Oral and Maxillofacial Surgery Pearls IV

Transcription

1 The Jack Kent Oral and Maxillofacial Surgery Foundation presents Oral and Maxillofacial Surgery Pearls IV Surgical Pathology and Reconstruction Continuing Education by Day The French Quarter Festival into the Night OMS Pearls IV Friday Saturday, April 10-11, 2015 Welcome Reception for Attendees and Alumni, 6:00 PM Thursday, April 9 Pearls IV Academic Course: Friday Saturday, April The 31 st Annual French Quarter Festival Thursday Sunday, April 9-12, 2015 In New Orleans, Louisiana

2 Oral and Maxillofacial Surgery Pearls IV The OMS Pearls IV Conference faculty features six outstanding educators and practitioners in oral and maxillofacial surgery and pathology, and hours of CME credit over two days. Both days of CME also include free continental breakfasts and breaks. A special Louisiana cocktail/hors-d oeuvres reception event will be held on Thursday evening, April 9 at 6:00pm. OBJECTIVES: Describe, discuss and surgically manage the following: 1) consideration of the biopsy and biopsy techniques, 2) immune-related disorders and human papillomavirus, 3) medications-related osteonecrosis of the jaws, 4) significant odontogenic cysts and tumors, 5) significant odontogenic epithelial tumors, 6) skin tumors and residual defects, 7) sleep apnea, 8) oral carcinomas, 9) fibro-osseous lesions, and 10) salivary gland tumors. PEARLS IV HIGHLIGHTS: Three Oral and Maxillofacial Surgeons (OMS) with 125 combined years of practice and two Oral and Maxillofacial Pathologists, all outstanding in their fields, will integrate their collective and individual clinical experience in the treatment of Surgical Pathology and Reconstruction of Oral and Head/Neck area. They will discuss common and uncommon entities which are known to be problematic in diagnosis and treatment. This is not a textbook lecture course, but rather an approach to surgical pathology which includes practical considerations, mistakes, misadventures, as well as illustrations of gratifying surgery and reconstruction of oral and head/neck lesions. In addition we are pleased to have two outstanding clinicians review the current trends in diagnosing and surgically managing 1) Sleep Apnea Disorders and 2) Skin Tumors and correction of their residual defects. The Jack Kent Oral and Maxillofacial Surgery Foundation The Louisiana Society of Oral and Maxillofacial Surgeons and The LSU Oral and Maxillofacial Surgery Alumni Associations from the programs in New Orleans and Shreveport are proud to join the Jack Kent Oral and Maxillofacial Surgery Foundation (JKOMSF) in sponsoring OMS Pearls. The American Association of Oral and Maxillofacial Surgeons is also sponsoring and providing CME credit. The LSU OMS Alumni Association, through the efforts of a core group of concerned alumni, has formed the Jack Kent Oral and Maxillofacial Surgery Foundation (JK OMS Foundation) for the purpose of supporting the teaching, research, and service goals of the LSU OMS department in New Orleans. The foundation is a 501(c)(3) organization, and all donations are tax-deductible. INTENDED AUDIENCE: This activity is specifically directed towards the Oral and Maxillofacial Surgeon, but it is open to all other interested physicians, residents, medical and dental students, and allied health professionals. Continuing Education Credits This continuing education activity has been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts between the American Association of Oral and Maxillofacial Surgeons (AAOMS), the Louisiana Society of Oral and Maxillofacial Surgeons (LSOMS) and Louisiana State University School of Dentistry Department of Oral and Maxillofacial Surgery (LSU OMS). The American Association of Oral and Maxillofacial Surgeons is an ADA CERP Recognized Provider. 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. The American Association of Oral and Maxillofacial Surgeons designates this activity for continuing education credits. This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American Association of Oral and Maxillofacial Surgeons (AAOMS), the Louisiana Society of Oral and Maxillofacial Surgeons (LSOMS) and Louisiana State University School of Dentistry Department of Oral and Maxillofacial Surgery (LSU OMS). The AAOMS is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American Association of Oral and Maxillofacial Surgeons designates this live activity for a maximum of AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.

