a remote location.2

Since its inception, robotic surgery has become a “symbol of medical progress,” and has been fea-tured prominently in popular print and electronic media.3 Both large and small healthcare organi-zations have invested in RSS technology, and the number and types of procedures done using ro-bots have continued to expand over the years, reaching various specialties such as general surgery, urology, gynecology, cardiology, orthopaedics, and oral and maxillofacial surgery. With time, more applications for robotic surgery will most certainly emerge. For example, in dentistry, robots might be used to perform preventive, restorative, and curative procedures.4 Further, robots “could offer dentistry improved accuracy, predictability, safety, quality of care and speed of treatment.”5 Read More

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This Month in…

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ACOMS Member Benefit

Featured in this month’s issue:

Lateral tarsotomy: a practical alternative to lateral canthotomy to increase orbital access Hany A. Emam, Mark R. Stevens, Peter E. Larsen, Courtney A. Jatana Objective Transconjunctival approach to the lower one-third of the orbit is commonly used to avoid transcutaneous incisions when surgical access is needed. A lateral canthotomy is used in conjunction with this approach if increased lateral exposure is required. A major disadvantage to lateral canthotomy is difficulty in resuspension of the lateral canthal tendon, which can lead to unaesthetic outcomes. The present report describes two cases of lateral tarsal incision or, as we decided to call it, the “lateral tarsotomy” technique. This simple approach is used to increase lateral access to the orbit without the need for lateral canthotomy. Study Design Two patients presented with internal orbital wall trauma that required repair; access was achieved with a transconjunctival approach in conjunction with lateral tarsotomy. The patients were followed up at 1 week, 1 month, and 3 months to document the development of possible unaesthetic and poor functional outcomes. Results Excellent cosmetic results were observed, with no noticeable deformity at the tarsotomy site. There was no evidence of ectropion, entropion, scleral show, and visible scars. Conclusions The above results suggest that the lateral tarsotomy approach is a practical alternative to lateral canthotomy when increased lateral exposure is required.

Also in this month’s issue:

Pattern of recurrence of nonsyndromic keratocystic odontogenic tumors Trond I. Berge, Saedeh B. Helland, Andreas Sælen, Maria Øren, Anne Christine Johannessen, Liv Skartveit, Bjarte Grung

Primary mucosal melanoma of the oral cavity: current therapy and future directions Ioannis Chatzistefanou, Antonia Kolokythas, Konstantinos Vahtsevanos, Konstantinos Antoniades

Inherent physical characteristics and gene expression differences between alveolar and basal bones Ibrahim Zakhary, Fawwaz Alotibi, Jill Lewis, Mohammed ElSalanty, Karl Wenger, Mohamed Sharawy, Regina L.W. Messer