ACOMS REVIEW. The American College of Oral and Maxillofacial Surgeons. President s Message Volume VII, ISSUE III, 2015

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1 ACOMS REVIEW The American College of Oral and Maxillofacial Surgeons Surgical Excellence Through Education President s Message Volume VII, ISSUE III, 2015 Spring is finally upon us. For those of us on the East Coast, I think I can speak on behalf of us all when I say "thank goodness!" Spring is also a busy me for ACOMS. We just completed our annual handson cosme c surgery course (this year on faceli techniques) at LSU under the guidance of incoming President Dr. Jon Perenack, and our TMJ arthroscopy and total joint hands on course, held in Dallas this year, under the direc on of ACOMS Past President Dr. Joel Rosenlicht. Both courses were well a ended and, by all measures, a great success. Both courses also represented what ACOMS does best small, in mate, hands on courses that allow for close rela onships between the faculty and the par cipants. I found that my ques ons to the faculty at the faceli course were significantly improved by the fantas c jambalaya and red beans and rice we were sharing. If you have not a ended one of these courses before, I would highly suggest you try one next year. We also held our annual ACOMS ski mee ng this year in Aspen, led by ACOMS Immediate Past President Dr. Chuck Hasse. This was my first me at that mee ng and it was just spectacular. The speakers, who lectured early in the mornings and late in the a ernoons, were fantas c. The venue and the skiing were amazing. ACOMS is in the process of expanding this mee ng for next year and addi onal informa on will be posted soon. The ACOMS 36th Annual Scien fic Conference and Exhibi on will be held next month at The Ritz Carlton, Fort Lauderdale, Florida. As usual, I can promise you some great speakers and a terrific mee ng in a beau ful oceanside resort. As in the past, there will be informa ve pre conference symposia and exhibitors demonstra ng the latest technology for our specialty. This year we are delighted to have our Kurt Thoma Memorial Lecture presented by my good friend, Dr. Joe Niamtu. Registra on is s ll open for this mee ng but hotel space at the Ritz Carlton is going fast so I recommend that you sign up soon. Spring is a me when we all look forward to the future. Summer promises warm days and busy Fridays! ACOMS leadership uses this me to look forward. For ACOMS to remain relevant, our Commi ee on Con nuing Educa on and our Board of Regents meet regularly to evaluate future educa onal needs and plot the short and long term future of the College. (con nued on page 2) In This Issue: Resident Ar cles From the President Membership Call for Volunteers 1 Strategic Plan 2015 Annual Conference Boot Camp Prac ce Management

2 President s Message (continued) (con nued from page 1) Towards that end, the Board held a two day strategic planning session in January. On the next page, our Execu ve Director, Steve Kemp, has wri en a summary of the outcomes from that mee ng. It was exci ng to plan the next five years of the College and to review our accomplishments since our last strategic planning session in ACOMS is in the best posi on that it has ever been, both financially and educa onally, and the future of this organiza on is looking very promising. We are posi oning ourselves to provide our members with the best possible con nuing educa on that they need and want. We are here for you now, and it is clear that we will be here for you in five years. Whether at our Annual Mee ng next month or the ACOMS Recer fica on Review Boot Camp (May 30 June 1 in Rosemont, IL), or any of our mee ngs planned for the upcoming year, I hope to meet and welcome all of you to what ACOMS has to offer. Best Regards, Robert A. Strauss, DDS, MD Scien fic Abstracts Oral and poster scien fic abstracts for presenta on at the ACOMS 36th Annual Scien fic Conference and Exhibi on have been reviewed and authors have been no fied of their presen ng dates, mes, and guidelines. View the schedule of accepted abstracts online here. If you are an author of an abstract and did not receive a no fica on from ACOMS, please contact us at info@acoms.org. 2

