Rectus Abdominis Myocutaneous Flap Harvest

This video highlights the surgical nuances of rectus abdominis myocutaneous free flap harvest.

Scalp Reconstruction with a Free Anterolateral Thigh Flap: Microvascular Anastomosis

This procedure depicts the microvascular anastomosis between the free anterolateral thigh (ALT) flap and the superficial temporal artery (STA) and superficial temporal vein (STV).

Scalp Reconstruction with a Free Anterolateral Thigh Flap: Flap Inset

This procedure demonstrates the inset of the anterolateral thigh (ALT) flap into a large composite wound after oncologic resection.

Full-thickness skin grafting for coverage of dorsal hand defect

Title: Full-thickness skin grafting for coverage of dorsal hand defect Authors: Vincent Riccelli, Brian Drolet MD, Elizabeth Lee MD Affiliations: Vanderbilt University Medical Center Corresponding Author: Vincent Riccelli (vincent.riccelli@vanderbilt.edu)

Deep Inferior Epigastric Perforator Flap: Microvascular Anastomosis and Neurotization

Deep Inferior Epigastric Perforator Flap: Microvascular Anastomosis and Neurotization This video depicts the microvascular anastomosis of the deep inferior epigastric artery and vein to the internal mammary artery and vein in an anterograde fashion for a delayed bilateral deep inferior epigastric perforator (DIEP) flap reconstruction in a 53-year-old female patient status post bilateral mastectomy for breast cancer. Authors: Vincent Riccelli M.D., Eva Niklinska B.S., Ashkan Afshari M.D., Stephane Braun M.D., Kent K. Higdon M.D., Galen Perdikis M.D., Julian Winocour M.D. Affiliations: Vanderbilt University Medical Center Corresponding Author: Eva Niklinska

Scalp Reconstruction with a Free Anterolateral Thigh Flap: Flap Dissection

This procedure depicts the harvest of the anterolateral thigh flap to be utilized in the reconstruction of a post-extirpative scalp defect.

Deep Inferior Epigastric Perforator Flap: Abdominal Flap Dissection

Deep Inferior Epigastric Perforator Flap: Abdominal Flap Dissection This video depicts the abdominal flap dissection for a delayed bilateral deep inferior epigastric perforator (DIEP) flap reconstruction in a 53-year-old female patient status post bilateral mastectomy for breast cancer. Authors: Eva Niklinska B.S., Vincent Riccelli M.D., Ashkan Afshari M.D., Stephane Braun M.D., Kent K. Higdon M.D., Galen Perdikis M.D., Julian Winocour M.D. Affiliations: Vanderbilt University Medical Center Corresponding Author: Eva Niklinska

Deep Inferior Epigastric Perforator Flap: Abdominal Closure and Flap Inset

Deep Inferior Epigastric Perforator Flap: Abdominal Closure and Flap Inset This video depicts the abdominal closure and DIEP flap inset for a delayed bilateral deep inferior epigastric perforator (DIEP) flap reconstruction in a 53-year-old patient status post bilateral mastectomy for breast cancer. Authors: Eva Niklinska B.S., Vincent Riccelli M.D., Ashkan Afshari M.D., Stephane Braun M.D., Kent K. Higdon M.D., Galen Perdikis M.D., Julian Winocour M.D. Affiliations: Vanderbilt University Medical Center Corresponding Author: Eva Niklinska

Immediate post natal myelomeningocele defect closure using rhomboid fasciocutaneous flaps

Myelomeningocele is the most common form of neural tube defect, developing after the 4th week of gestation. Although diagnosed prenatally, many patients did not have a chance to be treated before birth. The best approach in these situation is to perform surgical treatment at time zero. A multidisciplinary team must be prepared to perform dural repair and soft tissue coverage. This video illustrates our approach for soft tissue reconstruction using rhomboid fasciocutaneous flaps with maximal preservation of perforator vessels. Contributors Dov Charles Goldenberg, MD Phd, Division of Plastic Surgery, Hospital das Clinicas, University of Sao Paulo Medical School Vania Kharmandayan, MD, Division of Plastic Surgery, Hospital das Clinicas, University of Sao Paulo Medical School Tatiana Moura, MD, MSc, Division of Plastic Surgery, Hospital das Clinicas, University of Sao Paulo Medical School

Surgical Treatment of Nasal Tip Hemangioma Using Open Rhinoplasty Approach

Hemangiomas are the most common benign tumors of the infancy and its location on the nasal tip poses particularly as a challenge. A recent study published by out group defined an algorithm for surgical approach to hemangiomas. Nasal tip hemangiomas carry a high risk for growth related deformities and is a usual indication for surgery. The best approach must warrant a result at least similar or even better to spontaneous involution. In this video we present a case where an open rhinoplasty approach was designed to remove the tumor, reposition the anatomic structures and reduce visible scars. Contributors Dov Charles Goldenberg, MD Phd, Division of Plastic Surgery, Hospital das Clinicas, University of Sao Paulo Medical School Vania Kharmandayan, MD, Division of Plastic Surgery, Hospital das Clinicas, University of Sao Paulo Medical School