3 French Quarter Festival Largest Free Festival in the South After each day of continuing OMS education, you will want to head to the French Quarter and soak up one of our city s best kept secrets: the French Quarter Festival. April 9 marks the beginning of the 32nd annual event, which ends after dark on Sunday, April 12. Presented by Chevron, the festival offers local music, food, crafts, and special events, all presented in a one-of-a-kind neighborhood the historic French Quarter. With 20 music stages, festival-goers can walk from block to block hearing every genre of music from traditional and contemporary jazz to R&B and New Orleans funk, brass bands, folk, gospel, classical, opera, Cajun Zydeco, Latin, and international. There s even a musical stage for children. You ll also have a chance to sample from over 90 food and beverage booths featuring authentic local cuisine from renowned area restaurants and shop for local crafts and art. Visit to sign up for the festival s mailing list and receive updates when the music schedule is announced. Go Online to Book Your Hotel JW Marriott is the host hotel for OMS Pearls. Because of our special rate, Standard Room $269, the hotel s location, and the fact that all conference sessions will be held at the JW Marriott, why would you want to stay anywhere else? A hotel with old-world charm, the JW Marriott is located at 614 Canal Street, just walking distance from the excitement and fun of the French Quarter Festival. In addition, the hotel is conveniently located near world-famous restaurants, popular night spots, and the Mississippi River. For additional information or to register go online to resweb.passkey.com/go/lsupearl or call and ask for the Pearls IV block through March 19, Wireless internet service is available in public areas of the hotel. Rooms are wired with high-speed internet available for a daily fee. Photos courtesy of French Quarter Festivals, Inc. Please make your travel and hotel reservations as early as possible ROOMS ARE LIMITED AT THE SPECIAL $269 RATE. To find out more about what will be going on in New Orleans while you are in town, log onto or call , Monday Friday, 8:30 am - 5:00 pm Central Time.

4 Oral and Maxillofacial Surgery Pearls IV FRIDAY, APRIL 10 Academic Course Schedule, Topics, and Faculty All conference sessions at the JW Marriott on Canal Street, bordering the French Quarter Friday Saturday, April 10-11, :00 am - 8:00 am Registration and Continental Breakfast (both Friday and Saturday mornings) 8:00 am - 8:15 am Opening Remarks John P. Neary, DDS, MD, FACS 8:15 am - 8:45 am Pearls and Perils of the Biopsy Lionel Gold, DDS The biopsy is never a casual procedure ( we ll just take a snip of tissue ), it must be carefully planned, and may be the most important surgery performed by a surgeon for his patient, himself, and the pathologist. The do s and don ts, the when,where, and if will be discussed. The professional relationship between the surgeon and the pathologist will be emphasized. Some familiarity with the pathology laboratory and especially the role of the pathologist assistant in the preparation of tissue slides is necessary. 8:45 am - 9:35 am Lesions that Surgeons Would Rather Not Treat: Immune-mediated Disorders Thomas P. Williams, DDS, MD and Kitrina Cordell, DDS, MS Patients with an array of immune-mediated, and potentially genetically linked disorders, are regularly seen for diagnosis and treatment. The variegated members of this group extend from relatively innocuous, but persistent, to life-threatening. Treatment is often difficult and unsatisfactory and offers limited success or failure. Some of the lesions that may be discussed include Lichen Planus, Lichenoid Mucositis, Pemphigus, Pemphigoid, Reiter s Syndrome, Aphthous Stomatitis, Herpes and Sjogrens s Syndrome. History, clinical features, and treatment will be discussed. 9:35 am - 10:05 am Oral and Oropharyngeal Manifestations of the Human Papillomavirus Kitrina Cordell, DDS, MS Over 100 different subtypes of the human papillomavirus (HPV) have been identified. Infection is frequently seen on the skin, genitals and within the oral cavity. A spectrum of lesions have been identified from benign to malignant. These entities include verrucas vulgaris, squamous papilloma, focal epithelial hyperplasia (Heck s disease), condyloma accuminatum and most significantly HPV-positive oropharyngeal carcinoma. Clinical features, histopathologic findings including when to request specific HPV testing from the pathologist and treatment will be discussed. 10:05 am - 10:20 am Discussion Drs. Cordell and Williams 10:20 am - 10:40 am Break 10:40 am - noon Odontogenic Keratocyst and Other Aggressive Odontogenic Cysts of the Jaws with Discussion Drs. Williams and Gold noon - 12:45 pm The biologic and clinical behavior of the relatively common cystic lesion newly termed KOT (né odontogenic keratocyst ) Nevoid Basal Cell Carcinoma Syndrome will be discussed with emphasis on management of the primary and secondary forms. Several other interesting and aggressive, less frequently occurring, cystic lesions that are not well recognized by general pathologists or surgeons will be illustrated. They may be very destructive, persistent, and capable of neoplastic changes. Lunch 12:45 pm - 2:15 pm Surgical Management of Several Significant Odontogenic Epithelial Tumors with Discussion Drs. Gold, Carlson, and Williams The evolution of the odontogenic clear-cell tumor to its recognition as odontogenic clear-cell carcinoma is a prime example of the importance of case presentation, pathologic study and clinical evidence. Unfortunately this cannot be said of the relatively common ameloblastoma which continues to be labeled a benign tumor after more than 100 years of reporting and study. Tradition and the absurd classification of this lesion by the WHO has contributed to misunderstanding and underestimation of this lesion with sometimes tragic clinical results. Treatment of these lesions will be illustrated. Despite their slow growth, these odontogenic tumors are capable of significant growth, destruction, and metastasis. Clinical malignant behavior and biologic malignancy does not always require metastasis.

