remaining relevant to the next genera on of oral and ...€¦ · of orthognathic surgery....
TRANSCRIPT
Remaining Relevant to the Next Genera on of Oral and Maxillofacial Surgeons Volume IX, ISSUE VIII,
The American College of Oral and Maxillofacial Surgeons
It is my dis nct honor to
serve as President of the
American College of Oral
and Maxillofacial
Surgeons (ACOMS).
ACOMS has a tremendous
history that grew from a
desire of its founders to
push the specialty of oral and maxillofacial
surgery (OMS) to greater heights through
educa on and fellowship. At the me of its
founding in 1975, the specialty of OMS was s ll
rela vely early in its development. Training
consisted of a three‐year residency a er dental
school, virtually none had medical degrees, few
oral surgeons were board cer fied and fewer
s ll had any kind of hospital privileges beyond
exodon a, the treatment of mandibular
fractures and preprosthe c surgery. The
ACOMS founders advocated for board
cer fica on, expanded scope, and more
training.
Fast‐forward forty‐seven years and the scope of
prac ce by oral and maxillofacial surgeons has
become remarkably broad. Residency training
in OMS is 4‐6 years in length, includes a medical
degree for more than half of its graduates, and
in addi on to exodon a, now includes core
training in anesthesia, implantology,
craniofacial trauma, orthognathic surgery,
temporomandibular joint surgery, oral and
maxillofacial pathology, obstruc ve sleep apnea
and esthe c surgery. Furthermore, the
specialty is in the midst of another
transforma on through the development of
subspecialty fellowship training programs in
head and neck oncologic surgery, microvascular
reconstruc ve surgery and pediatric
craniofacial surgery. It is a specialty that
scarcely resembles the version of itself from the
1970’s, let alone at its incep on in the early
parts of the 20th century.
As the specialty has changed, so has its
membership. The younger members of our
professional organiza ons have begun to
ques on the value of large professional
socie es and tradi onal staid forum of scien fic
presenta ons. Professional organiza ons are in
many cases struggling to remain relevant to an
increasing number of young surgeons who are
looking to a variety of alterna ves for
educa on. In addi on, as the global OMS
community has broadened and expanded, our
colleagues outside of North America are looking
for ways to engage, share ideas and knowledge
on a world stage.
I believe that as the specialty of OMS has
changed and its membership becomes younger,
more diverse, technologically advanced and
well‐educated, (Con nued on next page)
President’s Message (con nued)
ACOMS must con nually adapt and change
how it approaches its primary mission of
educa on and fellowship. Recently, we have
added subspecialty programs in orthognathic
surgery, TMJ surgery, esthe c surgery and
implantology. A course in anesthesia is
forthcoming and we have partnered with
“FACES” a long‐running ski mee ng to offer a
“Winter Mee ng” alterna ve for members
looking for CME and family fun on the slopes.
Addi onally, the ACOMS online “Clinical
Review” series and “Ques on of the Week”
found on the ACOMS website
(www.acoms.org) are great examples of how
the College is offering alterna ve forms of
educa on. But we have to do more.
Towards this goal, I have three primary
objec ves for the year that I serve as President
of ACOMS:
1. Ini ate a “Lifestyle Series” of courses, which
provide high quality con nuing medical
educa on in associa on with ac vi es of
common interest, such as golf, wine tas ng,
fly fishing, and cycling, rota ng at sites
across the world;
2. Begin a cornerstone mee ng dedicated to
head and neck oncology and microvascular
reconstruc ve surgery, to address an
unmet and growing need in the specialty of
OMS;
3. Increase interna onal outreach and
engagement on the part of ACOMS to the
rest of the global OMS community.
To lead this effort, I have appointed Dr. Rui
Fernandes as chair the ACOMS Commi ee on
Con nuing Educa on. As Chief of the Division
of Head and Neck Surgery at the University of
Florida in Jacksonville and as the immediate
past chair of the Commi ee for Con nuing
Educa on of the Interna onal Associa on of
Oral and Maxillofacial Surgeons, Dr. Fernandes
is uniquely qualified and well connected to the
interna onal OMS community—he is the
perfect person to lead this effort and I am
grateful to him for lending his me, talent and
energy to ACOMS.
I look forward to working with the ACOMS
Board and all of its members over the coming
year to advance the ACOMS mission of
educa on and fellowship and am grateful for
the opportunity to be of service to a great
profession.
Best Regards,
R. Bryan Bell, DDS, MD, FACS
President, ACOMS
Did you miss Parts 1‐3 of the ACOMS Virtual Master Class in
Orthognathic Surgery?
No problem! Visit the ACOMS Learning Center to complete the on‐demand
educa onal ac vity.
This six‐part webinar series is a benefit of membership and provides a comprehensive review of orthognathic surgery.