Resection and modified purse-string closure of frontal hemangioma

Infantile hemangiomas occurring in the face may represent a real problem to a child. Clinical significance is ultimately determined by the degree of tissue deformation. Large dimensions; specific locations; and the presence of complications such as ulceration, bleeding, or infection indicate active treatment to minimize morbidity. The combination of clinical features and response to pharmacologic treatment are the main standpoints indicating surgery during the active phases of infantile hemangiomas. The concept of minimal possible scar is relevant, and the use of purse-string sutures, initially proposed by Mulliken et al., promotes a real reduction in the final scar dimensions. In this video surgical resection of a frontal hemangioma illustrates a modified purse string suture, to reduce the dimensions of a linear scar. Contributors Dov Charles Goldenberg, MD Phd, Division of Plastic Surgery, Hospital das Clinicas, University of Sao Paulo Medical School Vania Kharmandayan, MD, Division of Plastic Surgery, Hospital das Clinicas, University of Sao Paulo Medical School

Split Thickness Skin Graft

Skin grafting involves closure of an open wound using skin from another location which is transferred without its own vascular blood supply, relying on the vascular supply of the wound bed for survival. Skin grafts can be split thickness grafts that may involve meshing the donor skin in order to cover a proportionally larger area than the donor skin may have allowed. Besides the ability to cover a large area, a split thickness skin graft (STSG) allows for egress of fluids thereby maximizing close contact between the wound and the graft, which is necessary for vascularization and survival of the graft. A STSG can be taken at a variety of thicknesses but at any level taken, part of the donor dermis is left intact. Other options for skin grafts include full thickness grafts and biomedical grafts such as Integra. Full thickness skin grafts (FTSG) take the dermis as well as epidermis, usually covering smaller areas. FTSG has reduced contracture and often a better color match compared to STSG, but can have reduced survival due to increased thickness of tissue. The decision of the type of graft used in the procedure is made in accordance with the needs of the recipient site, the likelihood of graft take, and the availability of donor skin. The patient may either go home after the procedure with small areas of skin grafting with instructions for immobilization and elevation of the grafted area. The patient may be admitted depending on the patient’s general health status and the wound. Shear forces are avoided to the grafted area, and the donor site dressings may require prn changes due to fluid leakage until the skin epithelium regenerates from residual dermal structures. In the case presented in this video, a 12 year old girl was victim to a degloving injury of the left dorsal foot secondary to a motor vehicle accident. A STSG was determined appropriate for wound coverage as her wound bed had granulated in very well, covering all critical structures and providing a healthy bed for graft take. Linda Murphy MA Roop Gill, MD

Temporal (Gillies) Approach to a Zygomatic Arch Fracture

This video documents the steps typically followed during open reduction of isolated, depressed zygomatic arch fractures.  The patient's hair was shaven for clarity and for proper marking of key anatomic landmarks. Such landmarks are shown and discussed in sequence with the key surgical steps.

Marcus Couey, DDS, MD; Eric Reimer, DDS; Andrew Bhagyam, DDS; Phillip Freeman, DDS, MD; Jose M Marchena, DMD, MD

The University of Texas Health Science Center at Houston, School of Dentistry, Department of Oral & Maxillofacial Surgery

Neonatal Mandibular Distraction Osteogenesis with Multivector External Devices

Pierre Robin sequence (PRS) is a craniofacial malformation characterized by micrognathia and glossoptosis, with or without cleft palate. A subset of infants with PRS will suffer from airway obstruction severe enough to merit surgical intervention. Surgeries for PRS include tongue lip adhesion, tracheotomy, gastrostomy, and bilateral mandibular distraction osteogenesis. Distraction osteogenesis refers to a process in which a bone is lengthened after an initial osteotomy by means of separating the two resulting segments slowly over time. In the neonatal mandible, hardware used for distraction may be implanted beneath the skin or affixed externally. Each device has its advantages and disadvantages, however external devices are less expensive, do not typically require preoperative computed tomography scanning, may be adjusted easily throughout the distraction process, and are easily removed following consolidation, avoiding a second invasive procedure and lengthy anesthetic. This video presents the technique of neonatal mandibular distraction osteogenesis using multivector external distractors.

Grade 1 Microtia Repair Using Autologous Auricular Cartilage Transfer

The goal of auricular reconstruction is to achieve a natural appearance of the reconstructed side with a form that resembles the normal ear and endures over a lifetime. For severe deformities in which major cartilaginous elements are missing, established reconstructive techniques using alloplastic constructs wrapped in temporoparietal fascia or carved costal cartilage grafts may be employed. For cases of minor deformity in which all named cartilaginous components are present, albeit deficient compared to the normal side, transfer of autologous auricular skin and cartilage may be used to achieve symmetry between normal and abnormal ears. This video presents the surgical technique and results of a grade 1 microtia reconstruction using autologous auricular cartilage transfer. This two-stage method of reconstruction avoids the use of autologous rib or alloplastic materials and often avoids the use of skin grafting altogether.

