69th ANNUAL MEETING
APRIL 17-21, 2012
San Jose, California
Study Sessions - Group II
Thursday, April 19th
| Instruction Level | Format | |
| B=Beginner | L=Lecture | |
| I=Intermediate | H=Hands-on | |
| A=Advanced | P=Panel | |
| V=Varied | R=Roundtable |
* a separate registration fee is required.
Thursday, April 19th
71
4:30pm
I.
ROUNDTABLE DISCUSSION OF ORTHODONTIC TREATMENT FOR THE PATIENT WITH BILATERAL CLEFT LIP AND PALATE
This presentation will use an interactive format to explore the orthodontic challenges of patients with bilateral cleft lip and palate. Four authors will present cases to discuss the treatment objectives, modalities, challenges, and outcomes. The audience will be encouraged to participate and contribute to the discussion of the pros and cons of each approach and may wish to bring their own cases to discuss after the main presentation.
(I, P)
K. E. Simmons, DDS, PhD, K. A. Kelly, DDS, PhD, MS, J. Daskalogiannakis, DDS, MSc, FRCD(C), K.Russell, BSc, DDS, MSc
72
4:30pm
J.
PRACTICAL APPLICATIONS OF CONE-BEAM COMPUTED TOMOGRAPHY (CBCT) IN CRANIOFACIAL ORTHODONTIC DIAGNOSIS & TREATMENT PLANNING: EXPERIENCE FROM A HOSPITAL-BASED PRIVATE ORTHODONTIC PRACTICE
Craniofacial team members including orthodontic, dental, and surgical practitioners will learn about our experience using 3D imaging and volumetric cone-beam CT (CBCT) to facilitate surgical-orthodontic diagnosis and treatment planning for patients with complex facial malformations resulting from clefts of the lip/palate and other craniofacial deformities. Clinical case scenarios will be utilized for illustration purposes and to show how this relatively new technology integrates with other emerging modalities. The advantages and potential pitfalls/limitations of this modality will be discussed including issues of radiation safety, costs, and third-party coverage. (V,L)
D.V. Fashemo, DDS, MPH, O.S. Fashemo, BA, RN, BSN, J. A. Fearon, MD
73
4:30pm
K.
EVALUATING SWALLOW FUNCTION IN CHILDREN WITH VARIED CRANIOFACIAL CONDITIONS
Targeting medical and allied health professionals, our objective is to increase awareness of the possible ramifications of craniofacial anomalies on feeding and swallowing. Participants will be able to identify the relationship between normal anatomy and swallow function, discuss the impact of skeletal and soft tissue craniofacial anomalies on swallow function, outline key considerations in evaluating and treatment planning for patients pre- and post-operatively, and identify markers in interpreting VFSS recordings.
(V, L)
E. E. Sperry, ScD, J.S. Meyer, MA
74
4:30pm
L.
IMPROVING OUTCOMES BY WORKING WITH FAMILIES INSTEAD OF DEMANDING COMPLIANCE FROM THEM
Changing the way we think about "non-compliance" can open doors to better collaboration with patients and will lead to better outcomes. This presentation will introduce a model where patients "stick to" or adhere to a plan that will lead to an improved quality of life that they are committed to. This conceptualization will be compared to our current model that is based on expectations that patients "comply" with what our treatment plan "demands."
(V, L)
C. L. Aspinall, MSW, LICSW, A. Peter, MSW, LICSW
75
4:30pm
M.
A PROTOCOL FOR THE MANAGEMENT OF VELOPHARYNGEAL INCOMPETENCE
The aim of this presentation is to describe a somewhat distinctive protocol for the management of velopharyngeal incompetence, both in terms of diagnostics and surgery. The emphasis surgically is to improve palate function through palate re-repair and, if necessary, buccinator flap lengthening of the palate or posterior wall augmentation pharyngoplasty and, occasionally, prosthetic management. Close liaison between surgeon and speech pathologist is vital.
(V, P)
B. C. Sommerlad, MB BS FRCSEng FRCSEd(Hon), D. Sell, PhD FRCSLT
76
4:30pm
N.
CONSIDERATIONS AND RECOMMENDATIONS TO IMPROVE MANAGEMENT OF THE UNDERREPRESENTED POPULATION WITH CLEFT AND CRANIOFACIAL CONDITIONS
Cultural and socioeconomic differences are important factors in the treatment plan of children and families with cleft/craniofacial conditions. An understanding and consideration of these differences and learning tools to best serve this diverse population will be described. Patients will be best served when the multidisciplinary team understands and accepts these differences and sees patients as unique. A key element to successful treatment is to allow patients and families to embrace these differences.
(B, P)
J. Rosenberg, PhD, G.Cager, Au.D, CCC-A, D.Acevedo, MA, CCC-SLP, T.Kaisling, RN, MBA, M.Shahani, MD
78
4:30pm
P.
GUIDELINES FOR MANAGING PATIENTS WITH THE 22Q11.2 DELETION SYNDROME -AN INTERNATIONAL CONSENSUS DOCUMENT
The 22q11.2 deletion syndrome is the most common cause of syndromic palatal anomalies; nonetheless, systematic guidance for clinical management is limited. Based on these needs, The International 22q11.2 Deletion Syndrome Consortium established practical guidelines, developed in multiple stages, including three international consensus meetings where participants with broad expertise (18 subspecialties representing >15 countries) determined best practice based on experiences, data and review of 239 relevant publications with a goal of transcending nationalities, health care systems, and subspecialty biases. These recommendations were published in the Journal of Pediatrics in 2011 and will be shared with the audience during this session.
(V, L)
D.M. McDonald-McGinn, A.Bassett, K.Devriendt, M.C. Digilio, P. Goldenberg, A. Habel, MD, B. Marino, MD, S. Oskarsdottir, MD, PhD, N. Philip, MD, A.Swillen, PhD, J.Vorstman, MD, PhD