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Part II: Facial Skin Cancers: Local Flaps to Reconstruct Skin Defects
Symposia
Part II: Oral Soft Tissue Defects: Soft Tissue Reconstruction of Intraoral Soft Tissue Defects With Local Flaps
Part I: Facial Skin Cancers: Diagnosis and Treatment Including MOHS Technique Alan S. Herford, DDS, MD, Loma Linda, CA
Joseph I. Helman, DMD, Ann Arbor, MI The complex characteristics of oral tissues require an individualized approach to different defects as well as the condition of the defective area (previous radiation therapy, previous trauma with significant scarring, etc.). Local flaps may include intraoral donor sites like the palate, the buccal fat pad, tongue, pharyngeal, or buccal tissue. Other loco-regional options may include the platysma flap, temporoparietal flap, temporal muscle flap, and nasolabial flap. The indications should be evaluated on the availability, pliability, and vascularity of the flaps, the arc of rotation, and the potential donor site morbidity associated with the reconstruction of the defect. References Helman, JI, Guest Editor. Multiple Authors. Soft Tissue Flaps. Oral and Maxillofacial Surgery Clinics of North America, 15:4;467-591, November 2003
The intent of this lecture is to familiarize our colleagues with the various means of diagnosis and management of facial skin cancer. Common types of skin cancers will be reviewed as well as biopsy techniques and treatment modalities. Surgical anatomy, proper surgical technique, and postoperative wound care will be discussed. Treatment will focus on flap principles and types of flaps available to the reconstructive surgeon for various locations of the face. The goal is to provide a better understanding of skin cancer and thereby, to allow for its early detection and treatment.
Part II: Facial Skin Cancers: Local Flaps to Reconstruct Skin Defects G.E. Ghali, DDS, MD, Shreveport, LA No abstract provided.
SYMPOSIUM ON THE OBESE PATIENT: ANESTHETIC, MEDICAL, AND PSYCHOLOGICAL CONSIDERATIONS Wednesday, October 10, 2007, 9:45 am–11:45 am
Anesthesia, Obese Patients, and Gastric Bypass Patients Errol Lobo MD, PhD, San Francisco, CA The number of morbidly obese patients who present for surgery has dramatically increased over the past several years. Not only has the number is surgeries for correcting obesity increased, but also the number of morbidly obese patients who present for other surgeries has also increased. This presentation will attempt to cover the following objectives. • Preoperative evaluation of the morbidly obese patients, including an assessment of the cardiac and pulmonary status and special consideration for examining the airway. • Physiology of the cardiac and respiratory system in morbid obesity and intraoperative challenges. • Sleep Apnea Syndrome. • Pain management for the morbidly obese patient. References Todd, D.W., Anesthetic considerations for the obese and morbidly obese oral and maxillofacial surgery patient. J Oral Maxillofac Surg, 2005. 63(9): p. 1348-53
AAOMS • 2007
Richards, T.A., A.D. Kaye, and A.M. Fields, Morbid obesity–a review. Middle East J Anesthesiol, 2005. 18(1): p. 93-105 Deutzer, J., Potential complications of obstructive sleep apnea in patients undergoing gastric bypass surgery. Crit Care Nurs Q, 2005. 28(3): p. 293-9
Obesity and Concomitant Medical Problems Stuart E. Lieblich, DMD, Avon, CT In evaluating the patient for office surgery the clinician often pays close attention to the specific medical issues associated with that particular patient. An understanding of the aspects of each individual’s medical and physical examination is needed to modify the care based on those findings. The presentation of an overweight patient should lead the clinician to consider specific medical issues. Patients that are overweight are further subclassified into the categories of overweight, obese and morbidly obese. Although some of these patients can be treated “conventionally” in the office further evaluation of their particular medical status is indicated. 3
Part II: Oral Soft Tissue Defects: Soft Tissue Reconstruction of Intraoral Soft Tissue Defects With Local Flaps
Part I: Facial Skin Cancers: Diagnosis and Treatment Including MOHS Technique Alan S. Herford, DDS, MD, Loma Linda, CA
Joseph I. Helman, DMD, Ann Arbor, MI The complex characteristics of oral tissues require an individualized approach to different defects as well as the condition of the defective area (previous radiation therapy, previous trauma with significant scarring, etc.). Local flaps may include intraoral donor sites like the palate, the buccal fat pad, tongue, pharyngeal, or buccal tissue. Other loco-regional options may include the platysma flap, temporoparietal flap, temporal muscle flap, and nasolabial flap. The indications should be evaluated on the availability, pliability, and vascularity of the flaps, the arc of rotation, and the potential donor site morbidity associated with the reconstruction of the defect. References Helman, JI, Guest Editor. Multiple Authors. Soft Tissue Flaps. Oral and Maxillofacial Surgery Clinics of North America, 15:4;467-591, November 2003
The intent of this lecture is to familiarize our colleagues with the various means of diagnosis and management of facial skin cancer. Common types of skin cancers will be reviewed as well as biopsy techniques and treatment modalities. Surgical anatomy, proper surgical technique, and postoperative wound care will be discussed. Treatment will focus on flap principles and types of flaps available to the reconstructive surgeon for various locations of the face. The goal is to provide a better understanding of skin cancer and thereby, to allow for its early detection and treatment.
Part II: Facial Skin Cancers: Local Flaps to Reconstruct Skin Defects G.E. Ghali, DDS, MD, Shreveport, LA No abstract provided.
SYMPOSIUM ON THE OBESE PATIENT: ANESTHETIC, MEDICAL, AND PSYCHOLOGICAL CONSIDERATIONS Wednesday, October 10, 2007, 9:45 am–11:45 am
Anesthesia, Obese Patients, and Gastric Bypass Patients Errol Lobo MD, PhD, San Francisco, CA The number of morbidly obese patients who present for surgery has dramatically increased over the past several years. Not only has the number is surgeries for correcting obesity increased, but also the number of morbidly obese patients who present for other surgeries has also increased. This presentation will attempt to cover the following objectives. • Preoperative evaluation of the morbidly obese patients, including an assessment of the cardiac and pulmonary status and special consideration for examining the airway. • Physiology of the cardiac and respiratory system in morbid obesity and intraoperative challenges. • Sleep Apnea Syndrome. • Pain management for the morbidly obese patient. References Todd, D.W., Anesthetic considerations for the obese and morbidly obese oral and maxillofacial surgery patient. J Oral Maxillofac Surg, 2005. 63(9): p. 1348-53
AAOMS • 2007
Richards, T.A., A.D. Kaye, and A.M. Fields, Morbid obesity–a review. Middle East J Anesthesiol, 2005. 18(1): p. 93-105 Deutzer, J., Potential complications of obstructive sleep apnea in patients undergoing gastric bypass surgery. Crit Care Nurs Q, 2005. 28(3): p. 293-9
Obesity and Concomitant Medical Problems Stuart E. Lieblich, DMD, Avon, CT In evaluating the patient for office surgery the clinician often pays close attention to the specific medical issues associated with that particular patient. An understanding of the aspects of each individual’s medical and physical examination is needed to modify the care based on those findings. The presentation of an overweight patient should lead the clinician to consider specific medical issues. Patients that are overweight are further subclassified into the categories of overweight, obese and morbidly obese. Although some of these patients can be treated “conventionally” in the office further evaluation of their particular medical status is indicated. 3