Implantation of Tissue Expander in Poland Syndrome Patient

This patient is a seventeen-year-old female with Poland syndrome, resulting in a hypotrophic left pectoralis major muscle and rib anomalies. A tissue expander is implanted on the left side to increase the capacity of the left breast tissue in order to make room for a future, permanent implant.

Total Calvarial Reconstruction for Increased Intracranial Pressure and Chiari Malformation

This procedure is a total calvarial vault expansion to correct pansynostosis in a three-year-old child. Total calvarial reconstruction is an open procedure that consists of removing bone flaps with an osteotome, outfracturing the skull bone edges with a rongeur to allow for future expansion, shaving down the bone flap inner table with a Hudson brace to create a bone mush for packing the interosseus spaces, and modifying then reattaching the bone flaps with absorbable plates and screws. This patient is status post craniofacial reconstruction for earlier sagittal synostosis. Second operations are uncommon after correction of single-suture synostosis, so this more aggressive technique represents an attempt to definitively correct the calvarial deformity and resolve the signs and symptoms of the attendant intracranial hypertension. Indications for surgery include cosmetic and neurologic concerns, here including a Chiari malformation and cervicothoracic syrinx. This educational video is related to a current research project of the Children’s National Medical Center Division of Neurosurgery regarding single-suture craniosynostosis and the factors that place children at risk for surgical recidivism in the setting of intracranial hypertension. Kelsey Cobourn, BS - Children's National Medical Center Division of Neurosurgery and Georgetown University Owen Ayers - Children's National Medical Center Division of Neurosurgery and Princeton University Deki Tsering, MS - Children's National Medical Center Division of Neurosurgery Gary Rogers, MD, JD, MBA, MPH - Children's National Medical Center Division of Plastic and Reconstructive Surgery and George Washington University School of Medicine Robert Keating, MD - Children's National Medical Center Division of Neurosurgery and George Washington University School of Medicine (corresponding author)

Retroseptal Transconjunctival Approach to Orbital Floor Blowout Fracture

The transconjunctival approach was first described by Bourquet in 1924 and then modified by Tessier in 1973 for exposure of the orbital floor and maxilla for the treatment of facial trauma. This approach can be carried out either in a preseptal plane by separating the orbital septum from within the eyelid (preseptal approach) or posterior to the septum and eyelid (retroseptal approach) by making an incision through the bulbar conjunctiva directly above the orbital rim. The main advantage of the retroseptal approach is that it does not involve dissection and disruption of the eyelid itself, therefore, reducing the incidence of post-operative lid laxity and position abnormalities. This video will show a retroseptal approach to an orbital floor blowout fracture. A lateral inferior cantholysis is performed to facilitate eversion and retraction of the lower eyelid.

Bilateral Wise Pattern Inferior Pedicle Reduction Mammoplasty

We present a 16-year-old female with hypertrophic breasts of bra size 38H, bra strap grooving, and worsening back and posterior shoulder pain limiting activity and affecting posture, who underwent bilateral reduction mammoplasty using the Wise pattern inferior pedicle technique. 998 g of tissue was removed from the patient’s right breast, and 852 g of tissue was removed from the patient’s left breast. The procedure was uncomplicated; however, the postoperative period was complicated by minor skin breakdown at the most inferior portion of the incision along the inframammary fold, as well as some serous drainage that shortly resolved with treatment. Overall, the patient is satisfied with the results of the reduction. She reports comfortably wearing size 38C bras and has noticed significant improvement in back pain, shoulder pain, and bra strap grooving six months after the procedure.

Tongue Reduction (Partial Glossectomy) for Pediatric Macroglossia

This video demonstrates how to perform a tongue reduction using a Y-V advancement technique for pediatric macroglossia.

Treatment of mild eyelid ptosis with conjunctivo-mullerectomy

Mild eyelid ptosis with good elevator function can be treated with minimally invasive procedures. When Muller's muscle contraction corrects the deficiency (evaluated by phenilefrine test) conjunctivo-mullerectomy is the procedure of choice. This video presents the surgical steps to perform conjunctivo-mullerectomy. Contributors Dov Charles Goldenberg, MD Phd, Division of Plastic Surgery, Hospital das Clinicas, University of Sao Paulo Medical School Vania Kharmandayan, MD, Division of Plastic Surgery, Hospital das Clinicas, University of Sao Paulo Medical School

Internal Mammary Vessel Harvest

This video demonstrates the cadaveric harvest of the internal mammary artery and vein for use in head and neck microvascular reconstruction.

Fibula Free Flap Harvest

We present the harvest of a osteocutaneous fibula free flap for head and neck reconstruction performed at the University of Cincinnati. This reconstructive technique has a wide variety of implications but has found greatest utility in the reconstruction of mandibular defects.

Lower Lip Sling Suspension with Bidirectional Fascia Grafts For Isolated Marginal Mandibular Nerve Palsy

The procedure in this video demonstrates a lower lip sling suspension technique for isolated marginal mandibular nerve palsy using bidirectional fascia grafts.

