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6th Masterclass in Orthognatic Sugery

Duration: 4 days      CPD Points: 32

Day 1

We take you through our philosophy: How to analyse, how to provide the optimal design, how to sketch and plan by our own intellect without software programmes, an aesthetic face. The bedrock of doing this is through Orthognathic surgical techniques. The how to get beautiful and optimal aesthetic facial results using the combination of these techniques.

 

In the morning we start off with our facial analysis: There are very few angles and and very few measurements. We rather tune your sense of the aesthetic and your instinct for beauty and show you over the morning how to structure this for the planning to come. We demonstrate the aesthetic analysis of the face by our unit analysis but above all bring out your instinct of beauty to analyse and plan what you and the patient want to achieve.

 

In the afternoon we start with the hands-on planning techniques of facial restructuring. We demonstrate a relatively uniquely taught way of how to do this. We will go through three cases starting off with the design and construction of something seemingly basic to show you that there is more to the basics than one might think and to get the ordinary basics to be exceptional.

 

Day 2 & 3

We will continue building you up to the planning of the next seven cases on days 2 and 3. Interspersed between the cases, as appropriate to these, we will take you through the genioplasty, sagittal split osteotomy and Lefort I, by video and personal demonstration of techniques on CAD CAM cut life size stereo lithographic models of jaws. We are planning for every delegate to have these models to themselves which you can take away. We will show you details and nuances of the techniques and how the previous planning translates into practical application by the way the cuts are made. We will show you how the seemingly basic cuts are not that basic and how one can manipulate these to give different cosmetic results on the same patient depending on how these are designed and executed. These surgical nuances will be very useful to orthodontists as well and it will also demonstrate some of the inherent difficulties of software programmes in translating planning to what actually needs doing in the operating theatre.

 

Day 4

We will take you through surgical and planning tips for segmental cases, both maxillary and mandibular. You are also welcome to bring your own cases and we can help you plan these through what we have shown over the course. We let you go through and revise what has been covered and we will help you assimilate what has been covered.

 

Obstructive Sleep Apnoea cases and asymmetries are covered as well as almost all vertical and antero-posterior discrepancies. Cleft lip and palate/craniofacial anomalies are not the remit of this course.

 

We will go through what you need to know about model surgery. We will show you how surgery can be done without splints/wafers in many cases, using traditional but also computer enhanced custom made material: plates and splints.

 

Finally we will take you through a software planning platform available with KLS Martin who are also kindly sponsoring us. You will see by the end of the course how you can massively enhance your practice by what you will pick up, and how you can enhance the software programmes in common use with skills you will pick up and indeed the perils of using software planning programmes without knowing much of what we will cover.

 

We will demonstrate the power of software in what is in our opinion their real future: wafers and splints done accurately, reasonably cheaply and without the need of a laboratory.

Background of course presenters

Manolis Heliotis, Consultant Oral & Maxillofacial Surgeon, Northwick Park Hospital, London, UK

Carlo Ferretti, Consultant Oral & Maxillofacial Surgeon, Johannesburg General Hospital, University of the Witwatersrand, South Africa

 

The course has run very successfully for five years, hence why we repeat it with developments and refinements within our own practice. We are both surgeons whose core clinical practice is Orthognathic Surgery, but also with wide experience in trauma and pathology, implantology and TMJ surgery.

 

We both carry out some of the highest volumes of these procedures in our respective countries and teach the subject to surgical trainees and overseas fellows.

 

We have developed a relatively unique and tested way of doing this hands-on with people leaving the course feeling they can plan a case whether seemingly simple or complex and without the need of complex, expensive software programmes requiring upgrades and relicensing. We show you how in your office with a pencil you can plan and come up with life-changing aesthetic facial designs, custom done by you that you can share with your other MDT clinicians and your patients irrespective of what software platform they use. We show you how to use your inherent instinct of what is beautiful and aesthetically correct to plan and design facial outcomes, whether you are a surgeon or an orthodontist. The techniques, philosophy and step-by-step approach can be taken home, practiced and implemented in day-to-day practice without licence-dependent software programmes. Your licence is your professional registration and a reorganisation of what you already know into a fun and artistically aesthetic approach which is inherent in all of us. We give you a system to reorganise what you already have into being someone confident in executing transformative facial planning schematics in your own free time and own space.

 

We contest that not only is it essential that practitioners in this field have a grasp of how to be able to execute a comprehensive treatment plan by hand without the use of expensive software programmes, but that both seasoned clinicians or new trainees should be able to do this thoroughly before ever going onto any software programmes currently populating every unit in the country. We will be able to show you and you will appreciate the limitations of these once you go through the course. You will also be able to use these software programmes far more intelligently knowing what you can actually deliver. Whether orthodontist or surgeon, we will show you how the planning and design of various surgical techniques greatly affects the soft tissue changes we see and it is essential in particular if one is an orthodontist how to plan for these and appreciate whether technique A or B is suitable for a particular case. We have found through training people that trainees and specialist clinicians whether surgeon or orthodontist do not appreciate the inability of a software programme to translate the surgical cuts into transformative soft tissue results. We will show you how to pick this up, plan for it and implement it in your planning for an insightful and fulfilling practice.

 

Being active both in national health care services in large regional Maxillofacial Units and private practices, we are aware of the tension between service delivery and teaching. It takes time and effort to impart philosophy, approach and personalised step-by-step teaching of "how to actually do it". We do this over intensive sessions with experience built over years of successfully delivering this. Everyone also has a lot of fun. Manolis, being in the West End of London, sees patients coming from around the country and Europe for treatment. On average he does about 3-4 cases a week. Carlo has a similar profile in Johannesburg. We will show you what we do in our own practices which are high end and high quality reflected by the size of our practice. We limit delegates to about 22 people for the sake of being able to give as much individual attention as possible so you finish the course having gained substantial know how and practical skills in planning and executing cases.