ADVANCED ORAL AND MAXILLOFACIAL SURGERY

Course Abstract:

The collaborative lecture and laboratory course of surgical and dentistry instructors approaches medical and surgical problems in the oral and maxillofacial region in dogs and cats. Surgical principles to new techniques are presented with clinical photographs, advanced imaging, and intraoral radiographs in order to teach step-by-step surgical techniques while respecting the dentition the managing and treating the dentition. Evidence based science and collective cased experience in both academic and private practice is presented to participants. The lecture and laboratory course is directed towards residents and trainees in the AVDC and ACVS and other veterinarians with advanced training and knowledge in the oral cavity. 

Lecture Day 1:

Title One: Surgical Principles, Tissue Handling of Flaps, and Wound Healing (1 hour)  

 Abstract: A presentation regarding appropriate surgical principles of the maxillofacial region and tissue handling of bone, soft tissue and skin will be discussed. The wound healing of the maxillofacial region, skin flaps of the maxillofacial region, and the oral cavity will be presented.  Factors affecting wound healing will be discussed. Types of bone healing will be present.

Title Two: Commissurotomy and Commissuroplasty (1 hour) 

Abstract: A discussion of cutting the commissure of the oral cavity to access the caudal oropharynx for oral tumor or oral surgery for mandibular and maxillary surgery will be presented. Additionally, commissuroplasty techniques to augment maxillofacial surgery to treat and manage sequelae to other maxillofacial surgeries will discussed. Clinical photographs will be used demonstrate surgical techniques for commissuroplasty and commissurotomy techniques.

Title Three: Maxillectomy and Mandibulectomy including Piezoelectric Surgical Techniques (2 hour)

Abstract:  The clinical lecture of photographs and pictorials will cover various locations of the mandibulectomy and maxillectomy sites in the dog and cat. Both conventional surgical scalpel, osteotome, surgical handpiece, and piezoelectrical surgical techniques will be present. The indications and challenges of the different locations and techniques will be discussed. Surgical closure and various flap techniques will be present

Laboratory Day 1 (4 hours):

Abstract: Participants will put into practice the skills and knowledge learned in the morning lectures.

1.     Commissurotomy with subtotal mandibulectomy in a dog

2.     Central maxillectomy in a dog

3.     Central/Partial Maxillectomy in a cat

Lecture Day 2:

Title Four: “Y” and “V” Plasty Measurements and Preparation and Local, Rotational, and Transpositional Flaps of the Face (1 hour)

Abstract: A presentation of reconstruction maxillofacial surgery following oral and maxillofacial tumor resection and trauma. Tissue handling, preparation, measurements, blood supply, and creating the appropriate flap for closure of surgical and traumatic defects in the maxillofacial region.  A discussion when the flap is appropriate and how to create the flap and handle it correctly will be presented.

Title Five: Labial Advancement Flap, Wedge Resection, Rectangular Resection, Buccal Rotation Technique Labial Lift Up, Labial Pull Down (1 hour)

Abstract: The lecture will cover the various technique will cover the various labial surgical techniques to deal with intraoral and extraoral labial tumors combine to the soft tissue of the lip. The various techniques are chosen based on the location, type of tumor and margins required, and size of tumor. Likewise, labial buccal reconstruction will be discussed.

Title Six: Temporomandibular Joint Pathology Joint Imaging, Pathology, and Condylectomy (1 hour)

Abstract: The anatomy, function, and normal and abnormal imaging the TMJ joint will be presented. Disease process of the TMJ will be discussed. Treatment options and current understanding of TMJ will be presented. TMJ treatment including condylectomy will be presented. 

Title Seven: Maxillofacial Reconstruction and Introduction (1 hour)

Boaz Arzi, DVM, DAVDC, DEVDC

Abstract: Participants will be introduced to the concepts of maxillofacial mini-plates for the management of maxillofacial fractures. Additionally, they will be introduced to the use these orthopedic plates and advanced technique for maxillofacial reconstruction.  

Laboratory Day 2 (4 hours):

Abstract: Participants will put into practice the skills and knowledge learned in the morning lectures.

1.     Condylectomy in a cat

2.     Labial advancement flap in a dog

3.     Bilateral Rostral Mandibulectomy in a dog with a “V” Plasty

4.     Additional Maxillectomy in dog, if time

Course Date and Location:

September 15 and 16,  2018 - Vancouver, WA

Lecture and Laboratory Instructors:

The instructing faculty consists of a balanced combination of academic, private practice, and research based backgrounds in both the American College of Veterinary Surgeons and American Veterinary Dental College.