5 Surgical Pathology and Reconstruction 2:15 pm - 3:30 pm Surgical Management of Several Significant Odontogenic Mesenchymal and Mixed Mesenchymal/Epithelial SATURDAY, APRIL 11 Tumors with Discussion Drs. Gold and Carlson The lesions of this group are interesting examples of faulty embryologic development and growth mechanism of teeth and their supporting tissues resulting in a spectrum of anomalies from hamartomas to benign and malignant neoplasms that produce great destruction of the jaws. Management of these lesion are illustrated. 8:00 am - 9:30 am Surgical Pearls for Skin Tumors and Residual Defects Michael F. Zide, DMD Frozen histological sections are antiquated, so the office OMS can save patients significant financial resources compared to other specialists. In office surgery, with or without intravenous sedation, and the techniques presented will benefit your patients and bolster your practice when you navigate with these soft tissue skills. 9:30 am - 10:15 am Update on Sleep Apnea for the Oral and Maxillofacial Surgeon John P. Neary, DDS, MD, FACS This presentation will focus on the latest thoughts on the pathophysiology of Obstructive Sleep Apnea and review the latest diagnostic criteria. A review of medical management, alternative management, and surgical management will be presented. Techniques of Maxillomandibular Advancement and defining a cure versus management of this chronic disease will be discussed. 10:15 am - 10:35 am Break 10:35 am - 11:45 am Atypia/Carcinoma in situ and Oral Carcinoma with Discussion Drs. Gold and Carlson 11:45 am - 12:30 pm Lunch The hyperplastic epithelial lesions, known clinically as leukoplakia, demonstrate a continuum of histologic change that are frequently reflected in clinical appearance. The microscopic alterations extend from atypia to carcinoma in situ and usually eventuate in overt carcinoma. The challenge is to halt the process before the carcinomatous stage. Management of occult disease of the cervical lymph nodes as part of early oral squamous cell carcinoma represent one of the more important aspects of the diagnosis and management of patient with oral cancer. This lecture will review the principles of neck dissection in patient with NO and N+ TNM designations. 12:30 pm - 1:30 pm Surgical Management Pearls of Fibro-Osseous Diseases with Discussion Drs. Gold and Carlson Fibro-osseous lesion is not a diagnosis. The term loosely represents a group of bone diseases that include lesions of specific etiology such as Paget s disease and hyperparathyroidism, excepting cranio-facial osseous dysplasia and others. This lecture will concentrate on fibrous dysplasia, ossifying fibroma and cemento-osseous dysplasia. The distinction between these lesions is not always recognizable or histologically specific, making imaging and growth pattern important guides to treatment. Several other lesions with perhaps more specific histologic appearance such as osteoid osteoma, benign osteoblastoma, and non-osteogenic fibroma may be illustrated. 1:30 pm - 2:30 pm Surgical Management of Oral and Extraoral Salivary Gland Tumors with Discussion Drs. Gold, Carlson, and Williams The management of salivary gland tumors is predicated on the understanding of the growth pattern, both clinical and histologic, and the exercise of sound surgical principles. The discussion also includes specific and general diagnostic and surgical management approach for patients with masses of the parotid gland. This includes a particular focus on neoplastic processes of the superficial lobe of the parotid gland. 2:30 pm - 3:15 pm Current Thinking and Treatment Pearls of Medications-Related Osteonecrosis of the Jaws (MRONJ) Eric R. Carlson, DMD, MD, FACS Osteonecrosis of the jaws associated with bisphosphonate and other anti-resorptive medication (MRONJ) has historically been a poorly understood disease process in terms of its pathophysiology, prevention, and treatment. Non-evidence based speculation have been published in the international literature and is currently being challenged. This lecture will review MRONJ with a specific focus on treatment, and specifically includes a discussion of the controversy regarding the stages of the disease that requires resection. 3:15 pm - 3:30 pm Discussion Faculty

