ND INTERNATIONAL COMPREHENSIVE CLEFT CARE WORKSHOP

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2 ND INTERNATIONAL COMPREHENSIVE CLEFT CARE WORKSHOP October 16-18, 2019 Hilton Lima Miraflores, Lima, Peru PRELIMINARY PROGRAM

Conference MAP

Comprehensive Cleft Care Workshop 16, 18 October - Lima 2019 Day I OCTOBER 16 07:00 08:00 REGISTRATION AND WELCOME RECEPTION HUSCARÁN I, II & III ROOM 08:00 09:00 CONFERENCE OPENING Dr. Usama Hamdan Opening Session - Dr. Usama Hamdan Opening Session Dr. Fiorella Molinelli, Executive Chair, EsSalud Opening Session - Dr. Roberto Flores CLEFT CARE IN LATIN AMERICA LOOKING BACK OVER 40 YEARS - Dr. Carlos Navarro GLOBAL CLEFT CARE CONTEMPORARY CHALLENGES Dr. Nivaldo Alonso HUSCARÁN I, II & III ROOM 09:00 10:00 PRESURGICAL CONSIDERATIONS AND MANAGEMENT Dr. Usama Hamdan FEEDING AND NUTRITION (From Latin America) Dr. Maria Carmen Pamplona TRANSPORT/FOLLOW UP/OUTREACH Dr. Marcia Dosal TRANSPORT/FOLLOW UP/OUTREACH Dr. Cassio Raposo TRANSPORT/FOLLOW UP/OUTREACH Dra. Carmen Morovic 10:00 10:20 BREAK HUSCARÁN I, II & III ROOM 10:20 11:20 PRESURGICAL ORTHOPEDICS Dr. Ricardo Bennun Nasoalveolar Molding Dr. Pradip Shetye Latham device Dr. Elcin Esenlik Dynacleft with nasal prong Dr. Marcia Dosal Presurgical Orthopedic: No need -Dr. Marcus Collares 11:20 12:20 PRIMARY UNILATERAL LIP AND NOSE HUSCARÁN I, II & III ROOM Dr. Joseph Losee Fisher Dr. David Fisher Morovic Dr. Carmen Morovic Perry Dr. Percy Rossell Perry Mohler approach for unilateral cleft lip repair - Dr. Roberto Flores 12:20 13:20 LUNCH 13:20 14:20 HUSCARÁN I, II & III ROOM ( Surgery Dental) SALKANTAY ROOM (Speech and Language Pathology) PRIMARY BILATERAL LIP AND NOSE CHALLENGES AND INNOVATIONS Dr. Roberto Flores Mulliken approach for bilateral cleft lip Dr. Carolyn Rogers Normal anatomy of the oral cavity and velopharyngeal mechanism Title TBA Dr. Ricardo Bennun Types of clefts of the lip/palate and how they relate to embryological development Title TBA Dr. Carmen Morovic Otological and hearing problems associated with cleft palate Retrograde Dr. Cassio Raposo

14:20 15:10 HUSCARÁN I, II & III ROOM ( Surgery Dental) LATE PRESENTATION CHALLENGES AND INNOVATIONS Dr. Carmen Morovic Primary maxillary setback Brian Sommerlad Dr. Brian Sommerlad SPEAKER Effects of dental and occlusal anomalies effects on speech Dr. Ann Kummer 15:10 15:30 BREAK 15:30 16:30 HUSCARÁN I, II & III ROOM ( Surgery Dental) SALKANTAY ROOM (Speech and Language Pathology) CLEFT LIP SEQUELAE OF REPAIR Dr. David Fisher Classification System for Cleft lip revision Dr. Usama Hamdan Normal resonance and resonance disorders Type V revision: Bilateral Cleft Lip revisions Causes of velopharyngeal dysfunction (VPD) Cleft lip repair sequalae Dr. Carlos Giugliano Effects of VPD on speech Complications in Cleft lip repair Dr. Percy Rossell Perry 16:30 18:30 HUSCARÁN I, II & III ROOM ( Surgery Dental) CLEFT LIP SIMULATION Dr. David Fisher SIMULATION ROOM