Subsequent sessions will review 3D planning and virtual surgery, then in‐depth inves ga on of key osteotomies. Par cipants in the live webinar will benefit from par cipa on in Q&A a er each session.
Upcoming Modules in the Master Class Series: Part Four: BSSO and Intraoral Ver cal Ramus Osteotomy Monday, October 2 at 8:00 AM EDT Robert Relle, DDS Part Five: Genioplasty Monday, October 30 at 8:00 AM EDT Kevin Rieck, DDS, MD, FACS Part Six: IVRO and IVLO Monday, January 15 at 8:00 AM EST Brian Farrell, DDS, MD
Register today at
ACOMS.org/MC
Membership
Renew Your ACOMS Membership For 2017!
ACOMS memberships run from September 1 through August 31. Membership dues for
2018 for most ac ve Fellows and Members are due on August 31, 2017. 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" sec on on. From there, you can proceed using
our secure online payment portal by making an instant payment with a credit card.
Dues invoices will mailed in late August. If you wish to pay by check, please follow the
instruc ons on the invoice. Thank you in advance for your con nued support!
Purchase an ACOMS Membership Cer ficate Today Proud to be an ACOMS member? Show
off your commitment to the College by
purchasing a newly‐redesigned member‐
ship cer ficate to display at your home
or office! Members wishing to purchase
a new cer ficate may do so online by
visi ng the ACOMS website. Discounted
framing services are also available by
visi ng the Framing Success website.
September 30 and October 1, 2017
University of Cincinna
Online Registra on is Now Open!
Mee ng chair Dr. Robert Strauss of VCU and host faculty advisor Dr. Deepak Krishnan of the
University of Cincinna invite you to a end the Sixth Annual ACOMS Residents Mee ng.
Why Should YOU A end?
The Residents Mee ng features surgical and prac ce management lectures by leading experts, me
to meet with your peers from other residency programs, and opportuni es to present your own
findings.
Abstracts and Case Reports
The Residents’ Mee ng is an outstanding opportunity for any resident, from PGY‐1 through Chief to
gain speaking experience by presen ng a scien fic abstract or interes ng/unusual case in a low‐
pressure environment. Outstanding abstract and case presenta ons are eligible to win prizes includ‐
ing travel awards to a end next year’s Annual Conference. All accepted scien fic abstracts will be
published in OOOO Journal. Submit an abstract or case report by September 4.
Schedule
The mee ng will feature surgical and prac ce‐management lectures by leaders in the specialty,:
Digital Den stry for the Contemporary Oral and Maxillofacial Surgeon—David Rallis, DDS, MD and Kevin
Rieck, DDS, MD, FACS
Cool Innova ons in Facial Cosme c Surgery—Jon Perenack, DDS, MD
How to Incorporate Full Scope into Private Prac ce—Barry Williams, CEO, Prac ce Evolu ons
OMS li ga on and Risk Management Issues—Joe Waller, JD, Brin & Brin, P.C.
acoms.org/residents
Support Educa on: Donate Today
Please consider suppor ng educa on by making a dona on to ACOMS. Dona ons of all sizes
and payment plans are appreciated. Whether it's a one‐ me gi , a monthly contribu on, or
part of a matching gi s program, your dona on helps sustain ACOMS opera ons and supports
educa on 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: Dona ons support the daily opera ons of ACOMS.
Resident Travel Fund: Dona ons are used to fund travel opportuni es for OMS residents
to a end our Annual Conference and educa onal courses.
The Stuebner Scholar Program: Established by ACOMS in 2016, this program provides
opportuni es for female surgeons to advance through par cipa on in scien fic mee ngs
organized by the College.
ACOMS Founda on: A donor advised fund (DAF) of the Oral and Maxillofacial Surgery
Founda on. Dona ons support educa on and research to advance the specialty and
improve pa ent care.
Please visit acoms.org/donate to learn more and to make your dona on!
Your dona on is tax deduc ble!
ACOMS is a 501(c)(3) non‐profit organiza on incorporated in the United States. Dona ons are
tax deduc ble as charitable contribu ons for federal income tax purposes. Please contact your
tax advisor for guidance. ACOMS federal tax ID number is 11‐2420729.
ACOMS expresses its gra tude to the founding sponsors of the Stuebner scholarship program:
ACOMS Member Spotlight
Each issue of the ACOMS Review Newsle er will turn the spotlight on members who are
making an impact in the profession. If you are interested in being highlighted or nomina ng
another member for the Spotlight, contact Diamond Coleman.
Antonia Kolokythas, DDS, MSc, FACS is the Head and Program
Director of the Department of Oral and Maxillofacial Surgery located
at the University of Rochester‐EIOH. We asked her a few ques ons
to learn more about her:
Q: When you were growing up, what did you want to be?
The captain of a ship. When I grew up and realized that was not an
op on, I decided I wanted to be a surgeon. The opera ng room is
my ship!
Q: Who are some of the people that mentored you and what do they mean to you?
