Event Program AOCMF Course Advances in Orbital and Periorbital Reconstruction (with Anatomical Specimens) an interdisciplinary approach

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1 Event Program AOCMF Course Advances in Orbital and Periorbital Reconstruction (with Anatomical Specimens) an interdisciplinary approach May 25-27, 2017 Vienna, Austria

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3 Welcome On behalf of AOCMF and your local and international faculty, I would like to welcome you to this AOCMF course. AOCMF is a worldwide multi-specialty community that serves as the voice and professional resource for craniomaxillofacial trauma and reconstruction. Our organization creates a forum for specialists who have common interests and enthusiasm in this field. It is our goal to encourage and inspire younger surgeons, such as residents, fellows, and early practitioners to pursue fulfilling careers in our field. Education has always been a major pillar in AOCMF. Currently, more than 2,500 surgeons participate in over 80 AOCMF courses held worldwide per year. AOCMF Education is committed to remaining in the forefron t of education and new developments as we strive to improve your educational experience with us. We hope that your experience with us over the next few days will result in the acquisition of new knowledge, skills and understanding, which will translate in to an improvement in the care that you are able to give your patients. We also hope that, after attending this course, you will wish to develop a longer term relationship with AOCMF and become a member of our community. Make this organization yours by bri nging in your opinions and ideas. Enjoy the camaraderie of our network and help us maintain and expand the preeminent position that AOCMF enjoys worldwide. Yours sincerely, Warren Schubert Chairperson AOCMF, International Board

4 Content 2 Mission 2 The AO principles 3 Welcome 4 Welcome by the Chairmen 5 Target participants 5 Learning objectives 5 Course description 5 Chairpersons 6 Faculty 7 Day 1, Thursday, 25 May Day 2, Friday, 26 May Day 3, Saturday, 27 May Event organization 10 Event information and logistics 10 General information 11 Event venue 12 Principles of AO Education events 13 Upcoming events

5 Welcome by the Course Director The orbit is probably the most challenging part for interdisciplinary work on different pathologies and deformities in the craniofacial skeleton. It is a key area for individual appearance and function of the visual sense, and it is a highly complex area of the facial skeleton. The advanced course on orbital and periorbital surgery will focus by lectures on reconstruction of the orbit in trauma at the first day and the second part will cover oncology and periorbital diseases. The third day will be a hands-on-cadaver laboratory training. It will provide a unique opportunity to perform the different approaches to the orbit and skull base region on non- fixated specimen. Additionally we will focus on virtual planning intraoperative imaging and navigation. We hope to enrich the discussion around the field of orbital surgery, which proves to be one of the spearheads in the AOCMF, educational events and focus on the interdisciplinary work with the different specialties, working in the orbit region. We look forward to welcoming you in Vienna from May 25 27, Yours sincerely Arnulf Baumann Course Director

6 Goal of the course The goal of the AOCMF course is to address reconstruction of the orbit in trauma, oncology, periorbital diseases and to practice the different surgical approaches to the orbit and skull base region on non -fixated specimen including the use of virtual planning, intraoperative imaging and navigation. Target participants Certified surgeons with a special interest in orbital surgery in the field of Ophthalmology, ENT Surgery, Neurosurgery, Oral and Maxillofacial Surgery and Plastic Surgery with 3 years or more practice experience. Learning objectives Upon completion of the course, the participant should be able to: - Describe the current knowledge about orbital surgery in primary and secondary orbital reconstruction in traumatic conditions and in the treatment of tumor diseases in the orbital region - Address the pathologies and patient problems using an interdisciplinary approach - Identify different materials, new procedures, and developments in orbital reconstruction - Perform the steps in a variety of orbit and skull base approaches - Apply the process of computer-aided planning and navigation - Course description This course is designed as a state-of-the art analysis of surgical challenges in the orbit region. This includes a focus, advanced discussion of the approaches to the orbit, materials and problems in trauma and post - traumatic deformities of the orb it. It will also cover the diagnosis and treatment of tumor and tumor -related diseases of the orbit and the skull base in an interdisciplinary treatment approach. The course consists of two parts as lectures, panel discussions on controversial topics and o n a hands-on-cadaver laboratory training with additional computer assisted planning and navigation.