Comprehensive Cleft Care Workshop 16, 18 October - Lima 2019 Day II OCTOBER 17 08:00 09:10 CLEFT PALATE REPAIR CHALLENGES AND INNOVATIONS PRE-SURGICAL INFANT ORTHOPEDICS Dr. Roberto Flores Furlow - Dr. Joseph Losee Sequencing and timing of Orthodontic treatment in patients with Radical IVV with vomer Flap Dr. Brian Sommerlad clefts - Dr. Pradip Shetye Buccal Flap Dr. Robert Mann NAM in UCLP - Dr. Pradip Shetye Extended nasal Z-plasty Dr. Marcus Collares Protocol for outpatient cleft palate repair Dr. Carlos Giugliano NAM in BCLP - Dr. Pradip Shetye 09:10 10:10 SPEECH AND HEARING PRE-SURGICAL INFANT ORTHOPEDICS Speech assessment and intervention Dr. Ann Kummer Alternatives to NAM and Post-surgical Nasal Stenting - Hearing assessment and intervention Dr. Krishna Patel Dr. Elcin Esenlik Nasoendoscopy and other imaging techniques Dr. Paul Willging Pediatric Dental Care in the management of patients with Clefts - VPI management without resources Dr. Maria Carmen Dr. Serena Kassam Pamplona (20 mins) 10:10 10:30 BREAK 10:30 11:40 VPI SURGERY - STANDARD TECHNIQUES ORTHODONTIC TREATMENT DURING MIXED DENTITION IN PATIENTS WITH CLEFTS (5-10 years) Dr. Carlos Giugliano Speech Therapy Perspectives Dr. Ann Kummer Pre-bone graft orthodontics for patients with UCLP Dr. Pradip IVV Dr. Brian Sommerlad Sheyte Furlow Dr. Joseph Losee Pre-bone graft orthodontics for patients with BCLP for pre-max Buccal Flap Dr. Robert Mann repositioning Dr. Pradip Sheyte Pharyngeal Flap + Sphincteroplasty Dr. Krishna Patel Outcome of secondary alveolar bone graft procedure Dr. Daniela Garib 11:40 12:30 VPI SURGERY INNOVATIONS AND CHALLENGES ORTHODONTIC TREATMENT DURING MIXED DENTITION IN PATIENTS WITH CLEFTS (5-10 years) Dr. Brian Sommerlad VPI treatment: Surgery, prosthetic device or speech therapy - Dr. Ann Post-bone graft Orthodontics Dr. Pradip Sheyte Kummer VPI surgery in the syndromic and older patient Dr. Carlos Giugliano Total Immersion speech camps for children with clefts Dr. Ma. Carmen Pamplona Free Flap Dr. Wieslawa Pawlikowski 12:30 13:30 LUNCH Maxillary Expansion in Pts with Clefts -RME/SME/EDO Dr. Daniela Garib