3 The ACOMS Board of Regents and staff met in Miami in January to define strategic ini a ves that they agree will benefit the members and the College over the next three to five years. The strategic planning session was facilitated by Robert Harris, CAE, Ph.D., a thirty year veteran in the field of nonprofit management. To ensure alignment with the College and the profession, the mission of ACOMS was reviewed and reaffirmed. It remains The mission of the American College of Oral and Maxillofacial Surgeons is to enhance surgical excellence through educa on and to promote fellowship amongst oral and maxillofacial surgeons. To advance our mission over the next three to five years, the following high priority areas of ac on were affirmed. The strategic planning par cipants agreed that these issues require our a en on, focus, and ac on and will have significant and meaningful impact on our ability to realize our vision and deliver on our mission. I. Educa on and Life Long Learning Delivering educa on to serve the surgeon, resident, and pa ent. II. Membership Value Serving members and facilita ng opportuni es to serve colleagues. III. College Strength and Sustainability Maintaining a highly effec ve College. Under each high priority area of ac on the par cipants developed specific strategies and related objec ves. While me based, measurable statements of what will be done to support the achievement of many strategic goals remain to be set, the par cipants agreed that the hiring of a professional with exper se in accelera ng excellence in healthcare performance through the development of high quality educa on should be an immediate priority. Our management staff are recrui ng candidates for considera on at this me. We are very excited with the outcomes of our strategic planning and to further iden fy and carry out plans related to each high priority area of ac on. We aim to provide measureable benefits and value to our members and others in the oral and maxillofacial surgery community and towards compounding the effec veness of ACOMS in the years to come. To review the en re strategic plan, click here. Please feel free to provide us with your comments. Thank you, ACOMS Strategic Plan Steve Kemp, CAE ACOMS Execu ve Director

4 Dear Fellow Members and Friends: ACOMS warmly invites you to a end the ACOMS 36th Annual Scien fic Conference and Exhibi on, an educa onal and informa ve scien fic program focusing on contemporary implantology, treatment of TMJ disorders, facial cosme c surgery, and anesthesia, with at least four hours dedicated to each of these important surgical topics. The faculty of interna onally recognized speakers has been carefully selected for their surgical exper se and excep onal lectures. Whether you are an experienced surgeon or a first year resident, you will gain valuable informa on allowing you to enhance the quality of pa ent care that you provide. I hope that you can arrive early; pre conference symposia will begin at 8:00 AM on April 18 for those wishing to get the most out of the mee ng with even more educa on on surgical, scien fic, and professional topics. The program also includes oral and poster scien fic abstract presenta ons with cash prize for resident presenters. This year we will award the W. Harry Archer Award to a surgeon, teacher, author, and pioneer in facial cosme c surgery who has had a significant personal influence on my career: Joseph Niamtu III, DMD. As a speaker, Dr. Niamtu s charisma is beyond compare. His presenta on of the Kurt H. Thoma Memorial Lecture: My Profession is My Obsession: OMS is Not a Job, it is a Privilege, on Monday, April 20 is not to be missed. At each ACOMS Annual Scien fic Conference that I a end, I hear a endees remark that this mee ng is unique in the sense of community that it fosters. This in mate gathering promotes a congenial atmosphere where you can catch up with old friends, make new acquaintances, and interact with thought leaders in our specialty. It is my pleasure to invite you to the ACOMS 36th Annual Scien fic Conference and Exhibi on. Please do not hesitate to share any ques ons or comments that you may have about this mee ng, future events, or the College we are always looking for ways to serve you be er. Learn more or register now at Best Regards, Jon D. Perenack, DDS, MD Chair, ACOMS 36th Annual Scien fic Conference and Exhibi on 4

5 SPONSORSHIP OPPORTUNITIES ARE STILL AVAILABLE

6 Stay Sharp Obstruc ve Sleep Apnea: A Review Fielding A.F., Isaac A. March, 2015 Temple University Hospital Oral and Maxillofacial Surgery Sleep Apnea affects approximately 18 million Americans and has a prevalence of 3 7 percent of the popula on. Mul ple medical personnel are involved in the treatment of this condi on, primarily the Sleep Medicine Physician and peripherally, the Den st, Oral and Maxillofacial Surgeon, Otolaryngologist, and Cardiologist. The causes of sleep apnea are mul faceted and o en require a combina on of lifestyle altera ons and possibly surgical interven on. ATTENTION RESIDENTS: This new monthly segment in the ACOMS Review is your opportunity to share a case report or literature review with a na onwide audience. Ar cles must be 500 words or less and may not have been previously published. Residents whose ar cles are accepted in the newsle er will receive a royalty payment of $100. Visit cles to learn more or submit your ar cle. A Sleep Apneic event can be defined as a cessa on in breathing for greater than ten seconds, associated with a drop in oxygen satura on, that terminates with an arousal from sleep. An Hypopnea is a related event in which breathing does not completely cease, but is significantly reduced for greater than ten seconds, also associated with an xylem desatura on and an arousal from sleep. There are three types of sleep apnea: Obstruc ve Sleep Apnea (OSA), Central Sleep Apnea (CSA), and Mixed Sleep Apnea (MSA). Central Sleep Apnea (CSA) occurs when the central nervous system does not trigger the pa ent to breath at the appropriate blood par al pressure of CO 2. Apnea or shallow breathing occurs and o en no chest rise or accessory muscle use is observed, followed by hyperven la on (Cheyne Stokes breathing). Causes may include but are not limited to: brain trauma, Parkinson s Disease, stroke, conges ve heart failure, kidney failure, abrupt changes in al tude (15,000 ), opiate use and degenera ve changes in the cervical spine and skull base. Obstruc ve Sleep Apnea develops from relaxa on of upper airway musculature resul ng in obstruc on and reduced or complete cessa on of airflow. At risk groups include pa ents that are overweight (BMI 25 or greater), older men, post menopausal women, those with enlarged or retained adenoids and tonsils, rhini s, skeletal, and so ssue abnormali es of the head and neck, Down Syndrome, Crouzon s Syndrome, Apert s Syndrome, Endocrine disorders (i.e., Acromegaly and Hypothyroidism), and alcohol and tobacco users. Pa ents are encouraged to reduce or eliminate preventable risks for OSA, via weight reduc on and cessa on of alcohol use or smoking. Ar cles submi ed to the ACOMS Review are not subject to scholarly peer reviewed. Author(s) maintain responsibility for the contents of this ar cle.