My three big mentors were Dr. Robert Ord, Dr. Brian Schmidt, and Dr. Michael Miloro.
Dr. Ord was my fellowship director at the University of Maryland; Dr. Schmidt was the program
director of my residency‐training program at the University of California, San Francisco, and Dr.
Michael Miloro was the department head at the University of Illinois College of Medicine.
They are all very busy but we do try to keep in touch!
Q: How did oral cancer become your major area of interest?
I always had a strong passion for pathology. Everything about oral cancer fascinated me–from
the diagnosis to the treatment and recovery.
Q: Which journals in par cular do you enjoy reading?
Any oncology journal. I like them all!
I also enjoy bikram (hot) yoga. It is a me where you do not have to focus on anything but the
instructor.
ACOMS Member Spotlight—con nued
Q: What does it mean to you to see more and more females entering the specialty?
In Greece, there are many female maxillofacial surgeons. This is what I was accustomed to
seeing so when I came here and saw so few females prac cing it was very interes ng to me.
Now that this is beginning to change I feel a sense of pride. There is also this feeling of “you’re
not alone.”
Q: What do you most enjoy in your free me or personal life?
A cup of coffee and going through oncology journals.
Q: What is a typical day like for you?
I wake up, feed my twin boys, get them ready for the nanny, and then head to work (which is
either an admin. day, a clinic day or a day spent in the OR). I go to mee ngs, conduct some
research and wri ng and then I head home to go through my rou ne there.
Q: What were some of your challenges along your educa on or career journey?
Creden als are different from country to country. I had a two‐year internship before being
accepted into a residency and the delay was a major challenge. The wait and essen ally
having to prove myself was difficult.
Q: What inspired you to academically pursue den stry?
I love teaching, I was never interested in private prac ce and I knew early on that I would love
to be in the opera ng room. It is interes ng to teach students how to take care of pa ents
since each person is different and their care is so complex. Teaching them those cri cal
thinking skills is something I really enjoy.
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. Le Fort I Segmental Osteotomy has been approved for one (1) hour of Continuing Dental Education (CDE) credit.
Stay current on your surgical knowledge and earn CDE credit with the Clinical Review—a monthly educational offering from ACOMS. Traumatic Injuries of the Trigeminal Nerve
Michael Miloro, DMD, MD, FACS and Antonia Kolokythas, DDS, M.Sc,
Injury to the peripheral branches of the trigeminal nerve can be devastating because of the effects on speech, deglutition, swallowing, mastication, and taste, as well as the impact on social interactions. Unfortunately, these injuries can occur rather easily from a traumatic event or from several commonly performed procedures in the maxillofacial region. This activity will review the anatomy and types of nerve injury and discuss preoperative risk assessment, surgical management of traumatic injuries, and post injury assessment.
The Question of the Week is a weekly challenge intended to enhance your knowledge across the scope of the OMFS specialty. A new question is posted each Monday, along with the answer, rationale, and references.
Visit acoms.org/QOTW to view this week’s question. Click "manage subscriptions" to receive notifications when new questions are posted, or return at your convenience and use keyword tagging to sort by subject matter.
Test Yourself with the Question of the Week
This Month in…
Visit oooojournal.net/current to read more!
OOOO is a Complimentary ACOMS Member Benefit
Featured in this month’s issue:
Importance of tumor extent in adenosquamous carcinoma of the head and neck: a retrospec ve cohort study
Robert J. Lee, DDS, Thomas Lin, DDS, Serena A. Lee, BS, Kevin K. Lee, BS, Russell E. Christensen, DDS, MS
Objec ve
The aim of this study was to determine the correlates of survival for pa ents diagnosed with
adenosquamous carcinoma (ASC) of the head and neck.
Study Design
Pa ents diagnosed with ASC of the head and neck between 1973 and 2012 were iden fied from the
Surveillance, Epidemiology, and End Results (SEER) database. Kaplan‐Meier and Cox propor onal hazard
regression analyses were conducted to inves gate the prognos c factors and treatment modali es that
determine overall survival (OS) and disease‐specific survival (DSS).
Results
In the analysis, of the 235 pa ents diagnosed with adenosquamous of the head and neck, 66.8% were male
and 33.2% were female with a median age at diagnosis of 64 years. Kaplan‐Meier analysis determined 5‐
year survival rates of 30% for OS and 50% for DSS. Univariate and mul variate analyses found that age at
diagnosis, tumor size, tumor extent of disease, surgical resec on, and radia on therapy were independent
predictors of OS and DSS.
Conclusions
This study, to our knowledge, is the largest study, to date, determining the correlates of survival for ASC of
the head and neck. Older age at diagnosis, larger tumor size, and further extent of disease were correlated
with decreased survival. Surgical resec on improves survival in pa ents with localized or regional disease,
whereas radia on therapy confers survival benefit in pa ents with distant extent.