Objectives of the Workshop
The workshop will provide participants with training and education on how to plan and provide treatment with the use of a prefabricated fibular flap, allowing reconstruction of the jaws with immediate loading. With conventional flap reconstruction of the jaws, the treatment pathway from surgery to harvesting the flap to completion of the oral rehabilitation can be exceedingly long. The impact on quality of life for patients during this period is very challenging. The reconstruction technique developed by Dr Dennis Rohner allows, in selected patients, for prefabrication of the fibular flap containing the implants and this is transferred to the jaw with immediate connection of a prefabricated prosthesis. This results in a dramatic reduction in treatment time with completion of treatment through two surgical procedures. The technique also provides for development of attached periabutment tissue.
The workshop provide information both analogue and digital pathways to plan the prefabricated fibular flap, install the implants in the leg, construct the prosthesis, harvest the prefabricated flap, inset the flap, and complete immediate loading of the flap. The workshop will consist of presentations, hands-on planning exercises, laboratory exercises with patient-specific rapid prototype models built in iRSM's Medical Modeling Research Laboratory (MMRL®), live surgery with prefabrication of the fibular flap in the leg and meeting a patient treated with the technique.
What you will Learn
What you will learn for prefabricated fibular flap reconstruction will include:
- Case Selection
- Treatment planning for full arch and segmental reconstruction
- Analogue and digital planning systems
- Design and conswilltruction of drilling and cutting guides
- Design and remote construction of the immediately loaded prosthesis
- Implant installation in the leg
- Harvesting of the prefabricated fibular flap
- Insetting of the fibular flap with connection of the prosthesis for immediate laoding
- Postoperative follow-up
Participants and Cost
Prefabricated reconstruction of the mandible and maxilla requires a team approach involving the reconstructive surgery team; this team includes participation by the surgeon(s), maxillofacial prosthodontists and dental technologist. This workshop is, of necessity, designed for very limited participation.
The workshop will provide four stations with one station per team. It is suggested that each team consist of:
- Reconstructive Surgeon(s)
- Maxillofacial Prosthodontists
- Dental Technologist
The cost of the workshop is $3000 per station or team, and includes rapid prototype models, use of all instruments, fixation components and materials. Each team will take home the rapid prototype models used in the laboratory excercises.
Accommodation
The suggested workshop hotels are:
Both hotels offer a preferred rate for attending Alberta Health Services business associates and/or to University (CANBO) employees, and Royal College of Physicians and Surgeons members. Individuals are responsible for organzing their own accomodation which should be arranged as soon as possible.
