www.ICOMS2017.com
icoms2017@llink.com.hk
Issue 44 / December 2015
Editor-in-Chief Javier González Lagunas
Managing Editor Lisa Markovic
Graphic Designer María Montesinos
Executive Committee 2014 – 2016 Board of Directors Piet Haers, President Kishore Nayak, Past President Julio Acero, Vice President Alexis Olsson, Vice President Elect Robert T.M. Woodwards, Treasurer Larry W. Nissen, Foundation Chairman Pierre Désy, Executive Director
Members-at-Large Gabriele A. Millesi Sanjiv Nair Javier Gonzalez Lagunas
Regional Representatives John Fisher, Africa Kenichi Kurita, Asia Henri Thuau, Europe Alejandro Martinez, Latin American Arthur Jee, North American David Wiesenfeld, Oceania
Committee Chairmen Rui Fernandes, Education Committee Joseph Helman, Research Committee Deepak Krishnan, IAOMST Committee Steve Roser, HADR Committee Fred Rozema, IT Advisory Committee Mark Wong, IBCSOMS Committee Juan Antonio Hueto Madrid, eLearning Sub-Committee
CONTACT US IAOMS
5550 Meadowbrook Industrial Court, Suite 210, Rolling Meadows, IL 60008 U.S.A. 1.224.232.8737 / communications@iaoms.org
Letter from the Editor HOW I SEE IT
w
ith the celebration of ICOMS Melbourne, we have come full circle. It was during the Barcelona conference in 2013 that Piet Haers asked me to accept the challenge of editing the newsletter of IAOMS. In those two years we have tried to reflect the hectic activity of the association: the arrival of our Executive Director Pierre Desy, the new e-learning program or our struggles to arrive worlwide with education.
And then came Melbourne. ICOMS is the main and most central event in the life of IAOMS. Again, this time under the direction of David Wiesenfeld, it has been an enormous success and the best propaganda for the association: a solid scientific program, perfect logistics and organization, a fantastic breeding ground for professional networking. All the necessary factors not only to maintain the loyalty of our members, but also to recruit new maxillofacial surgeons not yet affilated to IAOMS. The invitational conference held immediately before ICOMS was also an open window to progress and evolution of the association, and if I had to summarize its content I would do it in three words “members focused management”. So now after two years of Piet Haers leadership, the helm changes hands. It is Julio Acero´s turn now: he will be in the lead with new projects for a better, bigger and more succesful association. Javier González Lagunas EDITOR IN CHIEF
December 2015
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“ICOMS is the main and most central event in the life of IAOMS”.
CONTENTS December 2015 13 SPECIAL REPORT
Good bye ICOMS. Melbourne 2015.
NEXT GEN 20
Australia Photoalbum.
24 SO YOU WANT TO WORK IN... .
Australia
FELLOWSHIP
26
From Sudan to Beijing.
28 FROM PROUST TO PIVOT Je Uk Park. 30 COPY ME
Computer-aided operation planning for alveolar distraction.
24 HOURS
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A day in the life of a maxillofacial resident in Netherlands.
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BEYOND THE OR
SWOT ractice p r u o y r o exercise f l u f e s u A
IAOMS IS LIKE FAMILY Pierre Désy IAOMS EXECUTIVE DIRECTOR
I
COMS was a success because of you. You traveled from all corners of the world to make your attendance matter by sharing your experiences and insights while increasing our awareness around emerging challenges in the specialty. You empowered your colleagues with knowledge, excitement, enthusiasm and you started the conversation, expanded on developing ideas, embraced colleagues from the past and shook hands with future relationships and collaborations. This issue of Face to Face is centered around providing you the highlights from ICOMS. I want you to use this issue of F2F as a jumping off point. Let’s expand on ICOMS and inspire those who did not have the chance to attend- let’s start a new conversation. Share your enthusiasm, your pictures and your stories about ICOMS on Facebook or Twitter. Tell us what are your key takeaways from the conference and how you’re integrating these concepts in your practice. Remember to use #ICOMS2015 in your posts - let’s inspire others to join the IAOMS family and attend ICOMS every two years? There are always many people to be thanked after such a big endeavor. First, thank you to David Wiesenfeld and the Australian and New Zealand Association of Oral and Maxillofacial Surgeons for their gracious hospitality
and unrelenting support of IAOMS. Thank you to those surgeons who participated in the Invitational Conference, those that presented research papers and poster sessions, and those that honored us as keynote speakers. A thank you to those who served on the organizing and scientific committees, as chairs, and as patron for making the international conference such a great success. Thank you to Waldron Smith Management for all their hard work and organizing the perfect backdrop for our surgeons to absorb/gain knowledge, socialize and discover Melbourne. Finally, thank you to the IAOMS staff team for their relentless commitment to improving your overall ICOMS experience and contribution to the success of the conference. I hope the pictures and stories you find here and on social media will motivate you to attend the 23rd ICOMS in Hong Kong to be held from March 30 to April 3, 2017, under the chairmanship of Dr. Nabil Samman. I invite each one of you to attend and to bring one colleague who has not yet attended an ICOMS in the past. IAOMS is like family - a lifetime relationship with a sense of belonging. So share your enthusiasm, let’s empower the oral and maxillofacial community so that it can rise to the top and be the best that it can be. ■
www.iaoms.org/membership/renew
THE LAST REPORT... Piet Haers IAOMS PRESIDENT 2014-2015
I
am writing to you as I approach the end of my term as President of this exceptional association – a position that I have been honored to hold for two years. I think of how eager and enthusiastic I was when I wrote my first article for Face to Face as President. Now I am humbled by what we have accomplished, by all that we represent, and by everything that we are. To the world, we are the leaders of excellence in oral and maxillofacial surgery. To our members, we are the guardians of their history, a voice that gives direction and shape to their future, and a global resource for anyone with a passion for oral and maxillofacial surgery. This passion is at the heart of the Association and of everything that we do – not just ICOMS and our educational efforts, but also our day-to-day activities. IAOMS is an association that I have been proud to belong to since 1987, but for the last two years it has also been a place where I work. This has allowed me to see that passion in our members, every day, whether they have been with us for just a few months or for over 40 years such as Dr. Robert Cook AM, the Patron of ICOMS 2015-what a very powerful message that sends. Our Executive Director, Pierre Désy, and his talented team in the office, are part of the magic behind the scenes so to speak. Our home office is upgrading, improving, and working smarter and harder to bring our fellows and trainees the value they need in their membership. With progressive educational content, webinars,
advanced knowledge for specialist interest groups (SIGNs), a Trainee Journal (IAOMS NextGen), and the OMS Review course, all these pieces pulled together are making IAOMS relevant in this ever changing world. And change is happening at increasing speeds, one of the reasons why— relevance—is suddenly so important.