7 Chairpersons Arnulf Baumann Course Director Medical University Vienna Vienna, Austria Nils-Claudius Gellrich Course Chair Medizinische Hochschule Hannover Hannover, Germany Regional Faculty Carl-Peter Cornelius Munich, Germany Christopher Mohr Essen, Germany Alexander Schramm Ulm, Germany Adrian Sugar Swansea, United Kingdom National Faculty ENT Christoph Arnoldner Vienna, Austria Dominik Riss Vienna, Austria Ophtalmology Guido Dorner Vienna, Austria Andreas Kuchar Vienna, Austria Julius Lukas Vienna, Austria Neurosurgery Christian Matula Vienna, Austria Radiology Stefan Nemec Vienna, Austria Radiation Oncology Karin Dieckmann Vienna, Austria Guest speakers Majeed Rana Hannover, Germany Ulf Liebegut Erlangen, Germany

8 Thursday, 25 May 2017 TIME AGENDA ITEM WHO 08:30-09:00 Registration 09:00-09:15 Welcome address, Introduction of the Faculty, AO History A Baumann 09:15-09:45 Anatomy of the orbit - from the surgeon`s view CP Cornelius 09:45-10:00 Radiological anatomy of the orbit and skull base S Nemec Part 1 Orbital Trauma Moderators: N-C Gellrich, A Baumann 10:00-10:20 Ophthalmological considerations in orbital trauma G Dorner 10:20-10:40 Surgical considerations in orbital trauma repair: when and how? A Baumann 10:40-11:00 Orbital fracture in pediatric patients Special considerations A Sugar 11:00-11:20 COFFEE BREAK 11:20-11:40 Approaches to the orbit CP Cornelius 11:40-12:00 Planning and simulation in orbit reconstruction A Schramm 12:00-12:25 Materials for orbital fracture repair and customized implant repair the definitive solution? 12:25-12:50 Naso-Orbito-Ethmoidal complex fractures management and telecanthus correction A Sugar CP Cornelius 12:50-13:00 DISCUSSION 13:00-13:45 LUNCH BREAK Part 2 Orbital Trauma Moderators: A Sugar, CP Cornelius :05 Follow-up of untreated orbital wall fractures: a second look A Sugar 14:05-14:35 Reconstruction of complex orbital wall fractures A Schramm

9 14:35-14:55 Ophthalmological aspects in secondary correction in the orbit, strabismus correction G Dorner 14:55-15:15 Complications and side effects of orbital fracture repair A Sugar 15:15-15:25 DISCUSSION 15:25-15:45 COFFEE BREAK Part 3 Graves Disease Orbital Trauma - Reconstruction Moderators: A Schramm, C Mohr 15:45-16:10 Ophthalmological aspects in treatment of Graves disease G Dorner 16:10-16:30 Surgical treatment of Graves disease A Baumann 16:30-16:40 Discussion 16:40-17:10 Orbital reconstruction: PSI versus preformed orbital mesh N-C Gellrich 17:10-18:00 Panel discussion: Orbital trauma of selected cases Panel: N-C Gellrich, A Schramm, G Dorner, A Baumann A Sugar, C Mohr 18:00 End of Day 1 Friday, 26 May 2017 TIME AGENDA ITEM WHO Part 4 Orbital trauma Reconstruction, Secondary Corrections Moderators: N-C Gellrich, A Baumann 08:00-08:25 Computer assisted orbital reconstruction and intraoperative navigation A Schramm 08:25-08:40 Intraoperative 3D imaging with mobile C-Arms (Siemens) U Liebegut :00 Secondary correction in orbital trauma- How to do it? C Mohr 09:00-09:20 Correction of soft tissue in orbital trauma N-C Gellrich 09:20-09:40 Discussion