7 Membership Get Involved and Make A Difference: Volunteer to Serve on an ACOMS Commi ee Serving on a commi ee is a great way to help shape the future of YOUR College, learn more about the organiza on, and meet your peers from across the country. Commi ee terms for the coming year will run from April 2015 through April Nomina ons and self nomina ons are now being considered. Commi ee on Con nuing Educa on (CCE): Develops guidelines and educa onal content and assists with coordina on of ACOMS mee ngs, courses, and other CE Events. Commi ee members must be available to ac vely par cipate in monthly one hour teleconferences and are expected to a end at least one mee ng or course within the one year term. Communica ons and Public Rela ons Commi ee (CPRC): Develops and monitors ACOMS outgoing communica ons, including development of content for the ACOMS Review newsle er, web and marke ng, event brochures, and forums for online educa on and interac on. Commi ee members must be available to ac vely par cipate in monthly one hour teleconferences and are expected to ac vely par cipate in online member discussions (coming soon). Finance Commi ee: Monitors the ACOMS budget, monthly financial statements, and investments, and reviews the annual audit. Commi ee members must be available to ac vely par cipate in quarterly one hour teleconferences and are expected to review financial statements by on a monthly basis. Membership Commi ee: Reviews new applica ons for Fellowship and Membership, plans and engages in membership recruitment and reten on campaigns, and develops new member benefit programs. Commi ee members must be available to ac vely par cipate in quarterly one hour teleconferences and are expected to ac vely engage in periodic outreach efforts for member recruitment and reten on. Nomina ng Commi ee: Brings forth and thoroughly vets candidates for Officer and Regent posi ons and makes recommenda ons to the Board of Regents for approval. Commi ee members must be available for three four teleconferences between November 2015 and February Previous Board or Commi ee experience preferred.

8 Early Registra on Rates End Friday, March 27 Kick Your Studies Into High Gear The third annual ACOMS Recer fica on Review Boot Camp is a comprehensive three day review of the en re scope of the oral maxillofacial surgical prac ce. With 10 hours of lecture and discussion each day, this intensive session is for oral and maxillofacial surgeons who are looking to get serious about their studies. Con nue Your Studies Through the Year A endees will receive PowerPoint slides and recordings of each session from the Boot Camp at no addi onal cost so you can con nue your studies throughout the year. The Convenience of Rosemont The DoubleTree O'Hare Rosemont is conveniently located just minutes from O'Hare Interna onal Airport, with frequent direct flights from most major airports. The DoubleTree is also located just steps from The Park at Rosemont, featuring dozens of dining and entertainment op ons for a endees. Online Registra on is Now Open at