“...With the efforts made over the last two years, the Association is well positioned to reach even greater heights in the future, building upon its past changes and accomplishments.” 8 iaoms.org
December 2015
Part of that change as an Association is making IAOMS attainable worldwide to all registered oral and maxillofacial surgeons, allowing our specialty to have a stronger voice. Our previous bylaws had certain limitations that often resulted in colleagues not being able to join our Association. We have therefore made the necessary decisions in the Executive Committee and Council meetings in Melbourne to allow individual surgeons from all over the world to join IAOMS easily, based solely on providing evidence that they are lawfully registered as an OMF Surgeon, according to their national rules. We also want to promote the national associations in their own country, and will therefore inform them whenever someone from their country joins IAOMS. The Executive Committee and Council also accept that there may be more than one national association in some countries, and has therefore decided that there can be more than one affiliated national association, facilitating again access for all individual surgeons and all national associations to IAOMS. It was also decided to allow for more proportional representation
in Council. From now onwards there will be one councilor per national association, but these councilors will have increasing votes when they represent more fellows.
REPRESENTATION
FOR COUNCIL VOTING PER COUNTRY ACCORDING TO NUMBER OF IAOMS FELLOWS:
I am convinced that with the efforts made over the last two years, the Association is well positioned to reach even greater heights in the future, building upon its past changes and accomplishments. With ICOMS only a month and a half behind us, it remains the highlight of IAOMS’ activities every two years. David Wiesenfeld, Andrew Heggie, Jocelyn Shand, John Curtin and all their colleagues in the organizing and scientific committees together with Kate Smith and her colleagues at Waldron Smith Management, did a fantastic job and have organized a superb conference in terms of content, ceremonies and social activities. We owe them all of our gratitude and are grateful for the huge efforts they have made over the past two years have that have allowed all of us to participate in a most successful congress. For the very first time at an ICOMS, we enjoyed a whole afternoon of Foundation activities. This gave all participants the opportunity to show their engagement and give back our Foundation. I hope that this can become a tradition for upcoming ICOMS conferences. John Curtin and Larry Nissen deserve our gratitude for having pioneered these initiatives. Another first was celebrated in Melbourne, the inaugural convocation of the first Fellows of IBCSOMS. This is a truly historic achievement for our profession, as it symbolizes a worldwide fellowship in our profession set at the highest standards in terms of knowledge, but even more importantly in examination methodology. I hereby want to thank Dr. Mark Wong, all senators and examiners of the IBCSOSMS Board, as well as the Japanese Association of OMF Surgery,
>> C ountries with less than
20 IAOMS Fellows: 1 VOTE >> C ountries with up to 50
whom in partnership have transformed this ambition into a meaningful and real achievement, which will now roll out into other parts of Asia as well as other continents. Last but not least, I wish to thank Dr. Javier González Lagunas for his excellent work in upgrading our newsletter. It truly is a joy to read every single issue of Face to Face.
IAOMS Fellows: 2 VOTES
>> C ountries with up to 100
IAOMS Fellows: 3 VOTES
>> C ountries with up to 200
IAOMS Fellows: 4 VOTES
>> C ountries with up to 500
IAOMS Fellows: 5 VOTES
>> C ountries with up to
1,000 IAOMS Fellows: 6 VOTES
>> C ountries with up to
“I am humbled by what we have accomplished, by all that we represent, and by everything that we are.” It has been a great privilege and a great honor to serve IAOMS as President. I thank all of you as well as the Executive Committee members, Councilors and Fellows in all committees for your support and efforts. I especially would like to thank and mention Dr. Larry Nissen, Dr. Kishore Nayak and Dr. Bob Woodwards for their many years of service to our Association and whom now leave the Board of Directors. Together with them and the other Directors, these two years that I have served as President, have convinced me more than ever of the importance of the ideals and mission of IAOMS.
1,500 IAOMS Fellows: 7 VOTES
>> C ountries with up to
2,000 IAOMS Fellows: 8 VOTES
Olsson, the new Vice-President Elect, Dr. Gabriela Millesi and the incoming treasurer, Dr. Art Jee a successful tenure to the benefit of our profession and all fellows of IAOMS.