10 09:40-10:00 COFFEE BREAK Part 5 Tumor and tumor-like lesions of the orbit Moderators: A Schramm A Baumann 10: Ophthalmological diagnostic considerations in orbital tumors J Lukas 10:25-10:45 Radiological aspects in orbit/skull base tumors S Nemec 10:45-11:15 Overview of different tumor entities involving the orbit and surgical treatment strategies C Mohr 11:15-11:35 Radiation of the orbit region K Dieckmann 11:35-12:15 Discussion 12:15-13:00 LUNCH BREAK Part 6 Tumor of the orbit/skull base Moderators: A Sugar, C Mohr 13:00-13:30 Approaches and reconstruction to the orbit region and skull base: Neurosurgical Aspects 13:30-14:00 Approaches and reconstruction to the orbit region and skull base: ENT aspects 14:00-14:30 Approaches and reconstruction to the orbit region and skull base: CMF aspects C Matula C Arnoldner N-C Gellrich 14:30-15:00 Discussion 15:00-15:20 COFFEE BREAK Part 7 Tumor- Reconstruction Moderators: A Schramm, A Baumann 15:20-16:10 Oculoplastic approach in reconstruction of eyelid tumors and consideration of the lacrimal pathway 16:10-16:40 Preservation vs. exenteration of the orbital content in orbital malignancies A Kuchar C Mohr 16:40-17:00 Evisceration, exenteration, timing, Ophthalmological aspects A Kuchar 17: Management of anophthalmos and microphthalmos with respect to artificial eye prothesis C Mohr

11 17:30-18:00 Panel discussion: Orbital Tumor of selected cases Panel: N-C Gellrich, C Mohr, A Kuchar, A Baumann 18:00 End of Day 2 Saturday, 27 May 2017, Anatomical Institute (Wet Lab Session) TIME AGENDA ITEM WHO Workshop of planning, navigation and practical exercises Moderator: Baumann, Cornelius, Gellrich, Mohr, Schramm, Sugar 08:00 10:20 Hands on image analysis, planning and navigation (Brainlab) M Rana 10:20 10:30 COFFEE BREAK and change to the Wet Lab 10:30-10:45 Approaches to the Orbit CP Cornelius 10:45 11:00 Technique for orbital reconstruction A Schramm 11:00-13:00 Practical demonstration and dissection under faculty guidance (with specimen): Workshop 1 - Transcutaneous incision and preparation of the orbicularis muscle - Transconjunctival incision / lateral cantholysis - Identification of the extraocular muscles - Orbital floor revision and inferior fissure identification - Orbital reconstruction with implant and control of implant position by 3-D imaging with C-Arm (Siemens) - Navigation and intraoperative control 13:00 13:45 LUNCH BREAK Moderator: N-C Gellrich, A Schramm 13:45-14: 05 Medial canthal ligament fixation CP Cornelius 14:05-14:15 Raising temporal and frontal flap, anatomy of the scalp CP Cornelius 14:15-15:45 Practical demonstration and dissection under faculty guidance (with specimen): Workshop 2 - Coronar incision with identification of the frontal branch and supraorbital nerves and pericranial flap - Preservation of the superficial temporal vessels - Medial canthal ligament fixation

12 15:45-16:00 COFFEE BREAK Moderator: A Sugar, A Baumann 16:00-16:20 Technical considerations in endoscopic and external approach to the orbit and frontal sinus C Arnoldner/ D Riss 16:20-16:40 Refixation of soft tissue N-C Gellrich 16:40-18:10 Practical demonstration and dissection under faculty guidance (with specimen): Workshop 3 - External ethmoidectomy and identification of the periorbit - Endoscopic approach - Reconstruction of the anterior wall and osteosynthesis, bone grafts - Refixation of soft tissue 18:10-18:30 Closing remarks, evaluation, certificates and end of course