6 OMS PEARLS FACULTY SPEAKERS Eric R. Carlson, DMD, MD, FACS Professor and Kelly L. Krahwinkel Chairman, Department of Oral and Maxillofacial Surgery, Director of Oral and Maxillofacial Surgery Residency Program and Oral/Head and Neck Oncologic Surgery Fellowship Program, University of Tennessee Medical Center, Knoxville and the University of Tennessee Cancer Institute Dr. Carlson is a graduate of University of Pennsylvania School of Dental Medicine and University of Miami School of Medicine. He completed OMS residency at Allegheny General Hospital in Pittsburg, a fellowship in Oral/ Head and Neck Tumor Surgery at University of Miami/Jackson Memorial Hospital, and a General Surgery Internship at University of Tennessee Medical Center. His expertise is in oral/head and neck tumor surgery and research interests are in molecular aspects of oral/head and neck cancer diagnosis and treatment. Dr. Carlson is Section Editor, Surgical Oncology and Reconstruction, Journal of OMS, Chair, Clinical Cancer Committee, University of Tennessee Cancer Institute, and Former Chair, Special Committee on Oral and Maxillofacial Surgery Parameters of Care, AAOMS. Kitrina Cordell, DDS, MS Associate Professor of Oral and Maxillofacial Pathology Interim Chair of the Department of Diagnostic Services LSU School of Dentistry Dr. Cordell received her DDS and MS in Oral and Maxillofacial Pathology from The Ohio State University. Prior to joining the faculty at LSUSD in 2010, she was as member of the faculty at the University of Michigan School of Dentistry for eight years where she also served as director of the Oral Pathology Biopsy Service. At LSUSD Dr. Cordell is responsible for educating dental, dental hygiene and advanced education students in clinical and didactic settings and also serves as director of LSU Oral Pathology Service, providing histopathologic diagnosis of biopsy specimens from practitioners in the dental and medical fields. Dr. Cordell is a Diplomate of the American Board of Oral and Maxillofacial Pathology and a Fellow of the Academy of Oral and Maxillofacial Pathology and was elected to a three year term as Councilor for that organization from Lionel Gold, B.A., D.D.S. Professor Departments of Pathology, Cell Biology, and Oral and Maxillofacial Surgery Director of Research in the OMS Department Thomas Jefferson University, Jefferson Medical College Dr. Gold attended New York University Dental School, , completed an Internship in Oral Surgery, Lincoln Hospital, NYC, Fellowship in Oral Pathology at University of Pennsylvania, Basic Science Studies in Oral & Maxillofacial Surgery at Graduate School of Medicine, University of Pennsylvania, He completed his OMS Residency at American Oncologic Hospital, Philadelphia, PA. He is a diplomate of both the American Board of Oral and Maxillofacial Surgery and Oral and Maxillofacial Pathology and is a Past President of ABOMS. He was Chairman, Department of Oral and Maxillofacial Surgery, Thomas Jefferson University Hospital, Dr. Gold has served as Editor of the Pathology Section of the Journal of OMS and Oral Surgery for 12 years and was on the Editorial Board of the Journal of Oral Surgery, Medicine and Pathology. Dr. Gold is the recipient of AAOMS Presidential Achievement Award, 2000, and Dedication of the AAOMS Annual Meeting to him, John P. Neary, DDS, MD, FACS Assistant Professor and Interim Chair Department of Oral and Maxillofacial Surgery LSU School of Dentistry and Health Sciences Cente Dr. Neary received a Bachelor s of Science degree in environmental science and engineering in 1982 from Purdue University and earned a doctorate in dental surgery cum laude in 1986 from Ohio State University. He completed his OMS residency at Charity Hospital in 1990 and graduated from Louisiana State University School of Medicine in He then completed his General Surgery internship and a Fellowship in Facial Cosmetic Surgery with Dr. Michael Kinnebrew at The Facial Surgery Center of the Gulf South. Dr. Neary is a diplomate of the American Board of Oral and Maxillofacial Surgery and serves on the board of Purdue University. Thomas P. Williams, DDS, MD Clinical Professor of Oral and Maxillofacial Surgery University of Texas At Houston Dr. Williams completed his OMS residency at New York University, Bellevue Hospital. He has enjoyed a private practice in Dubuque, Iowa for over 40 years. he served as Clinical Adjunct Professor of Oral and Maxillofacial Pathology at University of Iowa ( ). He has served on the Editorial Boards of the Journal of Oral and Maxillofacial Surgery and Oral Surgery, Oral Pathology and Oral Medicine Journal. Dr. Williams is a Past President of American Board of Oral and Maxillofacial Surgery and has numerous contributions to referred journals, textbook chapters and is a co-editor of OMS textbooks. MICHAEL F. ZIDE, BS, DMD Assistant Professor Department of Surgery, Division of OMS University of Texas Southwestern Medical School Dr. Zide is a graduate of Temple U. School of Dental Medicine with postgraduate training at Harvard University School of Dental Medicine in Department of Pedodontics, Internship in Anesthesiology Parkland Memorial Hospital and completion of his OMS residency at Parkland Memorial Hospital and University Texas Southwestern, Dr. Zide has served as Director of the LSU OMS Residency and the U. of Texas teaching staff at John Peter Smith Hospital. He currently devotes all his time to the teaching of OMS residents at Parkland Memorial Hospital. He is a contributor to numerous trauma, cleft palate, and educational committees and is a past examiner for ABOMS. Dr. Zide s most sterling contributions to Oral and Maxillofacial Surgery exceed 100 innovative and first author hallmark journal and textbook publications. Michael F. Zide, DMD Dale J. Misiek, DMD Jon D. Perenack, DDS, MD The department of LSU OMS wishes to recognize and thank these 3 outstanding clinicians and academic leaders for their contributions to the LSU OMS department, residents, and faculty as PROGRAM DIRECTORS.