I wish all of you a happy Christmas and I wish the incoming President, Dr. Julio offer you my best wishes for the New Acero, the new Vice-President, Dr. Alexis Year. ■ December 2015
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GREETINGS FROM JULIO ACERO AS THE NEW IAOMS PRESIDENT FOR 2016-2017
TWO YEARS WHICH WILL BE FULL OF ENTHUSIASM AND NEW PROJECTS
F
eeling deeply proud at the time of taking over of new members, like our new Vice- president elect, Dr Piet Haers as the President of the IAOMS, G Millesi or our new treasurer, Dr Art Jee, as well as an two years after my election during the 21th excellent Executive Committee. But most important ICOMS held in Barcelona, I would like to will be your support and your continuous cooperation. express first of all my commitment to work for our society and its In my words during the presidential “I hope to be able members, which means to work for appointment ceremony in Melbourne, the progress of Oral and MaxilloI presented the general guidelines that to continue the Facial Surgery worldwide. I hope to we will develop during the next two excellent work done be able to continue the excellent years. The Mission of the International by the Presidents who Association of Oral and Maxillofacial work done by the Presidents who preceded me. My recognition to Surgeons is to improve the quality preceded me.” the work done by Piet Haers and and safety of healthcare worldwide also to Larry Nissen, Kishore Nayak through the advancement of patient and Bob Bobwards at the end of their service in the care , education and research in oral and maxillofacial IAOMS Board of Directors. Our society has progressed surgery. To implement this mission we need to have in many ways, the office has been reinforced with an adequate and sustainable structure, so we must our excellent Executive Director, Mr Desy, and the continue with the overall objective of consolidating IAOMS has achieved to be the global reference for the and improving the structure of the Office as well as specialty. But progress requires constant evolution and the bylaws and the rules and regulations which are the therefore there are many aspects that can and must base for the Association´s Governance. Beside this, we be improved. For this exciting journey we count on a will take a step forward approaching the Association magnificent Board of Directors with the incorporation to our members, who should be the center of the December 2015 iaoms.org 11
IAOMS. Knowing the opinion of our members will be the basis for the development of new projects through a survey which will be launched at the starting point of my presidency. Improving communication will be one of our major goals. I think the information is vital in today’s world and the IAOMS must be at the avant-garde of the process of sharing information about its projects among its members and to be present in every field where its presence could contribute to increase the knowledge about the Association and the Specialty. We are in the era of digital revolution and IAOMS has fully entered the digital world. We can’t miss this train!. The IJOMS is positioned among the most important Journals of our field and is also entering in the digital era. The Website will be renovated as a platform integrating different services of the IAOMS including e-learning program and other exciting projects. It is essential that the dissemination and promotion of Oral and Maxillofacial Surgery education not only from a scientific point of view, but it is also important to increase awareness and knowledge of the specialty among other knowledge among other professionals and to the general population. We have superb communication tools such as Face to Face, whose Editor in Chief Dr. Gonzalez-Lagunas as well as the Managing Editor at the Office, Lisa Markovic deserve our recognition. As it is well known through my work serving as the Chairman of the Education Committee and my activity developing multiple educational programs worldwide, I consider the critical importance of supporting Continuous Education worldwide as a unique tool aiming to the harmonization and the progress of the Specialty. My recognition and gratitude go to our Education Chairman, Rui Fernandes, for the great work he is doing in this field. Raising the scientific level of the specialty through education will contribute to improve the professional satisfaction of our members and to improve our patients’ care. We plan to maintain the international training programs, to expand the e-learning project and to explore the possibility to create new educational events such as IAOMS symposia in the year between ICOMS. These symposia would not only contribute to increase scientific knowledge 12 iaoms.org
“The progress and success of the IAOMS will only be possible with the contribution of all of its members” and promote membership, but also to facilitate the personal interaction between our members, especially the younger residents and specialists who are the future of the specialty. Promoting engagement with IAOMS and increasing opportunities young surgeons through our education, scholarships, etc. will be one of our main goals. Being the promotion of the scientific activities one of the primary objectives of the Society, one of its most significant landmark is the ICOMS, meeting point for all of us. I am sure that the 23rd ICOMS to be held in 2017 in Hong Kong chaired by Prof Nabil Samman will be one of the highlights during the period of my presidency. As you can realize, the project that we will try to develop during these two years is very serious and ambitious. For this endeavor, I am at your disposal and count on your cooperation. The progress and success of the IAOMS will only be possible with the contribution of all of its members, each one working from his or her position for the progress of Oral and Maxillofacial Surgery and for the benefit of our patients. Sincerely yours, Julio Acero PRESIDENT IAOMS 2016-2017
December 2015
special report
Good bye
special report
01
So you would like to organise an ICOMS?
By David Wiesenfeld
W
e have just finished ICOMS 2015 here in Melbourne. Although I have never experienced childbirth, numerous people have told me that running an ICOMS is very similar. The initial enthusiasm and good news that you have won the bid, followed by many months of planning, preparation, deciding whether to paint the room pink or blue and having all the clothes prepared. Finally, the big moment, it all happens and the day after both a sense of happiness and fulfilment, and disappointment that the biggest and best event of your life is over. Melbourne won the bid in Shanghai in 2009, 6 years before the big event. We assembled our organising committee, all enthusiasts; none of us had ever conducted a meeting as significant as ICOMS. The PCO was selected with a competitive tender process, ably assisted and guided by President Kishore Nayak. Kishore, Larry Nissen and Piet Haers all made visits to Melbourne to assess our facilities and progress. They were highly supportive and encouraging. We had our break even numbers set, very tight on the budget. The dream was to have at least 1300 delegates in the city that is as far away from the rest of the world as you can be. The committee met monthly, during the last 4 years, there were a few minor disagreements, a few spills and votes; we all had unity of purpose and saw the “greater good� rather than our individual dreams. The social events are central to the success of the meeting, the weather in Melbourne can be variable and there is always some risk in planning an outdoor event. We seized on the riverside for our Discover Melbourne Event. There was a reserve position for a marquee in case it rained. Everyone comes to Australia for the animals, so we decided to include some animal visitors in our opening ceremony and cocktail party. The gala dinner was held in the Great Hall of our National Gallery. Built at the border of the modernist 14 iaoms.org
December 2015