13 Event organization AO Foundation AOCMF Sarah Groves Clavadelerstrasse Davos, Switzerland Phone Fax sarah.groves@aocmf.org AO funding sources Unrestricted educational grants from different sources are collected and pooled together centrally by the AO Foundation. All events are planned and scheduled by local and regional AO surgeon groups based on local needs assessments. We rely on industrial/commercial partners for in-kind support to run simulations/skills training if educationally needed. Event information and logistics AO Courses Austria Sylvia Reischl Phone: reischl.sylvia@ao-courses.com Event organization compliance In certain countries where AO has no office but offers educational events, the AO cooperates with third party companies to conduct local organization and logistics, as well as to communicate with participants in the local language. In these cases the AO has put rules and guidelines in place (Letter of Secondment, AO Foundation Principles of AO Educational Events) to ensure that this cooperation has no impact on the curricula, scientific program, or faculty selection. General information Event registration Please register online at: Event fee AOCMF Course Advances in Orbital and Periorbital Reconstruction Lectures only (May 25-26, 2017): 555,-- Full course (May 25-27, 2017): 1.110,-- Included in the event fee are conference bag with documentation, coffee breaks, lunch, course certificate. Attention: the number of participants for the full course is limited to 28 due to the wet lab capacities. European CME Accreditation An application has been made to the UEMS-EACCME in Brussels for CME accreditation of this event. Additionally an application has been made to the Medical Chamber of Austria Evaluation guidelines All AOCMF events apply the same evaluation process, either audience response system (ARS) or paper and pencil questionnaires. This helps AO CMF to ensure that we continue to meet your training needs.

14 Intellectual property Event materials, presentations, and case s tudies are the intellectual property of the event faculty. All rights are reserved. Check hazards and legal restrictions on Recording, photographing, or copying of lectures, practical exercises, case discussions, or any course materials is absolutely forbidden. The AO Foundation reserves the right to film, photograph, and audio record during their events. Participants must understand that in this context they may appear in these recorded materials. The AO Foundation assumes participants agree that these recorded materials may be used for AO marketing and other purposes, and made available to the public. Security There will be a security check at the entrance of the building. W earing of a name tag is compulsory during lectures, workshops, and group discussions. No insurance The event organization does not take out insurance to cover any individual against accidents, theft, or other risks. Mobile phone use Mobile phone use is not allowed in the lecture halls and in ot her rooms during educational activities. Please be considerate of others by turning off your mobile phone. Transportation Not provided to participants Dress code Casual Event language English Event venue Venue May 25-26, 2017 Gesellschaft der Ärzte Billrothhaus Frankgasse 8, A-1090 Vienna May 27, 2017 (Wet Lab session) Medical Univerity Vienna Anatomical Institute Währinger Strasse 13, A-1090 Vienna

15 AO Foundation Principles of AO Educational Events 1) Academic independence Development of all curricula, design of scientific event programs, and selection of faculty are the sole responsibilities of volunteer surgeons from the AO network. All education is planned based on needs assessment data, designed and evaluated using concepts and evidence from the most current medical education research, and involving the expertise of the AO Education Institute ( Industry participation is not allowed during the entire curriculum development and planning process to ensure academic independence and to keep content free from bias. 2) Compliance to accreditation and industry codes All planning, organization, and execution of educational activities follow existing codes for accreditation of high-quality education: Accreditation Criteria of the Accreditation Council for Continuing Medical Education, USA ( ACCME Standards for Commercial Support: Standards to Ensure Independence in CME Activities ( Criteria for Accreditation of Live Educational Events of the European Accreditation Council for Continuing Medical Education ( Events that receive direct or indirect unrestricted educational grants or in-kind support from industry also follow the ethical codes of the medical industry, such as: Eucomed Guidelines on Interactions with Healthcare Professionals ( AdvaMed Code of Ethics on Interactions with Health Care Professionals (advamed.org) Mecomed Guidelines on Interactions with Healthcare Professionals ( 3) Branding and advertising No industry logos or advertising (with the exception of the AO Foundation and AO Clinical Division) are permitted in the area where educational activities take place. Sponsors providing financial or in-kind support are allowed to have a promotional booth or run activities outside the educational area with approval from the event chairperson. 4) Use of technologies and products in simulations If case simulations are chosen as an educational method to educate skills, we only use technology approved by the AOTK System (AOTK) a large independent group of volunteer surgeons developing and peer-reviewing new technology (more information about AOTK, its development and approval process can be found on the AO Foundation website: 5) Personnel Industry staff is not allowed to interfere with the educational content or engage in educational activities during the event.

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