Rectovaginal Fistula Repair with a Vascularized Gracilis Muscle Interposition Flap

The surgical management of rectovaginal fistulas remains difficult, as they tend to be recurrent and vary widely in location and complexity. We present a case of a 63-year-old woman with a low-lying rectovaginal fistula who initially underwent chemoradiation and a Low Anterior Resection for a low-lying rectal cancer. Her course was uneventful until two years post-operatively, at which time her anastomotic staple line became stenotic with associated bleeding. This was initially addressed by Gastroenterology who executed a dilation and achieved hemostasis with Argon Plasma Coagulation. This remedied the stenosis, however, it was complicated by the formation of a rectovaginal fistula. Due to the low-lying location and its presence in an irradiated field, a transvaginal approach with an interposed gracilis flap was elected for repair.

Anand R. Kumar, MD, FACS, FAAP

Johns Hopkins University School of Medicine

• Associate Professor, Departments of Plastic Surgery and Pediatrics

Anand R. Kumar, MD, FACS, FAAP is an Associate Professor in the Departments of Plastic Surgery and Pediatrics at the Johns Hopkins University School of Medicine. A pediatric plastic/craniofacial surgeon and basic science researcher, he conducts investigation into the cellular biology of muscle derived progenitor cells as a source of pathologic heterotopic ossification and for novel regenerative medicine applications. His clinical practice focuses on craniofacial surgery including craniosynostosis, correction of hypertelorism(wide eyes), pediatric and adolescent facial skeletal deformities (Pierre Robin Sequence) with airway obstruction using traditional orthognathic (jaw) surgery and distraction osteogenesis.

Dr. Kumar established the center for facial skeletal surgery and the center for pediatric craniofacial surgery at the University of Pittsburgh Medical Center and now at Johns Hopkins respectively with an emphasis on multidisciplinary care for dentofacial anomalies. He has led efforts to improve outcomes in pediatric sleep apnea using skeletal surgery and distraction osteogenesis for multilevel airway obstruction. In addition, he has participated in multi-institutional trials for improvement of clinical outcomes in neonatal tongue base collapse (Pierre-Robin Sequence).

Dr. Kumar as authored over 30 original scientific publications in peer-reviewed journals and contributed to multiple plastic and orthopedic surgery textbooks over the last 10 years. He serves as a reviewer for many plastic surgery and basic science journals and has been invited as a speaker or panelist to many institutions and at organizational meetings across the United States. He currently serves as Vice President of Communications on the board of the American Society of Maxillofacial Surgeons (ASMS). In addition, he serves on multiple committees in the American Society of Plastic Surgeons and the ASMS.

As an honor student in the biological sciences at the University of California, Irvine, Dr. Kumar received his medical degree from the Albert Einstein College of Medicine. He completed his general surgery residency at the Mayo Clinic Rochester and later completed a second residency in plastic and reconstructive surgery at the University of California, Los Angeles (UCLA). He subsequently completed a pediatric plastic/craniofacial surgery fellowship after his residency at UCLA. In 2004, prior to his academic appointment, Dr. Kumar volunteered for military service and joined the United States Navy until 2010. In Bethesda, MD, he served as director and staff pediatric plastic surgeon of the Military Craniofacial Unit at Walter Reed National Military Medical Center. He served as division chief in plastic and reconstructive surgery at the National Naval Medical Center in Bethesda and on board the United States Naval Support Hospital Ship Comfort. In 2010, Dr. Kumar was recruited to the University of Pittsburgh as the director of facial skeletal surgery until 2013 when he was recruited to Johns Hopkins.

Michael Golinko, MD

University of Arkansas for Medical Sciences

• Medical Director of Craniofacial Program, Arkansas Children’s Hospital
• Assistant Professor of Plastic Surgery, UAMS

Dr. Michael Golinko, M.D., is a Board Certified General Surgeon with clinical interests in Craniofacial, Cleft & Paediatric Plastic Surgery. Dr. Golinko is also Board Eligible with the American Board of Plastic Surgery, and is licensed in the states of Arkansas, and Georgia. Currently, Dr. Golinko serves as one of the Medical Directors of Arkansas Children’s Hospital Craniofacial Program, and is Assistant Professor of Plastic Surgery at the University of Arkansas Medical Sciences.

Dr. Golinko received his M.D. degree from University of South Florida (USF) in 2004, preceded by a M.A. in Medical Anthropology from Universiteit van Amsterdam (UVA) in 2002, and a B.Sc. in Physics from Massachusetts Institute of Technology (MIT) in 1998.

Dr. Golinko’s professional training includes General Surgery residencies at State University of New York (SUNY) and New York University (NYU), as well as a residency in Plastic & Reconstructive Surgery at Emory University School of Medicine, and he most recently served as a Fellow in Craniofacial Surgery/Pediatric Plastic Surgery at New York University (NYU).