and brutalist architectural movements. It has grown into one of Melbourne’s significant landmarks, particularly the Great Hall with its famous stained glass ceiling. Conducting the scientific program is always a challenge, the push and pull of various people who wish to speak. Trying to find a balance between specialty interests, personalities, regions and nations. We finished with over 700 free papers, a great achievement for International Oral and Maxillofacial Surgery. The crescendo rose towards the end of October, endless checking of the weather sites, a few late speaker cancellations, who had to be replaced. No venue hiccups, thanks to the wonderful team at the Melbourne Convention & Exhibition Centre. A week before the opening; the delegates started to arrive. Nightly restaurant and dinner activities; meeting with old friends and making new friends. Finally after 6 years of planning, we opened to over 1700 delegates. If you were there, you will know what a great success the meeting was. For me it was the highlight of my professional career, seeing and hosting all of my friends and colleagues whom I had met during training and professional travels. I had the opportunity to work with a wonderful organising
committee, a very attentive PCO, Kate Smith from Waldron Smith Management always in control with a cool head. Knowing that I had the full support of Piet Haers and the Board of Directors in all of our decisions made it easy. So if you want to be the Chairman of an ICOMS, firstly find a wonderful city with outdoor ambience, plenty of government support and a modern venue packed with the latest IT. Cross your fingers for good weather, bring your friends and colleagues with you on the journey to form an enthusiastic organising committee, find an excellent PCO who can help you achieve the financial requirements for a successful ICOMS and start promoting. Looking forward to seeing you all in Hong Kong. Regards from summery Melbourne. â–
December 2015 iaoms.org 15
special report
02 Scientific
Achievement By Pedro F. Franco
Dear Colleges and friends, I am back in Texas and very nostalgic from all the camaraderie and warm feelings shared few days ago attending the 22nd International Conference on Oral and Maxillofacial Surgery (ICOMS) in Melbourne, Australia as a delegate. I would like to congratulate the scientific committee and the Australian and New Zealand Association of Oral and Maxillofacial Surgery for putting together an exceptional program with the latest topics, cutting edge technology, and current modalities in our specialty. The speakers coming from all around the world were superb. It is wonderful to see the globalization of the knowledge and the sharing of new ideas with colleges that are looking for the best way to treat their patients. The research presented at the main symposia, oral abstracts and e-posters were flawless and stimulating in order to continue in the same path for new discoveries and applications in our specialty. The scientific program was well balanced with vast variety of topics keeping the attendees always looking forward for more knowledge and discussion. The preconference workshops again were a hit and allow focusing on specific topics prior the main conference. These workshops also give the industry a chance to promote and show new trends with experience speakers and key opinion leaders. I would like to thanks Dr. David Wiesenfel Conference Chair and Dr. Andrew Heggie Scientific Committee Chairman for leading another successful conference. The venue, timing, social events, program, commercial expo and the Australian hospitality were fantastic. The presidential Lecture by Prof. Henning Schliephake was inspirational and the last day with the program” 16 iaoms.org
“The research presented at the main symposia, oral abstracts and e-posters were flawless and stimulating in order to continue in the same path for new discoveries and applications in our specialty.”
presentation from the masters” was the perfect closing with tons of energy, dynamics and stunning results. I was able to visit with old friends, meet new colleges, develop new friendships, acquire multiple surgical tips, and dream about new places to visit in the future to keep learning and improving my spirituality. I even had time to visit Sydney and run the oldest triathlon in Australia with my good friend and oral surgeon college Dr. David Hoffman in a quest that may take us few more years racing in every continent. Last, thanks to Drs. Piet Haers Past President and Julio Acero President of IAOMS for your leadership and guidance. I am looking forward to visit Hong Kong in 2017 and share multiple experiences with y’all. This is what IAOMS is all about! Warm regards. ■ December 2015
December 2015 iaoms.org 17
special report
03
ICOMS social events: A succesful meeting beyond science
By Mustafa Sancar ATAÇ
M
y relation to Australian culture goes back to 1986: when I met a guy in my secondary school who became my best friend for 5 years. He was born in Queensland as the son of a Turkish family and was sent to Turkey as an 11 years old child to be educated in his homeland. Every single summer he was going back to Australia: from there he sent me postcards is one word a post card or traditional symbols that belong to Australia. So the land of Australia was always a charming and wonderful land for me and a subject for my dreams. Since 2008 I have been serving as executive member for the Turkish Association of Oral and Maxillofacial Surgeons (TAOMS). It was one of the best experiences that I had when I got chance to attend the ICOMS in Shanghai, China in 2009 during which I made a presentation for Istanbul as candidate city to organize the ICOMS 2015 competing with Melbourne. It was an exciting but an honorable experience for me to stand in front of the executive members and to make the presentation but also a disappointing moment that Melbourne got it. With all these feelings and after a long journey I arrived to Melbourne, but I can tell you that the city and the meeting gave me a huge relaxing time that was worth the trip On 26th of October the conference begun with INVITATIONAL CONFERENCE with an important topic “PROGRESSING OMFS WORLWIDE THROUGH INNOVATION AND TECHNOLOGY” 18 iaoms.org
in which the future was discussed by speakers from Spain, UK, France, Mexico, Netherlands, USA sharing the idea of better understanding and taking into consideration the technology and young generation. Serving as councilor for Turkey I was again in attendance at the Council meeting with councilors and the Executive Committee during which I always admire the spirit of transparency. For the benefits of the IAOMS, the Council approved changes to the bylaws and rules and regulations to enhance the membership application process and ultimately push the association forward. The location of the ICOMS was excellent, and the Melbourne Convention and Exhibition Centre was very well organized and a suitable environment for this kind of event. It is located in the heart of the city. It was my fourth ICOMS since Shanghai 2009 and let me share with you that one of the best organizations throughout the all international events that I had been into. During the opening ceremony, we all experienced sensational moments, especially when listening to the Conference Chairman Dr. David Wiesenfeld. What a gentleman without any personal ego!. He respectfully recognized representatives of all communities, especially the the Aboriginal race of Australia. One of the touching moments during his speech was his emotional introduction Mr Robert Cook who is a pioneer and legendary member of our specialty. We all had lesson of “pacta sunt servanda” from Dr. Wiesenfeld. Also the December 2015
first cohort from Japan to pass the International Board examination (IBCSOMS) were introduced. All the scientific events beginning from invited lectures to poster presentation, from courses to oral presentation were vey well organized. The opening reception was held on the riverside and allowed us all enjoy the traditional cuisine, music and culture. Anyone from any culture could find something to do because of a variety of different possibilities during the whole evening and night. The gala dinner was one of the best entertainment events that I have experienced with a lot of fun watching the three tenors perform a comedy act as they captured the interest of all attendees. So, this was the one of the best organizations of ICOMS that I have experienced. I would like to thank the organizing committee and people of Australia for their kindness during the whole event. So, it took me almost 30 years to fulfill my australian adventure: from the postcards of my teen friend to ICOMS Melbourne including all the range of sensations that a human being can feel. Thank you. â–
NextGen
Australian photoalbum By Deepak Krishnan
“A picture paints a thousand words”...