Roberto E. Novo, DVM, MS, DACVS (4 hours lecture plus 8 hours Lab)

Dr. Novo received his DVM from the University of Florida, completed a Small Animal Medicine and Surgery internship at the University of Minnesota, followed by a Small Animal Surgery internship at the Affiliated Veterinary Specialists in Orlando, Florida.  He returned to the UofM for a residency in Small Animal Surgery, and received Diplomate status at the American College of Veterinary Surgeons in 2001.  Dr. Novo remained at the UofM as an Associate Clinical Professor and became the Head of the Small Animal Surgery Department. He trained many surgery residents and numerous veterinary students while a faculty member at the University of Minnesota. In 2010 he left Minnesota and moved to the west coast.  He joined Columbia River Veterinary Specialists in Vancouver, Washington, a busy emergency and specialty hospital.  Dr. Novo has authored publications in veterinary journals and chapters in the Current Veterinary Therapy XIV and XV.  He continues to serve as a reviewer for the Veterinary Surgery journal.

Boaz Arzi, DVM, DAVDC, DEVDC (4 hours lecture plus 8 hours Lab)
Associate Professor of Veterinary Dentistry and Oral Surgery at the School of Veterinary Medicine, UC Davis

Dr. Boaz Arzi is an Associate Professor of Dentistry and Oral surgery at the department of Surgical and Radiological Sciences, School of Veterinary medicine, at UC Davis.  Dr. Arzi completed the residency-training program in Dentistry and Oral Surgery at the UC Davis and is a Diplomate of the American Veterinary Dental College and the European Veterinary Dental Collage. In addition, Dr. Arzi completed two years of fellowship at the Department of Biomedical Engineering at UC Davis. Dr. Arzi’s clinical and research focus is on oral maxillofacial disorders and regenerative solutions in dogs and cats. His lab also investigates TMJ disorders and treatments across species.  He is a principle investigator on the use of adipose-derived mesenchymal stem cells (MSC) for feline gingivostomatitis and also a co-principle investigator on the use of rhBMP-2 for mandibular reconstruction. Furthermore, Dr. Arzi works in collaboration with the biomedical engineering group at UC Davis for the development of biological solutions to TMJ disorders in human. Ultimately, Dr. Arzi’s work is translational with the aim of One Health treatment modalities for both human and animal health.

Kevin S. Stepaniuk, B.Sc., DVM, FAVD, DAVDC (Course Coordinator - 8 hours Lab)

Dr. Stepaniuk is a renowned speaker and educator. He has experience in general practice, emergency practice, academic clinical specialty practice, and private specialty practice which serves as a foundation to his practical, yet evidence based approached to patient care and client services as well as his education style during seminars.  He has been lecturing and teaching seminars to veterinarians, veterinary students, and veterinary technicians for over 10+ years. He was an educator at the University of Minnesota College of Medicine as an assistant clinical professor and serving as section chief of veterinary dentistry and oral surgery prior to leaving for private specialty practice in 2014. He was awarded the UMN Veterinary Clinical Sciences Teaching Award (2012-2013) selected by the veterinary students for the most outstanding teacher during their first 3 years of veterinary college. He greatly expanded and enhanced the dentistry and oral surgery curriculum during his appointment and has returned to continue teaching the curriculum (2015, 2016) to provide education to the next generations of veterinarians. In addition to his clinical teaching award he has received the American Veterinary Dental Society Presidents Award (2009) and Inaugural American Veterinary Dental Society Student Chapter Mentor Award (2011) in recognition for his establishment and contributions to the Student Chapters of the American Veterinary Dental Society. Recently, he has served as a visiting lecturer at Oregon State University College of Veterinary Medicine (2016) as a laboratory and didactic instructor in dentistry and oral surgery. Dr. Stepaniuk has authored peer reviewed manuscripts, textbook chapters, and clinical research on clinical topics pertinent and applicable to daily veterinary practice in dentistry and oral surgery. He is an invited and re-invited lecturer nationally and internationally at major national veterinary conferences throughout the United States and Canada in addition to major conferences in Europe. 

COST:

LECTURE/LAB
$1695.00


CE CREDITS - 16
VETERINARIAN ONLY

September 15 and 16 - 2018
Lecture/Lab

Refreshments and Lunch Provided