From 1998 to 2008, Dr. Golinko held medical research positions at MIT, Massachusetts General Hospital, and completed Post-Doctoral Research Fellowships in the Department of Surgery, Division of Wound Healing at both Columbia University and New York University.

Dr. Golinko has contributed extensively to numerous peer-reviewed publications, book chapters, and abstracts. Moreover, Dr. Golinko has travelled the world to deliver numerous presentations, co-chair lectures and conferences, and media appearances.

Dr. Golinko has been awarded and recognized for the following: Operation Smile Regan Fellowship Recipient (2012), National Institute of Health (NIH) Loan Repayment Program Recipient (2007 – 2009), and Columbia University College of Physicians & Surgeons, Department of Surgery, Startup Grant (2006).

In the spirit of a true leader, Dr. Golinko served as past-President and Mission Leader of Project World Health, Managing Trustee of the Barry Golinko Trust of the Jewish Communal Fund, past-Surgery Department Representative of the Committee on Interns and Residents (CIR) and currently was selected to participate in the Arkansas Children’s Hospital Physician Leadership Development course.

Dr. Golinko currently belongs to several professional societies as follows: American Cleft Palate-Craniofacial Association, American Association of Wound Care, American College of Surgeons, and the Southeastern Society Of Reconstructive Plastic Surgeons.
In 2016, Dr. Golinko served on the American Society of Maxillofacial Surgeons/Plastic Surgery Foundation Combined Pilot Research Grant Committee. In addition to his professional work, Dr. Golinko has generously donated his time and many talents to numerous volunteer and humanitarian efforts all over the world.

Dov Goldenberg, MD

University of Sao Paulo Medical School

• Coordinator of Pediatric Plastic Surgery
• Supervisor (Residency Program in Plastic Surgery at the Division of Plastic Surgery), Hospital das Clinicas – University of Sao Paulo Medical School
• Attending Cranio-facial Surgeon – Division of Head and Neck Surgery and Otorhiolaryngology, Hospital A.C. Camargo
• Senior Surgeon and head of Cranio-maxillo-facial Surgery Team, Hospital Albert Einstein
• Chief of Pediatric Plastic Surgery Group, Hospital Municipal Infantil Menino Jesus

Residing in São Paulo, Brazil, Dr. Goldenberg graduated from the University of São Paulo Medical School. He then continued his studies with Postdoctoral Training and completed the Residency Program in General Surgery, followed by the Residency Program in Plastic Surgery at the Hospital of the Faculty of Medicine, University of São Paulo, Brazil.

Soon thereafter, Dr. Goldenberg earned his PhD in Plastic Surgery at the University of São Paulo Medical School, where he also gained his title as Full Professor of the Department of Surgery.

Dr. Goldenberg is the Editor-In-Chief for the Brazilian Journal of Plastic, International Associate Editor of Plastic and Reconstructive Surgery Journal (PRS), and past President of the Brazilian Association of Craniomaxillofacial Surgery.

His areas of interest in plastic surgery include Pediatric Plastic Surgery, Cranio-facial Surgery and Vascular Anomalies.

Nahyoung Grace Lee, MD

Harvard Medical School

• Massachusetts Eye and Ear Infirmary

Grace Lee, M.D. is an ophthalmologist at Massachusetts Eye and Ear (MEE) with a rigorous clinical practice in ophthalmic plastic surgery.  Approximately 80% of her time is devoted to patient care, which is integrated with teaching residents and fellows in the clinic and surgical setting.  This component also includes direct instruction in the wet lab and weekly supervision in the MEE emergency room.  Twenty percent of Dr. Lee‘s time is spent doing clinical and basic science research.Dr. Lee completed her BA of Neuroscience at Johns Hopkins University followed by a doctorate in Medicine. Upon completing her ophthalmology residency at the University of Southern California, she pursued a fellowship in ocular oncology and pathology at the Casey Eye Institute, at the Oregon Health & Science University. She directly taught residents in the pathology lab as well as through over 15 hours of didactic lectures. Her additional training involved three years of fellowship in oculoplastic surgery at MEE, where she was the recipient of the Fellow of the Year teaching award.  During this fellowship, Dr. Lee collaborated with Dr. Leo Kim to produce an animal model of orbital inflammation and investigated angiogenesis in thyroid eye disease, which was published in Ophthalmology. At the culmination of her training, she was inducted into the American Society of Ophthalmic Plastic and Reconstructive Surgeons (ASOPRS) and is now Assistant Professor of Ophthalmology at Harvard Medical School (HMS).Dr. Lee‘s clinical expertise and innovations have focused on thyroid eye disease and common conditions in ophthalmic plastic surgery.  She has expanded her clinical practice to involve anterior segment tumors, building on her fellowship in ocular oncology.  In the process, she has trained 4 fellows, 3 of whom have accepted or will be accepting positions at academic institutions.  Additionally, she serves as an oral board examiner for the American Board of Ophthalmology.