13:30 14:40 FISTULA SURGERY ORTHODONTIC TREATMENT DURING PERMANENT DENTITION IN PATIENTS WITH CLEFTS (10-18 years) Buccal flap - Dr. Robert Mann Dental Anomalies in patients with clefts Dr. Daniela Garib Tongue Flap TBA Local and Regional options for large fistulas Dr. Percy Rossell Perry Management of Impacted and missing teeth in patients with clefts (implant v/s substitute) Dr. Pradip Sheyte Free flap Dr. Juan Carlos Rodriguez Phase II orthodontics treatment - Dr. Pradip Sheyte 14:40 15:45 CLEFT PALATE SEQUELAE AND CHALLENGES ORTHODONTIC TREATMENT DURING PERMANENT DENTITION IN PATIENTS WITH CLEFTS (10-18 years) Adult VPI Dr. Carlos Giugliano Bone anchored Protraction Headgear Treatment Dr. Daniela - Dr. Brian Sommerlad Garib - Dr. Ricardo Bennun Early LeFort I and Alveolar Distraction Dr. Elcin Esenlik VPI Sequelae SOBRAPAR experience Dr. Cassio Raposo 15:45 16:00 BREAK 16:00 18:00 CLEFT PALATE SIMULATION ORTHODONTIC TREATMENT AFTER SKELETAL MATURITY (18+ years) Course Coordinators: Dr. Joseph Losee and Dr. Brian Sommerlad Cleft Palate Simulation Session Evaluation of Patient for orthognathic surgery and goals of presurgical orthodontics - Dr. Pradip Sheyte 2D surgical planning and Traditional Splint fabrication Dr. Pradip Sheyte 3D surgical Planning and CAD/ Cam Splint fabrication - Dr. Pradip Sheyte Orthodontic Preparation and post-surgical orthodontics for Surgery first protocol - Dr. Pradip Sheyte Adult cleft orthodontics - Dr. Pradip Sheyte

Comprehensive Cleft Care Workshop 16, 18 October - Lima 2019 Day III OCTOBER 18 08:00 09:10 ALVEOLAR BONE GRAFT THE ROAD TO SUCCESS I Dr. Rolando Prada Orthodontic Preparation Unilateral Dr. Pradip Shetye Perceptual evaluation of speech, resonance, and velopharyngeal function Autogenous bone graft Dr. Nivaldo Alonso Intra-oral examination Orthodontic preparation bilateral Dr. Pedro Santiago Overview of instrumental procedures Premaxillary Setback - Dr. Derek Steinbacher Post Bone Graft Orthodontics Dr. Pradip Shetye 09:10 10:00 ALVEOLAR BONE GRAFT TRENDS AND INNOVATIONS Dr. Pedro Santiago Alveolar Bone Graft without presurgical orthodontics Dr. Cassio Raposo BMP in Cleft Surgery Dr. Nivaldo Alonso Tissue Engineering Solutions Dr. Roberto Flores 10:00 10:20 BREAK 10:20 11:30 ORTHOGNATHIC SURGERY I PROTOCOLS AND PREDICTABILITY Dr. Nivaldo Alonso Dra. Ann Kummer Presurgical Orthodontics Dr. Pedro Santiago Nasometry: How to do it and interpret it (15m) Orthognathic surgery in outreach settings Nasometry practice lab (30m) Virtual Surgery Planning Dr. Pradip Shetye LeFort I Advancement Dr. Rolando Prada Post-Surgical Orthodontics Dr. Pedro Santiago 11:30 12:40 ORTHOGNATHIC SURGERY II PROTOCOLS AND PREDICTABILITY II Dr. Roberto Flores Dra. Ann Kummer LeFort I (Surgery First) - Dr. Derek Steinbacher Nasopharyngoscopy: How to do it and interpret it (15m) LeFort I Distraction Dr. Marcus Collares Nasopharyngoscopy practice lab or round table discussions (50m) Alveolar Distraction Dr. Elcin Esenlik Surgical intervention for clefts and VPI (30m) Two Jaw orthognathic surgery Dr. Rolando Prada Multi piece Orthognathic surgery Dr. Derek Steinbacher 12:40 13:40 LUNCH 13:40 14:40 RHINOPLASTY IN CLEFT LIP PATIENTS Dr. David Fisher Phonological strategies for treating articulation in children with cleft palate Dr. Maria Carmen Pamplona Dr. Carlos Giugliano Speech Therapy Techniques (60m) Dr. Rolando Prada