7 Registration Form OMS PEARLS IV New Orleans April 10-11, 2015 Conference Tuition $675 Includes continental breakfasts, lunches, breaks, and cocktail reception April 9 at 6:00 pm JKOMSF donors should call for registration discounts. Medical and Dental Resident Tuition is $200 with letter from Program Director. Need More Information? Call or Michele Holmes, , mjaco2@lsuhsc.edu; or Jessica Helgeson, , jhelge@lsuhsc.edu In compliance with the Americans with Disabilities Act, if special accommodations are needed, please notify Michele Holmes at no later than Monday, April 6, Ways to Register Mail to: JKOMS Foundation Attn: Peggy 2003 Forsythe Ave. Monroe, LA Call Fax Please duplicate this form as needed. Name DDS DMD MD_ Fees $ OMS RD MD Address City State Zip Phone ( ) Fax ( ) Will you be attending the cocktail reception Thursday, April 9 at 6 pm? Yes No Method of Payment: Check payable to JKOMS Foundation Visa MasterCard Discover American Express Card # Exp. Date Security Code (last 3 digits on back of card) Card Billling Address and Zip Signature Date This conference is presented by the Jack Kent Oral and Maxillofacial Surgery Foundation CANCELLATION AND REFUND POLICY: Jack Kent Oral and Maxillofacial Surgery Foundation reserves the right to cancel this conference should circumstances warrant such action, and your tuition will be refunded. If you must cancel your registration for this conference, the Foundation will refund your tuition (minus an administrative fee) if written notification of your withdrawal is received by the Foundation 15 working days prior to the start of the conference. Notification of withdrawal received after the conference begins will result in forfeiture of your entire tuition. NONREFUNDABLE AIRLINE TICKET, FLIGHT CHARGE, OR HOTEL RESERVATION: The Jack Kent Oral and Maxillofacial Surgery Foundation Conference cannot be held responsible for the cost of a nonrefundable airline ticket, flight charge, or hotel reservation in the event this conference is cancelled or rescheduled. EQUALITY OF EDUCATIONAL OPPORTUNITY: The Jack Kent Oral and Maxillofacial Surgery Foundation is committed to equality of educational opportunity and does not discriminate against applicants, students, or employees based on race, color, national origin, religion, sex, age, or disability. NO RECORDING DEVICES WILL BE ALLOWED IN THE LECTURE ROOM.

8 2003 Forsythe Avenue Monroe, LA Non Profi t Organization U.S. Postage P A I D New Orleans, LA Permit No. 33 This activity is presented for educational purposes only. Participants are expected to use their own expertise and judgment while engaged in the practice of oral and maxillofacial surgery. Attendees should check specific details such as drug doses, contraindications, etc., in standard sources prior to clinical application. The content of presentations is provided solely by presenters who have been selected because of their recognized expertise. The OMS Pearls Conference is presented and managed by the Jack Kent Oral and Maxillofacial Surgery Foundation. The express purpose of this conference is to provide continuing education in the field of oral and maxillofacial surgery for those in attendance. The statements, ideas, and opinions expressed in this conference are those of the individual participants and in no way should reflect the statements, ideas, and opinions of any specialty certifying organization; any OMS professional or alumni organization; LSU Health New Orleans School of Dentistry; LSU Health Sciences Center in New Orleans and Shreveport; the LSU Department of Oral and Maxillofacial Surgery; or others involved in this activity.