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December 2015
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FOUNDATION CHAIRMAN REPORT
Th
A bi g
an
k
yo u
ICOMS 2015 A new beginning for the IAOMS Foundation It has just been a month since the close of the 2015 ICOMS in Melbourne, Australia, and the “dust” is just beginning to settle. To say that this event was outstanding would be an understatement; in that nearly 1,800 attendees were provided with an exceptional scientific program, vibrant social activities, in a perfect venue setting surrounded by outstanding weather. WHAT MORE COULD YOU ASK FOR???? To top all of that, the IAOMS Foundation had an unbelievably successful meeting that raised over $40,000 in direct donations, saw over 30 Fellows, spouses and friends join the Laskin Legacy Society for a commitment of $270,000 and held unique events that made a GREAT meeting even better!!!! A special note of thanks goes to John Curtin, whose diligent pursuit of planning the Foundation activities, resulted in a very special social program that allowed for fun, fellowship and also raised a significant amount of money for the Foundation. He, along with the Local Organizing Committee, chaired by David Wiesenfeld, are to be commended for a JOB WELL DONE. The memories of Melbourne ICOMS will be etched in the history of IAOMS and not soon forgotten. To John and the LOC, THANK YOU, on behalf of the Foundation. It is somewhat a bittersweet time for me, as my term as Chairman of the Foundation will end on December 31, 2015. To many of you, it will be a relief from my
22 iaoms.org
incessant requests for donations. For me, it will be a time to reflect on the last four years in pursuing my passion of securing funds for expanding educational opportunities through the programs of the IAOMS. To the many friends who have answered the call to donate to the Foundation, I thank you for your support. To those who have not donated, I hope that in the future, a spark of interest in a program can light a fire that will lead to many others understanding the importance of the Foundation in the funding of educational and research efforts of the IAOMS. As we look at the last two years, the Foundation has moved forward because of a dedicated Board, an enthusiastic staff and a willingness of generous donors to commit to significant pledges and gifts to achieve our goals. A few of the highlights include: ✔ Securing a $400,000 matching donation from KLS Martin Group, paid over 5 years – we have met the challenge in the first two years. ✔ Hiring a half-time staff member, dedicated to the Foundation. ✔ Exceeding $100,000 in annual donations for two consecutive years. ✔ Establishing a gift acceptance policy that conforms to industry standards. ✔ Publishing a definitive Annual Report.
December 2015
✔ Establishing the Daniel Laskin Legacy Society, currently with over 30 charter members. ✔ Defining recognition levels for donors. ✔ Quarterly targeted donation requests – regionally and nationally. ✔ Participated in Donation Tuesday – the day after Cyber Monday, for two years. ✔ Held educational sessions for Board and Executive Committee on “best practices” for foundations. ✔ Supported surgeon to surgeon education, Fellowships and the International Board for the Certification of Specialists in Oral and Maxillofacial Surgery.
IAOMS staff/family members have been beyond committed to the mission of the Foundation and we all owe them a big THANK YOU for their efforts. It has been a distinct honor to serve the IAOMS Foundation as its Chairman for the past four years. I believe I have left it in a better position for the incoming Chairman, Piet Haers; but there is still much to be done and I wish him well during his tenure. I thank you for this opportunity and I commit to continuing my fundraising efforts on behalf of the Foundation, as I am committed to its mission and am passionate about its continued future success. ■
✔ Planning the new “micro-site” for the Foundation on IAOMS.org. These efforts would not have been possible without the total dedication and commitment of our IAOMS staff, particularly Pierre Désy and Rupa Brosseau. Lisa Markovic and Veronica Noland have also played an important supporting role in these efforts. These
Larry W. Nissen IAOMS Foundation Chairman
The is proud to introduce the new Daniel Laskin Legacy Society Become a charter member of the The Daniel Laskin Legacy Society today. Through a minimum gift of $5,000 in a will or revocable living trust, or by making the IAOMS Foundation the beneficiary of a life insurance policy, a retirement plan or a charitable trust, they will have set aside a part of their estates to be placed in the IAOMS Foundation’s permanent endowment fund – a fund that will support our mission for generations to come.
Charter members of the Laskin Legacy Society will be honored at the upcoming meeting at ICOMS. For more information, please contact the IAOMS Foundation at 224-232-8737 or via email to rbrosseau@iaoms.org. Download the form at www.iaoms.org/foundation
Thank you to the following Charter members:
Julio Acero, John Cawood, Pierre Desy, Eric Dierks, Stephanie Drew, Paul and Di Duke, Edward Ellis III, Brett Ferguson, Howard Fisher, Gregory Grantham, Piet E Haers, John PW Kelly, Deepak Krishnan, Preethi Krishnan, Alejandro Martinez Garza, Elda Martinez, Christopher Muir, Kishore Nayak, Ashwini Nayak, Larry Nissen, Carol Nissen, Alexis Olsson, Susan Olsson, Raj Rawal, Nabil Samman, Henning Schliephake, Suzanne Stucki-McCormick, Robert Woodwards, Mark E Wong, J. David, Jr. y Caroline Johnson.
So you want to work... ...IN AUSTRALIA Background
By Dr Mehrnoosh Dastaran
Trainee in Oral and Maxillofacial Surgery, Final Year, Royal Melbourne Hospital Melbourne, Victoria
I
am a final year trainee in oral and maxillofacial surgery in Melbourne. I am here due to a combination of serendipity, intrepidity and goodwill. I am from the UK originally, and my stay here was never planned. Melbourne is Australia’s best kept secret- but not for long! The international conference of our association (ICOMS) this month promises to make the world fall in love with her.
There are approximately 300 Oral and Maxillofacial surgeons in Australia, practicing in both private and public practice. They service a population of 23 million, largely concentrated in the cities and urban areas. The scope of the specialty includes craniofacial trauma, orthognathic surgery, oncology and salivary gland surgery, oral pathology, temporomandibular joint surgery and cleft and craniofacial deformity. There is a strong emphasis on dentoalveolar and pre-prosthetic surgery, both in training and in practice. We certainly have not forgotten our roots in surgical dentistry.