Neil Tanna, MD, MBA, FACS

Hofstra Northwell School of Medicine

• Associate Program Director of Plastic Surgery
• Northwell Health
• Associate Professor of Plastic Surgery
• Hofstra Northwell School of Medicine

Dr. Neil Tanna is a Double Board Certified Plastic Surgeon with clinical interest in cosmetic and reconstructive surgery. He is among a very small group of Plastic Surgeons in the world to have completed formal training in Otolaryngology, Plastic & Reconstructive Surgery, and Microvascular Surgery.

After receiving his medical degree from Albany Medical College, Dr. Tanna completed a full Otolaryngology – Head & Neck Surgery residency at The George Washington University. He pursued further training and completed a second full residency in Plastic & Reconstructive Surgery at the University of California, Los Angeles (UCLA). He then completed a fellowship in advanced reconstructive and microvascular surgery at the Institute of Reconstructive Plastic Surgery at New York University (NYU).

Beyond his plastic surgery clinical practice, Dr. Neil Tanna is a mentor, respected educator, and prolific author. Currently, he serves in many leadership roles. He is Chief of Plastic Surgery at one of the one of the Northwell Health hospitals. He is an Associate Professor with the Hofstra University School of Medicine, where he is engaged in the education of students. He also serves as Associate Program Director for the Plastic Surgery Residency with Northwell Health System. He trains resident physicians in becoming Plastic Surgeons.

The medical work and clinical research of Dr. Neil Tanna have been widely published in national and international medical journals. He has authored over 75 publications in major peer-reviewed medical journals and written over 10 textbook chapters. Given his interest in aesthetic and reconstructive surgery of the head and neck, breast, and body, Dr. Tanna has been invited to present at over 75 national and international meetings. He presents the latest advances in plastic surgery to his colleagues and other surgeons from all around the world.

Dr. Neil Tanna has been recognized in the 2015 and 2016 New York Times Super Doctors List for his noteworthy and outstanding achievements.

Pediatric Cricotracheal Resection: A Step by Step Surgical Presentation

This talk will focus on the surgical principals of resective airway surgeries with a step by step discussion on the surgical technique of Pediatric Cricotracheal resection.

Sohit Paul Kanotra , MD

Director, Complex Pediatric Airway Program / Associate Professor of Otolaryngology Head and Neck Surgery & Pediatrics
University of Iowa Hospitals & Clinics

Dr. Sohit Kanotra is a Clinical Associate Professor in the Department of Otolaryngology – Head and Neck Surgery and the Department of Pediatrics at the Roy J. and Lucille A. Carver College of Medicine at University of Iowa and the Director of the Complex Pediatric Airway program at University of Iowa Hospitals & Clinics. He has clinical expertise in the management of children with complex airway disorders including open airway reconstructive surgeries. He also has clinical interest in the management of Head and Neck vascular anomalies, pediatric thyroid disorders, minimally invasive endoscopic ear surgery and robotic airway surgery. Dr. Kanotra joined University of Iowa in 2019 prior to which he was the Director of the Pediatric Aerodigestive Center and the surgical director of the vascular anomalies’ clinic at Children’s Hospital of New Orleans in Louisiana.

Basics of Blunt Force Trauma: ZMC Fractures

This webinar will address the definition of zygomaticomaxillary complex (ZMC) fractures, will review pertinent literature, mechanisms of injury, classification, surgical approaches and complications. The presenter will make use of clinical photos and will allow an opportunity to answer questions.

Jose M Marchena DMD, MD, FACS

Associate Professor of Oral and Maxillofacial Surgery / Chief of Oral and Maxillofacial Surgery

University of Texas Health Science Center / Ben Taub Hospital

Dr. Jose Marchena obtained his dental degree magna cum laude from Harvard School of Dental Medicine and his medical degree from Harvard Medical School. He completed internships in oral and maxillofacial surgery and general surgery at Massachusetts General Hospital in Boston and his residency training at Louisiana State University Medical Center in New Orleans. Dr. Marchena is an associate professor of oral and maxillofacial surgery at the University of Texas Health Science Center in Houston. He also serves as chief of oral and maxillofacial surgery at Ben Taub Hospital in Houston and as vice president of Smile Bangladesh, a nonprofit organization dedicated to providing cleft lip and palate repair operations in rural Bangladesh.

Alfredo R. Arribas DDS, MS, FACS

Assistant Professor in Department of Oral and Maxillofacial Surgery

University of Texas Health Sciences Center at Houston

Received his Bachelor of Science (BS) and Doctor in Dental Surgery (DDS) Degrees from Universidad Peruana Cayetano Heredia in Lima, Peru, in 1996, certificates in Advanced Education in General Dentistry (AEGD) at University of Maryland School of Dentistry, in 1998, two - year General Practice Residency (GPR) Program at LSU Health Sciences Center in 2000 and Oral, Maxillofacial Surgery internship at LSU Health Sciences Center in 2001, and Oral and Maxillofacial Surgery Residency at LSU Health Sciences Center, New Orleans in 2012, where he was trained in full scope Oral & Maxillofacial Surgery. Obtained a Master of Science (MS) degree in Health Care Management from University of New Orleans in 2004. Fields of interests includes: maxillofacial trauma, facial reconstructive surgery, dental implants, dentoalveolar surgery and orthognathic surgery.

