Program Schedule (Oral)

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1 Program Schedule (Oral) The scientific program is correct at the time of printing; however, the Program Committee reserves the right to alter the schedule as necessary. Monday, 14 September Controversy and Consensus in Craniosynostosis Treatment I; 1. Evaluate results in Single Suture Craniosynostosis? Chairs: Scott P. Bartlett (USA) & James Goodrich (USA) 8:00-8:16 Introduction from Chairs: Presenter: Scott P. Bartlett (USA), James Goodrich (USA) Controversy and consensus in the craniosynostosis treatment is continuous theme, and chairs are expected to present their perspectives from the standpoint of plastic surgery and neurosurgery respectively. 8:16-8: How is the developmental and mental prognosis? focusing on Scaphocephaly and Trigonocephaly 8:32-8:40 Discussion Speakers will discuss on the updated data of developmental delay and mental delay related with scaphocephaly and trigonocephaly focused on. Even if early surgery for these craniosynostosis is conducted, are developmental delay and!or mental delay noticed or not? For what does it happen? SY-1 MENTAL OUTCOME IN CRANIOSYNOSTOSIS SURGERY: Functional or esthetics? Presenter: Eric Arnaud (France) SY-2 Neurodevelopmental Outcomes insingle Suture Craniosynostosis:Emphasis onsagittal and Metopic Synostosis Presenter: Kathleen Kapp-Simon (USA) 8:40-9: Scaphocephaly surgery: Proper age and proper procedure-pi procedure, H procedure, Spring-mediated cranioplasty, Cranioplasty using by distraction, or one-staged total calvarial reshaping 9:04-9:12 Discussion This session will be debated on several operative procedures. Different procedures and different timing for the surgery are described. Controversial discussion is expected as for respective surgeons. If possible, some consensus will be welcomed concerning on the proper age and proper procedure. SY-3 Long-termneuropsychologicaloutcomes in sagittalcraniosynostosis Presenter: John Persing (USA) SY-4 Proper timing andextentofsurgery for sagittalsynostosis:are springsthesolution? Presenter: Marie-Lise C. Van Veelen (Netherlands) SY-5 TOTAL CRANIAL VAULT RECONSTRUCTION FOR SCAPHOCEPHALY: THE MELBOURNE TECHNIQUE Presenter: Anthony D. Holmes (Australia) 20

2 9:12-9: Endoscopic surgery and helmet therapy, Evaluate long term results based on optimal age and proper indication 9:28-9:36 Discussion We have alternative procedure of endoscopic removal of premature fused suture and helmet therapy for craniosynostosis patients. Long-term results will be expected. Can this procedure achieve much better results than other operative procedures. Much debate will be expected. SY-6 Minimally-invasivetreatmentofcraniosynostosis: evidence Presenter: Gary Rogers (USA) SY-7 Endoscopic-Assisted Craniosynostosis Surgery A decade of experience at a single institution Presenter: Mark R. Proctor (USA) 9:36-9: Reducing the risks of blood transfusion in craniosynostosis surgery 9:52-10:00 Discussion In craniosynostosis surgery, blood transfusion is often necessary. To reduce the risks of transfusion is very important issue in this surgery. Speakers are expected to present their tactic and technique to reduce blood transfusion. SY-8 Blood Conservation during Craniosynostosis Corrections Presenter: Jeffrey A. Fearon (USA) SY-9 Classic OpenCraniofacial Surgery Without Transfusion: A Novel Multi-Modal Approach. Presenter: Robert J. Wood (USA) 10:00-10:23 Coffee Break Controversy and Consensus in Craniosynostosis Treatment II; 2.How to evaluate results in Syndromic Craniosynostosis Chairs: Henry Kawamoto (USA) & S. Anthony Wolfe (USA) 10:23-10:28 Introduction from Chairs: Presenter: Henry Kawamoto (USA), S. Anthony Wolfe (USA) Two very experienced craniofacial surgeons are expected to make the discussion much interesting as commentators. 21