The hurdles
In order to register and practice as an oral and maxillofacial surgeon in Australia you must be dually qualified and registered in medicine, dentistry and hold the OMS Fellowship of the Royal Australasian College of Dental Surgeons (RACDS) or its equivalent. Advanced surgical training is 4 years, and there are stringent criteria for entry, including at least two years of post-graduate medical practice, as well as including one year of surgery in general. Negotiating the Australian immigration requirements is a huge challenge in itself. Medical and dental registration and obtaining a visa to work are inextricably linked. As a UK national and UK trained doctor and dentist I was able register with the 24 iaoms.org
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Australian Health Practitioner Regulation Agency (AHPRA) once my degrees were verified with the Australian Medical and Dental Councils. Subsequent acquisition of Permanent Residency (PR) and citizenship also has strict requirements that are detailed on the Australian immigration website www. australia.gov.au. The caps and requirements for skilled migration are constantly changing and the details are also published on the website under a relatively new scheme entitled ‘SkillSelect’. The final obstacle for me now is to work to the end of my ten-year moratorium on Medicare benefits. Medicare is the public healthcare system in Australia; it reimburses patients for medical treatment by their doctors and specialists and provides for free medical care in public hospitals. As my medical degree was obtained abroad, I must work as a registered doctor for ten years before my patients claim these benefits. An exemption to the 10-year rule can be claimed if the practitioner chooses to work in a recognised area of need. These areas are defined by the Health Department, and may be in rural and regional centres, or suburban areas without services. There is no equivalent scheme for registered dentists currently.
The benefits Melbourne is a phenomenal multicultural city. I have lived in London, Bristol and Paris and can safely say that Melbourne is my favorite city. Aside from missing my friends and family immensely, the benefit of living and working here is that my life outside of work is so rich and full. For foodies and lovers of café culture, Melbourne is a delight. I have made a pact with myself not to visit the same place for brunch twice. The quality and variety of food make this impossible. The climate is conducive to an active and out-door lifestyle- snow is not too far away in winter and the waves and beaches are helpful on the forty-degree days. There is so much of Australia to explore, from the dry red earth of the centre to the lush green rainforests and national parks.
With Associate Professor Alf Nastri and his Synthes OMFS Orthognathic & Trauma Fellow, Ben Gurney- a lesson in orthognathics.
Why did
I stay
The Oral and maxillofacial community is cohesive, strong and I have some wonderful teachers and colleagues. Being a small and relatively niche surgical speciality, the scope of work in Australia appeals to me. In particular I enjoy the strength of training and practice in orthognathic surgery, dentoalveolar and pre-prosthetic surgery. Our ties with the general and specialist dental community are integral to our success and progression as a community, and we hold this in the utmost importance.
I have made good friends and have a surrogate family for when mine are not visiting. It has taken time, as it would for anyone who makes such a big move on their own, but I have laid down solid foundations for a life and career here in Australia. The prospect of it fills me with such excitement! ■ December 2015 iaoms.org 25
p i h s w o l l Fe
One-year fellowship at the Peking University School & Hospital of Stomatology, Beijing, People’s Republic of China, under the guidance of Professor Guangyan Yu.
From Sudan to Beijing Dr. Mohamed Aljezooli, Sudan
KLS Martin Fellowship in Oncology and Reconstructive Surgery
A
s an oral and maxillofacial surgeon in a developing country, the considerable number of patients with delayed diagnosis motivated me to do research about the general awareness of the scope of the specialty in my country (The perception of the scope of oral and maxillofacial surgery among healthcare professionals and medical students in Sudan).
D
uring my literature review search I found an article about IAOMS and its aims regarding training of maxillofacial surgeons. That brought me to become a member of the association, and I then applied to the fellowship program in maxillofacial oncology and reconstructive surgery. The day in which I received the letter awarding me the fellowship, will be carved in my mind forever.
T
he training program in Beijing University Hospital of Stomatology under supervision of Professor Guan Yang YU was the most important change not only in my professional 26 iaoms.org
life but also a personal one. I have been deeply exposed to the advanced method of maxillofacial reconstruction using free tissue transfer and computer assisted reconstruction with navigation tools. I assisted in several big surgeries as well as tissue harvesting for the first time in my life but with the cooperation of the department staff and teaching of department professors Becoming familiar with those advanced techniques. The most valuable and unique thing regarding the training program for any trainee in Beijing University Hospital of Stomatology is the large number of surgeries that are done on a daily basis. This is because of the hardworking and devoted nature of hospital medical and nursing staff.
B
esides the training program in the hospital I participated in several workshops held by the department and attended many lectures by world famous surgeons in oral and maxillofacial surgery take out in the world visiting the hospital. I had the opportunity also to participate in a “hands on cadaveric course of fibula harvest”for maxillofacial reconstruction. December 2015
“
T
he hospital is a destination for students and surgeons from all over the world, so I had the opportunity to meet people from different parts of the globe with many different backgrounds. We did not discuss only the surgeries and experiences, but also our personal beliefs, traditions and culture. By the end of the program I had made a lot of new friends from different countries.
B
esides the beautiful nature of China the hospitality of the Chinese people added more attractionto the fellowship there. The staff treated me very kindly and they are very helpful. We went out for many social activities and they were always around when needed. Finally we became close friends and I still remember in my ears the words of Professor YU asking me to consider China as my second homeland. Also, I will not forget the music they played in the operation room in my last day to say goodbye.
“
“The hospital is a destination for students and surgeons from all over the world so I had the opportunity to meet people from different parts of the globe with different backgrounds. We did not discuss only the surgeries and experiences, but also our personal beliefs, traditions and culture”.