Basics of Blunt Force Trauma: NOE Fractures

This webinar will address the definition of naso-orbito-ethmoidal (NOE) fractures, relevant anatomy, prevalence and etiology, diagnosis, classification, goals and timing of surgery, surgical sequence and complications. The presenter will make use of clinical photos and will allow an opportunity to answer questions.

Jose M Marchena DMD, MD, FACS

Associate Professor of Oral and Maxillofacial Surgery / Chief of Oral and Maxillofacial Surgery

University of Texas Health Science Center / Ben Taub Hospital

Dr. Jose Marchena obtained his dental degree magna cum laude from Harvard School of Dental Medicine and his medical degree from Harvard Medical School. He completed internships in oral and maxillofacial surgery and general surgery at Massachusetts General Hospital in Boston and his residency training at Louisiana State University Medical Center in New Orleans. Dr. Marchena is an associate professor of oral and maxillofacial surgery at the University of Texas Health Science Center in Houston. He also serves as chief of oral and maxillofacial surgery at Ben Taub Hospital in Houston and as vice president of Smile Bangladesh, a nonprofit organization dedicated to providing cleft lip and palate repair operations in rural Bangladesh.

Alfredo R. Arribas DDS, MS, FACS

Assistant Professor in Department of Oral and Maxillofacial Surgery

University of Texas Health Sciences Center at Houston

Received his Bachelor of Science (BS) and Doctor in Dental Surgery (DDS) Degrees from Universidad Peruana Cayetano Heredia in Lima, Peru, in 1996, certificates in Advanced Education in General Dentistry (AEGD) at University of Maryland School of Dentistry, in 1998, two - year General Practice Residency (GPR) Program at LSU Health Sciences Center in 2000 and Oral, Maxillofacial Surgery internship at LSU Health Sciences Center in 2001, and Oral and Maxillofacial Surgery Residency at LSU Health Sciences Center, New Orleans in 2012, where he was trained in full scope Oral & Maxillofacial Surgery. Obtained a Master of Science (MS) degree in Health Care Management from University of New Orleans in 2004. Fields of interests includes: maxillofacial trauma, facial reconstructive surgery, dental implants, dentoalveolar surgery and orthognathic surgery.

Cleft Lip Revision: Tips and Tricks

Attendees will learn various tips and tricks to a successful cleft lip revision procedure. There will be a Q&A session to address common challenges and how to address them.

Course Directors

Panelists

Alveolar Bone Graft Surgery: Tips and Tricks

This webinar will focus on the surgical management of alveolar clefts with bone grafting and fistula closure. Our panel of experts will share various techniques and graft source materials including tips and tricks learned along the way. Our guest moderator will lead a panel discussion at the end of the session to discuss some of the controversies and key points in alveolar grafting.

Cleft Primary and Revision Rhinoplasty: Tips and Tricks

Tune in for the latest in our series on Cleft Surgery featuring Dr. Raj Vyas from UC Irvine and Dr. Usama Hamdan with the Global Smile Foundation. The discussion will focus on making sure that attendees know proper procedures as well as common complications and how to avoid them.

Larry Hartzell, MD FAAP is an Associate Professor of Otolaryngology Head and Neck Surgery at Arkansas Children’s Hospital. He is the Director of the Pediatric Otolaryngology fellowship. Dr Hartzell also has been the Cleft Team Director in Arkansas since 2012. He is passionate about international humanitarian mission work and dedicates much of his research efforts to cleft surgical and clinical care as well as velopharyngeal insufficiency. Dr Hartzell is actively involved in multiple academic societies and organizations including the AAO-HNS and ACPA.

Dr. Goudy is a professor at Emory University School of Medicine and the director of the division of otolaryngology at Children’s Healthcare in Atlanta. Dr. Goudy’s clinical job involves repair of craniofacial malformations including cleft lip, cleft palate, and Pierre Robin sequence, and he also participates in head and neck tumor resection and reconstruction.

Dr. Hamdan is President and Co-Founder of Global Smile Foundation, a 501C3 Boston-based non-profit foundation that provides comprehensive and integrated pro bono cleft care for underserved patients throughout the world. He has been involved with outreach cleft programs for over three decades. Dr. Hamdan is an Otolaryngologist/Facial Plastic Surgeon with former university appointments at Harvard Medical School, Tufts University School of Medicine and Boston University School of Medicine. For his philanthropic service to the people of Ecuador, he was awarded the Knighthood, “Al Merito Atahualpa” En El Grado De Caballero, by the President of Ecuador in March 2005. He received Honorary Professorship at Universidad de Especialidades Espíritu Santo, School of Medicine, in Ecuador on March 5, 2015 for his contributions in the field of Cleft Lip and Palate.