Dr. Derek Steinbacher 14:40 15:40 RARE FACIAL CLEFT Presurgical Orthopedics Dr. Elcin Esenlik 3-4 Tessier Dr. Nivaldo Alonso 5 Tessier Dr. Rolando Prada 0 Tessier Dr. Cassio Raposo 15:40 16:00 BREAK 16:00 17:20 Models of Cleft Care for Latin America (Advantages, Challenges, Path for the future) GSF Dr. Usama Hamdan Case studies in an interactive format BRAZIL Dr. Nivaldo Alonso MEXICO Dr. Marcia Dosal CHILE Dr. Carmen Morovic PERU TBA 17:20 17:30 HUSCARÁN I, II & III ROOM Closing Remarks Dr. Flores Dr. Hamdan

Registration Information EARLY BIRD RATES APPLY UNTIL APRIL 30, 2019 Category Surgeons Limited to 250 Surgical Simulations* Limited to 50 Early Bird After 4/30/19 $750 $800 $200 per session $200 per session Dentists $550 $600 Speech Pathologists $550 $600 Allied Health $550 $600 *Must be registered as a surgeon to attend a simulation. Registration includes: Access to all scientific sessions, opening session, welcome reception & exhibits Daily lunches & coffee breaks Conference bag & program book There is a special rate for Residents in Training. Please contact info@cleftworkshop.com. Register online: 2019 International CCCW Co-Hosts Logistics Partner 101 Access Road, Suite 205 Norwood, MA 02062 +1 (781) 355-2065 info@cleftworkshop.org SECOND INTERNATIONAL COMPREHENSIVE CLEFT CARE WORKSHOP Education for Sustainable Cleft Care October 16-18, 2019 Hilton Lima Miraflores Lima, Peru

SPEAKERS CCCW Co-Chairs Usama Hamdan (United States) Roberto Flores (United States) Surgery Brian Sommerlad (United Kingdom) David Fisher (Canada) Joseph Losee (United States) Derek Steinbacher (United States) Cassio Raposo (Brazil) Ricardo Bennun (Brazil) Marcia Rosario Perez Dosal (Mexico) Carmen Morovic (Chile) Rolando Prada Madrid (Colombia) Carlos Navarro (Peru) Juan Carlos Rodriguez (Argentina) Nivaldo Alonso (Brazil) Robert Mann (United States) Carlos Giugliano (Chile) Carolyn Rogers (United States) Wieslawa Pawlikowski (Peru) Percy Rossell Perry (Peru) Krishna Patel (United States) Marcus Collares (Brazil) Paul Willging (United States) Dental Pradip Shetye (United States) Pedro Santiago (United States) Serena Kassam (United States) Elcin Esenlik (Turkey) Daniela Garib (Brazil) Speech Ann Kummer (United States) Maria C Pamplona (Mexico) An unparalleled educational opportunity for surgeons, dentists & speech pathologists to: 2019 International Comprehensive Cleft Care Workshop (CCCW) Connect & interact with some of the world s most prominent experts in the craniofacial and cleft fields Learn through a comprehensive, multidisciplinary & clinically applicable educational curriculum Participate in hands-on simulation sessions with individual feedback from instructors, small team discussions & detailed case reviews This activity has been approved for AMA PRA Category 1 Credit Information can be found online at: https://cleftworkshop.org/cmeinformation/ CCCW Course Chairs CCCW Co-Chairs Dr. Usama Hamdan President of Global Smile Foundation & Assistant Clinical Professor of Otolaryngology, Tufts University School of Medicine Dr. Roberto Flores Joseph G. McCarthy Associate Professor of Plastic Surgery & Director of Craniofacial Program at New York University Langone Medical Center Dental Course Co-Chairs Dr. Pradip Shetye Director of Craniofacial Dental Center, Assistant Professor, Department of Plastic Surgery, New York University School of Medicine Dr. Pedro Santiago Director of Orthodontics & Associate Consulting Professor of Surgery, Duke University Speech Course Chair Dr. Ann Kummer Senior Director, Division of Speech-Language Pathology, Professor of Clinical Pediatrics & Professor of Otolaryngology, University of Cincinnati Medical Center