I N
would like to thank IAOMS for this wonderful year in my professional life. I have returned to my country filled with enthusiasm to pass the knowledge I have learned among my colleagues in Sudan for improvement of maxillofacial surgery service. ot enough words are found to express my gratitude to the Department of Oral and Maxillofacial Surgery at Beijing University Hospital of Stomatology. Finally I must give my most special thanks to professor Ping Xin for his continuous help and support during my fellowship. ■
From Proust to Pivot
AN APPARENTLY INNOCENT QUESTIONNAIRE FOR ORAL AND MAXILLOFACIAL SURGEONS You’ve heard of the Proust Questionnaire Adapted and made famous in the back pages of Vanity Fair Magazine, it was named not for questions, but for the answers given by Marcel Proust to a set of questions asked by his friend Antoinette Faure. Then, for many years Bernard Pivot conducted a cultural program in french TV called “Apostrophes”. All his guess received the same 10 questions at the end of the interview So, in Face to Face we thought that being oral and maxillofacial surgeons human beings as the rest, those questionnaites were a great method to let us know some personality traits of our interviewed. Enjoy, and compare their answers with those of celebrities!!!
Je Uk Park If Heaven exists, what would you like to hear God say when you arrive at the Pearly Gates?You`ve done well.
What is your favorite word? Passion. What is your least favorite word? Disgrace.
What is your idea of perfect happiness? A beer after 18 holes.
What is your favorite drug? Compliment.
What is your greatest fear? Sudden crippling.
What sound or noise do you love? Piano sound.
What is the trait you most deplore in yourself? Stubbornness.
What sound or noise do you hate? Cacophony. What is your favorite curse word? Chaiss.
What is the trait you most deplore in others? Misunderstanding.
Who would you like to see on a new banknote? Nicole Kidman. What profession other than your own would you not like to attempt? Sailor.
If you were reincarnated as some other plant or animal, what would it be? A flower(rose). 28 iaoms.org
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Which living person do you most admire? Pope Francis. What is your greatest extravagance? Shoes.
What is your current state of mind? Turmoil and calmness. What do you consider the most overrated virtue? Money. On what occasion do you lie? White lie for the goodness of others.
What is the quality you most like in a woman? Gentleness.
What is your favorite occupation? Pro-golfer.
Which words or phrases do you most overuse? I know but...
What is your most marked characteristic? Honest.
What or who is the greatest love of your life? My family.
What do you most value in your friends? Camaraderie.
When and where were you happiest? Evening dinner table at home.
Who are your favorite writers? J. K. Rowling, author of Harry Potter and a Korean writer.
Which talent would you most like to have? Sociability.
Who is your hero of fiction? S.H. Choi (korean) and Harry Porter.
If you could change one thing about yourself, what would it be? Curled hair.
Which historical figure do you most identify with? Livingston.
What do you consider your greatest achievement? A Son and a daughter. If you were to die and come back as a person or a thing, what would it be? A man.
Who are your heroes in real life? Ghandi, Obwegeser and J.H. Park (Past Korean president). What are your favorite names? John. F.Kennedy, Inbee Park(number one woman golfer), and Honaldo.
What do you most dislike about your appearance? Retreating hairline.
Where would you most like to live? At warm and clean city (Hawaii in USA or Jeju Island of Korea).
What is it that you most dislike? Lie.
Which living person do you most despise? Chief of ISIS.
What is your most treasured possession? My house.
How would you like to die? Like sleeping.
What is the quality you most like in a man? Perseverance.
What do you regard as the lowest depth of misery? Deceived.
What is your motto? Everything is dependant on your thinking. â–
December 2015 iaoms.org 29
What is your greatest regret? 2017 ICOMS.
Copy Me COMPUTER-AIDED OPERATION PLANNING for alveolar distraction Computer-aided operation planning for alveolar distraction is considered to be useful in problematic cases requiring an extremely precise osteotomy due to the lack of any bony space.
1 CHIE YANAI, DDS. PhD. FIBCSOMS Professor, Division of Oral Implant, Nippon Dental University Hospital 2-3-16 Fujimi, Chiyoda-Ku Tokyo 102-8159 Japan
Post-traumatic atrophy of the alveolar ridge in the anterior maxilla and mandible.
3 2
We developed a CT-based planning tool, creating a 3-D reconstruction of the jaw. Using Mimics, various procedures of virtual cutting are first simulated to determine optimal osteotomy lines in order to design an ideal transport segment. Then, a splint is made to transfer the planned surgical simulation to the OR.
Computer-aided operation planning for alveolar distraction. 30 iaoms.org
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4 Preoperative CT Scans.
5
A 3-dimensional osteotomy guiding splint was set up on the anterior maxilla for guiding the osteotomy. Bi-directional alveolar distractor was fixed to the anterior surface of the alveolar bone after a box-shaped osteotomy.
6
Active distraction is started 10 to 14 days after the operation. The bony gap is widened at a rate of 0.25 to 0.5mm/day. December 2015 iaoms.org 31
††
Copy Me COMPUTER-AIDED OPERATION PLANNING for alveolar distraction
7
A temporary denture was used during active distraction. We develop a special form of fiberreinforced hybrid composite provisional prosthesis. This prosthesis is fixed to the adjacent teeth in the esthetic area during consolidation period.
8
After a 3 month retention period, the distracters were removed. Dental implants have been inserted in the maxilla and mandible.
9
Intraoral view and panoramic radiography 1 year after final prosthesis.
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In memoriam PROF. SIEGFRIED WUNDERER 1917-2015 By Dr. Gabrielle Millesi
I
n September 2015, one of the pioneers in Oral and Maxillofacial Surgery, Professor Siegfried Wunderer, passed away at the age of 98 years. After the war he started his career at the University of Vienna in the surgical department (Maxillofacial Surgery), under the leadership of Pichler and later Ullik. Since there was a lack of workforce and a high need for surgical treatment, Professor Siegfried soon gained practical skills while he attended dental school. In 1953 Wunderer went to Great Britain where he mainly practiced in plastic surgery. His PhD theses in 1957 was on fibrous dysplasia, but following that he mainly concentrated on orthognathic surgery. He became Chief of the Department of Oral and Maxillofacial Surgery in 1973 and retired in 1987. Professor Wunderer was a “Sir” and he will stay in our memories with his technique of anterior maxillary segmental procedure, published in 1962. This picture was taken in 2011, Professor Wunderer was my first Chief when I started my training at the University of Vienna in 1987 in May. He retired in the fall of that year. ■
Professor Wu nderer and Dr. Gabriele Mil lesi, 2011
December2015 2015 iaoms.org 33 December
Hours A DAY IN THE LIFE OF A MAXILLOFACIAL RESIDENT IN NETHERLANDS By Dr. Nico B. van Bakelen, MD, DMD, PhD, and resident Oral & Maxillofacial Surgery (OMFS) of the University Medical Center Groningen, the Netherlands.