3 10:28-10: Proper timing for shunting and cranial expansion in early age. In which age is shunting definitely required and how is decided? 10:44-10:52 Discussion In ICH in syndromic craniosynostosis, shunting and!or posterior expansion to decrease ICH is required in early and very young child. Definite criteria would be reached by craniofacial neurosurgeons. SY-10 Treatmentofhydrocephalus what Presenter: Jayaratnam JayaMohan (UK) SY-11 Proper timing for shunting andcranialexpansion in infants Presenter: Irene M. J. Mathijssen (Netherlands) 10:52-11: Evaluate our results-middle and long term: Mono bloc distraction versus FOA followed by Le Fort III distraction 11:16-11:24 Discussion Since paradigm shift was noticed by early posterior expansion, monobloc distraction has been the champion widely. However, FOA followed by Le Fort III distraction is much safer procedure and hard to neglect, Are there any space for FOA followed by Le Fort III distraction in syndromic craniosynostosis? SY-12 Frontofacial monobloc advancement with internal quadruple distraction in 105 children Presenter: Eric Arnaud (France) SY-13 Monobloc distractionvslefort III with Subsequent Le Fort III Presenter: James P. Bradley (USA) SY-14 Separation offoaand following Le Fort III Midface Distraction to avoid retrograde infection Presenter: Kaneshige Satoh (Japan) 11:24-11: Surgical protocol in Pfeiffer type II, III to obtain better result of growth and development Surgical timing, how is first and where is assessed the final goal of surgery for this kind of severe Syndromic Craniosynostosis 11:40-11:48 Discussion In severe syndromic craniosynostosis, even if rigid surgical protocol is maintained in early and very young child, mental and developmental delay and the prognosis of future QOL is hardly promising. Speakers would be very expected to discuss the surgical timing of protocol, the assessment of the result, and final goal of the surgical treatment. SY-15 The evolving surgicaltreatment algorithmfor Pfeiffer Syndrome Presenter: Richard A. Hopper (USA) SY-16 Treatment Pathways for the ManagementofSevere Craniofacial Dysostosis Syndromes Presenter: Steven Wall (UK) 22

4 11:48-11: Facial Bipartion Distraction: What is the proper indication for FBD? Proper age for better result 11:56-12:00 Discussion Facial bipartition distraction is particular surgery for specified syndromic craniosynostosis. The speaker is expected to present the proper indication and proper age to get better result. SY-17 BipartitionDistractionfor the treatmentofapert Syndrome Presenter: David Dunaway (UK) 12:00-13:00 Lunch Controversy and Consensus in Craniofacial Distraction in the treatment of Craniofacial Microsomia and Associated Deformity I; 1. Improved Clasification of hemifacial microsomia for Pruzansky and Kaban System 2. Distraction in CFM children Chairs: Joseph McCarthy (USA) & John Polley (USA) 13:00-13: Improved Clasification of hemifacial microsomia for Pruzansky and Kaban System 13:08-13:11 Discussion Pruzansky and Kaban-Murray have established grading and typing system more than two or three decades ago. Current imaging technology has much advanced, and new clasification based on the treatment protocol is necessitated. The speaker is expected to present refined current classification for craniofacial misrosomia. SY-18 Classification of the Mandibular Deformity incraniofacial Microsomia using 3-dimensional CT Presenter: Scott P. Bartlett (USA) 13:11-13: Distraction is routinely done, when is the best timing, and how is done? and Long-term Results 13:41-13:51 Discussion Dr. McCarthy reported the clinical application of the distraction osteogenesis for the hypoplastic mandible in craniofacial microsomia in Since then, the technique has been popularized world wide including Japan. However, current reports do not support the application of distraction osteogenesis for craniofacial microsoia children. Here the pioneer surgeon and his followers are expected to present their treatment protocol and long term results using distraction osteogenesis for craniofacial microsomia. SY-19 Mandibular Distraction incraniofacial Microsomia: Indications,Timing, Methodology and Long-Term Follow-up Presenter: Joseph G. McCarthy (USA) SY-20 Presenter: Fernando Molina (Mexico) SY-21 Presenter: Dae Hyun Lew (Korea) 23

