Main Program

Program Schedule

Chairmen:
Prof. Mirco Raffaini (Italy)
Prof. Maurice Mommaerts (Belgium)

Invited Speaker:
Dr. Benito Ramos (Spain)

Course Director:
Simonas Grybauskas (Lithuania)

3 July (Monday)

4 July (Tuesday)

Program topics
(Advanced Techniques in Orthognathic Surgery)

Day 1

Session 1. Basic orthognathic surgery techniques. Safety first (08:30-10:00)
1. Bilateral sagittal split osteotomy (led by dr. Simonas Grybauskas and dr. Benito Ramos)

a. Surgical technique in detail. Do’s and don’ts.
b. How to avoid or manage complications:

i. Bad and unfavorable splits
ii. Condylar torque and TMD

2. Le Fort I osteotomy (single piece and multi-segment) (Led by dr. Simonas Grybauskas and dr. Benito Ramos)

a. Surgical technique in detail. Do’s and don’ts.
b. How to avoid or manage complications:

i. High fracture or tuberosity fracture
ii. Vascular and neurological complications

3. Genioplasty (Led by dr. Simonas Grybauskas)

a. Surgical technique in detail. Do’s and don’t’s
b. Chin wing osteotomy

Coffee break (10:00-10:30)

Session 2. Minimally invasive orthognathic surgery (10:30-11:45)
4. Minimally invasive approach in orthognathic surgery. (led by prof. Mirco Raffaini) (10:30-11:00)

a. Philosophy
b. Minimally invasive Le Fort I osteotomy without pterygomaxillary dysjunction
c. BSSO under local anesthesia

d. Endoscopically assisted BSSO (led by prof. Maurice Mommaerts) (11:00-11:45)

Discussion 11:45-12:00
Lunch (12:00-13:30)

Session 3. Advanced techniques (13:30-15:00).
5. Mandibular midline split for distraction, narrowing/widening (led by prof. Maurice Mommaerts) (13:30-14:15)

a. Surgical technique in detail. Tips and tricks.
b. How to avoid or manage complications:

i. Distractor design: bone-borne vs. tooth-born
ii. Fixation techniques

6. Re-do surgery. Specificity and challenges (led by prof. Mirco Raffaini) (14:15-15:00)

Coffee break (15:00-15:30)

Session 4. Contourplasty and facial feminization (15:30-17:30)
7. Mandibular angles contourplasty (led by prof. Maurice Mommaerts) (15:30-16:30)

a. Reduction techniques
b. Augmentation techniques
c. Patient specific implants
d. How to avoid and manage complications

8. Facial feminization surgery (led by prof. Maurice Mommaerts and prof. Mirco Raffaini) (16:30-17:30)

a. Mandibular feminization technique (20 min)
b. Full feminization in one or two steps (30 min)

Discussion 17:30-18:00
End of Day 1

Day 2

Session 5. Malar augmentation and fat grafting (9:00-10:15)
9. Malar augmentation and reduction (led by prof. Maurice Mommaerts) (9:00-9:45)

a. Malar bone osteotomy
b. Malar implants
c. Malar augmentation – HA particles, fat

10. Simultaneous fat grafting and fillers. Fat processing (led by prof. Mirco Raffaini) (9:45-10:15)

Coffee break (10:15-10:45)

Session 6. Simultaneous procedures with orthognathic surgery (10:45-12:20)
11. Simultaneous lip surgery (led by prof. Maurice Mommaerts) (10:45-11:35)

a. Lip augmentation techniques
b. Upper lip lift
c. Lower lip reduction

12. Orthognathic surgery with simultaneous rhinoplasty (led by prof. Mirco Raffaini) (11:35-12:20)

Discussion 12:20-12:40
Lunch (12:40-14:00)

Session 7. Cleft Orthognathic surgery. Condilectomy  (14:00-15:30)

13. Orthognathic surgery in cleft patients (led by dr. Benito Ramos) (14:00-14:45)

a. Surgical strategy in grafted and non-grafted maxillas
b. Soft tissue considerations

14. Condilectomy (led by prof. Mirco Raffaini and dr. Simonas Grybauskas) (14:45-15:30)

a. Internal vs. External approach (15 min)
b. Low and high condilectomy. Staged vs simultaneous (20 min)
c. Total joint replacement simultaneously with orthognathic surgery (20 min)

Coffee break (15:30-16:00)

Session 8. Timing of orthognathic surgery (16:00-17:30)
15. Timing of orthognathic surgery (led by prof. Mirco Raffaini and dr. Simonas Grybauskas) (16:00-16:30)

16. Orthognathic surgery in obstructive sleep apnea patients (led by dr. Benito Ramos) (16:30-17:30)

17:30-18:00 Discussion
End of meeting