Dr. Vyas obtained his BS from Stanford and his MD from UCLA before completing integrated plastic surgery residency at Harvard and a fellowship in Craniofacial Surgery at NYU. He is an active clinician, scientist and educator with over 200 peer-reviewed publications and presentations, 20 book chapters, dozens of invited lectures, and multiple NIH and foundational grants. Dr. Vyas is passionate about advancing knowledge and skill for cleft care worldwide, partnering with Global Smile Foundation as both a clinician and Director of Research.

After completing a pediatric craniofacial fellowship at Boston Children’s Hospital, he joined the Division of Plastic and Reconstructive Surgery at Washington University in St. Louis 2011. He is Director of Craniofacial and Medical Director of the Operating Rooms at Saint Louis Children’s Hospital (SLCH). He treats patients with craniosynostosis or other craniofacial abnormalities (congenital or traumatic). He obtained a Master of Science in Clinical Investigation in May 2017 at Washington University to advance his ability to perform high quality clinical research and this program allows him to take advantage of the tremendous resources available for faculty and residents. His research focus is in craniofacial with particular interest in craniosynostosis and cleft lip and palate.

Dr. David Yates MD, DMD, FACS is passionate about serving children with Cranial and Facial deformities and Cleft Lip and Palate. He is a Board Certified Oral and Maxillofacial Surgeon and was recently awarded the inaugural “Physician of the Year” award by El Paso Children’s Hospital. He is the Division Chief of Cranial and Facial Surgery at El Paso Children’s Hospital and has been critical in bringing complex craniofacial surgery to the region. In addition to being a partner with High Desert Oral and Facial Surgery, he directs the craniofacial clinic at El Paso Children’s Hospital and the craniofacial clinic at Providence Memorial Hospital. He has also been integral in starting a clinic for children with Cleft Lip and Palate in Juarez, Mexico at the Hospital De La Familia (FEMAP). He is now happily settled with his wife and four kids serving the greater El Paso/Las Cruces/Juarez region.

How to Rotate and Advance a Lip

This seminar will review the history and surgical technique of the Millard rotation-advancement unilateral cleft lip repair.  Nuances of the technique designed to optimize outcomes will be discussed and will be illustrated in photographic and video format.

Richard E. Kirschner, M.D., F.A.C.S, F.A.A.P.

Chief, Department of Plastic and Reconstructive Surgery / Director, Cleft Lip and Palate Center
Nationwide Children’s Hospital in Columbus, OH

Richard E. Kirschner, M.D., F.A.C.S, F.A.A.P. is Robert and Edgar T. Wolfe Foundation Endowed Chair, Chief of the Section of Plastic and Reconstructive Surgery, Director of the Cleft Lip and Palate Center, and Co-Director of the 22q Center at Nationwide Children’s Hospital.  He serves as Professor of Surgery and Senior Vice Chair of the Department of Plastic Surgery at The Ohio State University College of Medicine.  Dr. Kirschner served as President of the American Cleft Palate-Craniofacial Association in 2016.  He is co-editor of Comprehensive Cleft Care, now in its second edition, and of the upcoming publication Cleft Palate and Velopharyngeal Dysfunction.  He is co-founder of Casa Azul America, Inc., a non-profit organization devoted to providing education to professionals and care to underprivileged children with cleft lip and palate in Latin America and of Magical Moments Foundation, a wish granting charitable organization dedicated to serving children with facial differences.

Management of VPD in 22q Deletion Syndrome

This seminar will review the pathophysiology, assessment, and surgical management of velopharyngeal dysfunction in children with 22q deletion syndrome.

Richard E. Kirschner, M.D., F.A.C.S, F.A.A.P.

Chief, Department of Plastic and Reconstructive Surgery / Director, Cleft Lip and Palate Center
Nationwide Children’s Hospital in Columbus, OH

Richard E. Kirschner, M.D., F.A.C.S, F.A.A.P. is Robert and Edgar T. Wolfe Foundation Endowed Chair, Chief of the Section of Plastic and Reconstructive Surgery, Director of the Cleft Lip and Palate Center, and Co-Director of the 22q Center at Nationwide Children’s Hospital.  He serves as Professor of Surgery and Senior Vice Chair of the Department of Plastic Surgery at The Ohio State University College of Medicine.  Dr. Kirschner served as President of the American Cleft Palate-Craniofacial Association in 2016.  He is co-editor of Comprehensive Cleft Care, now in its second edition, and of the upcoming publication Cleft Palate and Velopharyngeal Dysfunction.  He is co-founder of Casa Azul America, Inc., a non-profit organization devoted to providing education to professionals and care to underprivileged children with cleft lip and palate in Latin America and of Magical Moments Foundation, a wish granting charitable organization dedicated to serving children with facial differences.

Introducing our presenters for the upcoming Cleft Lip Revision webinar!

This webinar comes as the latest in a long line of installments dealing with the Cleft Palate. In this session, attendees will learn various tips and tricks to a successful cleft lip revision procedure. There will be a Q&A session to discuss common challenges and how to address them.

Meet the Course Directors

Meet the Presenters