5 13:51-14: Preoperative, during, and postoperative orthodontic treatment, how are you doing? 14:07-14:15 Discussion In order to obtain excellent results using distraction oteogenesis, collaborating orthodontist takes a very important role. The co-workers with the speakers above are expected to present their protocol and long term results for the orthodontic management. SY-22 Long-termStability and Growth Following Unilateral Mandibular Distraction ingrowing Childrenwith Craniofacial Microsomia Presenter: Pradip R. Shetye (USA) SY-23 Orthopedic and Orthodontic Management for Patients UndergoingaDistractionOsteogenesis Surgical Procedure Presenter: Pedro E. Santiago (USA) 14:15-14: Distraction done, not routinely and Long-term results by internal devices 14:33-14:40 Discussion 14:40-15:10 Coffee Break In managing the craniofacial microsomia patients, distraction technique is not always advantageous depending on the type of the deformity and the age of patients. The speaker has reported and utilized his original internal device for over two decades. The surgeon uses distraction osteogenesis, but not routinely. He and his co-working orthdontist are expected to report the long term results of French series. SY-24 CRANIOFACIAL MICROSOMIA IN CHILDREN DISTRACTION DONE NOT ROUTINELY LONG TERM RESULT BY INTERNAL DEVICES Presenter: Patrick A. Diner (France) SY-25 CRANIOFACIAL MICROSOMIA IN CHILDREN DISTRACTION DONE NOT ROUTINELY LONG TERM RESULT BY INTERNAL DEVICES Presenter: Catherine Tomat (France) 24

6 Controversy and Consensus in Craniofacial Distraction in the treatment of Craniofacial Microsomia and Associated Deformity II; 3. Opponent of Distraction in CFM children 4. Treatment Protocol for Type III CFM 5. Microtia surgery in CFM children 6. Orthognathic surgery for CFM in adults Chairs: Yu-Ray Chen (Taiwan) & Kaneshige Satoh (Japan) 15:10-15: Opponent reason : surgeon and orthodontist respectively 15:30-15:40 Discussion Some surgeons have reported unsatisfactory results using distraction osteogenesis for craniofacial microsomia children. Some of them disagree the application, in particular for children. The surgeon and his co-working orthodontist are expected to report their clinical series and opponent reason for the distraction technique. SY-26 Mandibular DistractionOsteogenesis:WhatisAppropriate Timing inhemifacial Microsomia? Presenter: John W. Polley (USA) SY-27 Hemifacial Microsomia: TreatmentinAdolescence vs. Infancy and Childhood:Orthodontic Perspective Presenter: Alvaro A. Figueroa (USA) 15:40-15: Treatment Protocol for Type III CFM 15:48-15:52 Discussion The treatment of severe craniofacial microsomia Kaban-Murray Type III is very particular. Distraction alone can t obtain satisfactory results because of absolute deficiency of hard tissue. The speaker has treated severe deformity using microvascular bone transfer to craniofacial microsomia children for long. He is expected to report his treatment protocol and results for Type III children. SY-28 Presenter: Eric Santamaria (Mexico) 5. Microtia surgery in CFM children Microtia reconstruction is one of the specific surgeries, and often associated with the craniofacial microsomia patients. The current surgical technique for microtia has been reported and dispersed by Dr. Nagata. The speakers are expected to present the surgical timing and installment of the auricle to the proper position for craniofacial microsomia children. 15:52-16: How do you define the timing and procedure? Microtia reconstruction is one of the specific surgeries, and often associated with the craniofacial microsomia patients. The current surgical technique for microtia has been reported and dispersed by Dr. Nagata. The speakers are expected to present the surgical timing and installment of the auricle to the proper position for hemifacial microsomia children. SY-29 Our policy for auriculoplastytotreatpatients with microtia who havehemifacial microsomia Presenter: Takatoshi Yotsuyanagi (Japan) 25

7 16:02-16: Where and How do you put the new auricle? 16:12-16:22 Discussion SY-30 Systematic approach to the two-stage auricular reconstruction Presenter: Satoru Nagata (Japan) 16:22-16: Orthognathic surgery for CFM in adults 16:38-16:46 Discussion The maxillo-mandibular deformity is still the definite problem for craniofacial microsomia. The final orthognathic surgery is mandatory. The speakers who are talented with maxillofacial surgery are expected to report thier excellent technique by CAD!CAM and results of orthognathic surgery. SY-31 CRANIOFACIAL MICROSOMIA AFTER PUBERTY DISTRACTION OSTEOGENESIS STILL AN OPTION? Presenter: Patrick A. Diner (France) SY-32 Orthognathic Surgery for Hemifacial Microsomia inadults Presenter: Lim K. Cheung (Hong Kong) 26

What is Craniosynostosis?

What is Craniosynostosis? Craniosynostosis is defined as the premature closure of the cranial sutures (what some people refer to as soft spots). This results in restricted and abnormal growth of the head.