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10 Prac ce Management Healthcare Liability Insurance Primer: The Claims Process By Michael Peters, OMS Preferred Roughly 700 oral and maxillofacial surgeons annually experience a claim a terrifying situa on for any doctor. Not only is there concern that your reputa on will be tarnished and your assets placed at risk, but there is a legi mate cost concern associated with the me you will likely spend away from your prac ce par cipa ng in your own defense. In this edi on of the Healthcare Liability Insurance Primer, we provide an overview of the claims process, highligh ng your obliga ons and what to expect. Upon no fica on of a poten al claim, it is impera ve that you immediately contact your healthcare liability insurance carrier; any delay could lead to defense vulnerabili es. Once no fied, your carrier will assign the claim to a claims manager who will contact you (likely within 24 hours) to open a claim file. The claims manager will review the claim against your policy. A meline of the events that led to the claim will be prepared, and per nent informa on such as pa ent medical records, treatment plans, and consent forms will be collected to aid in your defense. Addi onally, the claims manager should work with you to determine if the standard of care was breached during treatment. Standard of care can be breached without negligence (i.e. malprac ce) occurring. To prove negligence, the plain ff must establish (1) that you had a legal duty to care for the pa ent, (2) that you breached that duty, (3) that the breach caused the alleged injury, and (4) that actual damages resulted. All four elements must be met to establish malprac ce. If it doesn t appear that negligence can be established by the plain ff, your claims manager will no fy the plain ff that the claim doesn t have merit, and there is no intent to se le. Nevertheless, a lawsuit may s ll be filed by the plain ff. If so, the claims manager will hire an a orney to par cipate in your defense preferably one who has thorough clinical knowledge and experience defending healthcare professionals in the jurisdic on in which the suit is being tried. You will meet with your a orney in person to discuss the merits of the claim, and he or she will no fy the plain ff of your intent to fight the claim. The a orney will begin the discovery process and obtain relevant informa on from all par es involved in the claim. You and your a orney will begin preparing your defense for trial. The claims process will undoubtedly be a stressful experience for any doctor and his or her office. However, by carefully analyzing a healthcare liability company s level of claims exper se and claims closed without pay and trial win percentages, you will be able to quan fy the strength of your healthcare liability coverage and the team associated with protec ng your assets and reputa on. Have ques ons, feedback or sugges ons for future ar cles? us at oms@medpro.com or call MEDPRO x3536. Medical Protective is proud to collaborate with ACOMS as an affinity partner to provide members with a solution for their dental liability insurance needs. MedPro s120,000+ insureds have benefited from its unmatched financial strength, market commitment and claims expertise for over a century. 10

11 This Month In OOOO is the official journal of ACOMS and a complimentary benefit for our members. This month s issue of OOOO features a memorium to the late Dr. David Precious, authored by Dr. Bryan Bell, the new Sec on Editor for Oral and Maxillofacial Surgery: they give me all of these medical cocktails to treat the leukemia. I have had their cocktails and I have had red wine, and I like red wine much be er. David S. Precious Read the full text of this ar cle at Also in this month s issue: Assault related maxillofacial injuries: the results from the European Maxillofacial Trauma (EURMAT) mul center and prospec ve collabora on Paolo Boffano, Fabio Roccia, Emanuele Zava ero, et al Absent maxillary lateral incisor as evidence of poor midfacial growth in unilateral cle lip and palate Joseph Hardwicke, Purnima Chhabra, Bruce Richard Alveolar so part sarcoma of the oral and maxillofacial region: clinical analysis in a series of 18 pa ents Hong Wei Wang, Xing Jun Qin, Wen Jun Yang, Li Qun Xu, Tong Ji, Chen Ping Zhang Health related quality of life a er surgical treatment of mandibular fracture Leena Kaukola, Johanna Snäll, Chris an Lindqvist, Risto Roine, Harri Sintonen, Jyrki Törnwall, Hanna Thorén Please visit to access the journal online. 11

12 An that speaks volumes Happy 1-year anniversary to the first and only filler FDA approved to correct age-related volume loss in the midface in adults over Recipient of Allure magazine s 2014 Best of Beauty Breakthrough Award. Actual patient. Results may vary. JUVÉDERM VOLUMA XC injectable gel is indicated for deep (subcutaneous and/or supraperiosteal) injection for cheek augmentation to correct age-related volume deficit in the mid-face in adults over the age of 21. The most common side effects were injection-site tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching. They were predominantly moderate in severity, with a duration of 2 to 4 weeks. IMPORTANT SAFETY INFORMATION Do not use in patients with a history of anaphylaxis, presence of multiple severe allergies, or allergies to gram-positive bacterial proteins or lidocaine. Do not inject into blood vessels and/or use in vascular-rich areas. To report an adverse reaction, please call Allergan Product Surveillance at The safety for use during pregnancy, in breastfeeding females, and in patients with very thin skin in the mid-face has not been established. The safety in patients under 35 years or over 65 years has not been established. The safety in patients with scarring and pigmentation disorders has not been studied. Use with caution in patients on immunosuppressive therapy. JUVÉDERM VOLUMA XC should only be used by healthcare professionals with appropriate experience and knowledge about facial anatomy and product use in deep injection for cheek augmentation. Patients may experience late onset nodules with use. For more information, please see or call the Allergan Medical Information line at JUVÉDERM VOLUMA XC injectable gel is available by prescription only. Reference: 1. JUVÉDERM VOLUMA XC Directions for Use, Allergan, Inc. and TM marks owned by Allergan, Inc. Allure is a registered trademark and the Allure Best of Beauty award seal is a registered service mark of Advance Magazine Publishers Inc. APC03WT