I
n our clinic the 4 year residency program is made up of different internships, most of them ranging from 3-6 months. Besides the full range of OMFS, research is one of the key issues in our university hospital. Currently, I am working as the resident of OMF traumatology, combining this with developing new research paths.
6:30 a.m.
Wednesday morning. The alarm goes off and I rise to check my e-mail while brushing my teeth. After taking a quick shower, and a bowl of yogurt, I take my bicycle and leave for the hospital at 7:00 a.m.
Dr. Nico B. van Ba kelen
7:20 a.m.
I arrive at the hospital and check if there are any new trauma patients that came in last night. A patient with a mandible fracture just came in two hours ago, and is still waiting in our ward to be operated upon. Together with both my supervising OMF traumatology surgeons we check his medical records, and talk to my colleague resident who was on duty last night. There is no ‘left over time’ on the busy operation schedule this morning, but hopefully the anesthesiologists will find a place for him this afternoon.
7:45 a.m.
On the ward we talk to the patient. He is already informed about the procedure and gave informed consent. We let him know that hopefully there will be time to operate him this afternoon. 34 iaoms.org
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8:00 a.m.
My morning program consists of dental alveolar surgery cases. After showing how to remove a few wisdom teeth to one of our dental student residents, I let her perform the next two extractions. With a few instructions she manages to remove them all by herself very quickly. Next there is a patient that needs an apical resection of element 36. My new headlight combined with my magnification loupes gives me clear view and make the procedure very easy. The program ends with a biopsy of a suspected lesion of the lateral tongue. I finish the paper work and head for a lunch with my colleagues at 12:15 p.m.
1:00 p.m.
In the afternoon there is the outpatient clinic for OMF traumatology patients. After seeing a few patients, at 1:30 p.m I get a telephone call from the anesthesiologists. He tells me that the patient with the mandible fracture will be in the OR within 10 minutes. Together with one of my supervising OMF traumatology surgeons I head for the operation theatre, and leave the outpatient clinic over to one of my other colleagues.
. m . p 5 1:4
We arrive at the OR and the ‘time out’ procedure is started immediately: to minimise complications/ mistakes the surgical procedure is talked through within minutes with an awake patient in the presence of all the operation participants. Hereafter, the anesthesiologists put the patient to sleep and the operation is started. Since I am in my first weeks of the traumatology residency, my experience in operating fractures is low, but with a few tips & tricks of my supervising surgeon I manage to complete the entire procedure on my own. After telephoning the patients family, the paper work is completed.
4:30 p.m.
I have a research meeting with a medical student. He is in his fourth year (first master year) of the study. We are planning an MD-PhD program for him; he is very eager and gives multiple research suggestions. I give him a few assignments and we make a new appointment for next week.
3:45 p.m.
Walking back to the outpatient clinic the telephone rings. Another trauma patient is just brought in to the emergency department. Together with our junior OMFS resident the patient is assessed: a solitary Le Fort-I fracture. There is an indication for surgery. Unfortunately, the anesthesiologists tells me that there is no room on the operation program before 11 PM. I call my colleague who is on duty for the evening and notify him.
5:30 p.m.
I study for a few hours for the upcoming trauma course in Davos (Switzerland) and take a quick bite in our hospital restaurant. At 7:30 p.m. I leave for home. After watching the evening news and reading a small article about biodegradable osteosyntheses, I head off to bed at 10:00 p.m.
December 2015 iaoms.org 35
Beyond OR
SWOT
A USEFUL EXERCISE FOR YOUR PRACTICE
By Javier GonzĂĄlez Lagunas
Y
ou have probably heard about the SWOT analysis. This acronym refers to an analysis of the Strengths, Weakness, Opportunities and Threats that a company (or a person, an association, any project as a matter of fact) experiences. On the root of strategic planning of any corporation, SWOT is a simple and powerful tool leading to a better understanding of your project. It focuses on two areas: internal factors and external factors. When considering the internal factors, the company must focus on the areas that are within its range of control. The internal analysis gives its focus to the strengths and weaknesses of the business willing to establish a realistic snapshot of the company. Strengths are the advantages of your practice in the marketplace: are your partners competent in their jobs? Do you have the right network of referrals? Have you defined an unique proposition that sets your apart from the competitors? But also a thorough and sincere examination of the weaknesses of the company must take place. What is not functioning in your practice? Do you have the right number of assistants? Do they have the right skills? Is your practice in the wrong neighborhood? Are you a good leader? There are also some external factors that might affect the development of your practice, and you 36 iaoms.org
can analyze them with the last two features of SWOT: opportunities and threats. Those are aspects of business that are beyond the control of the company. Opportunities for the company include market growth in a particular segment of your activity, a positive public perception or an optimistic economic trend. Threats may be the most difficult to establish, but should be carefully considered. Threats can include local or national economic factors, changes in the public health regulations, or the entrance of new players in the battle for the patients. SWOT will allow a better understanding of your practice: why it works so well, or why it can never succeed in its current model. It will give you the tools to further explode your competitive advantages and distinguish (for good) your practice from the competence. Opportunities and threats analyses will help you to determine the current and long-term viability of your business plan. Some final recommendations before undertaking a SWOT: be realistic (it is no use lying to yourself), go through the process with other key players of your practice (they will probably open some windows that are closed to your eyes), and do not stop in the SWOT. This is just the beginning to design the strategy to build a better and more successful practice. â– December 2015