The American Society of Maxillofacial Surgeons (ASMS) is a professional organization focused on the science and practice of surgery of the facial region and craniofacial skeleton. The organization is involved in education, research, and advocacy on behalf of patients and maxillofacial surgeons. [1]
The American Society of Maxillofacial Surgeons (ASMS) was founded in 1947. Early members were largely dual-trained in dentistry and medicine. Over the ensuing years, a relationship with the American Medical Association and American Society of Plastic and Reconstructive Surgeons (now the American Society of Plastic Surgeons) was fostered. After development of formal maxillofacial training programs and later the birth of the field of craniofacial surgery, the scope of training required for ASMS membership broadened to include surgeons with an MD degree and formal maxillofacial training. [2] The society commemorated its 75th anniversary in 2022 by honoring the long history and current role of military surgeons in advancing treatment of maxillofacial conditions [3] and by exploring the interplay between the past and future of maxillofacial surgery [4] in a special edition of the journal FACE.
Education of trainees and peers has been an organizational objective since the inception of the ASMS. The Kazanjian lectureship was initiated in 1966. This now biennial lectureship currently alternates with the Converse lectureship at the ASMS portion of the annual meeting of the American Society of Plastic Surgeons.
The maxillofacial basics workshop was founded in 1979. Fundamentals of maxillofacial surgery and basic techniques for management of maxillofacial trauma and orthognathic conditions are taught to residents and fellows around North America semiannually. [2]
In 1998, the ASMS initiated a one-day intensive lecture series preceding the annual meeting of the American Society of Plastic Surgeons. Each year, the ASMS pre-conference symposium provided a multi-disciplinary education on topics in the field of craniomaxillofacial surgery for students, surgeons-in-training, and practicing plastic and maxillofacial surgeons. In the late 2010's, topics featured in the ASMS pre-conference symposium became more broadly incorporated into the regular program of the American Society of Plastic Surgeons annual meeting.
In 2003, two educational fellowships were established to foster advanced learning in the field of craniomaxillofacial surgery. [5] The organization also offers grants for research on maxillofacial conditions to foster new innovations that may improve surgical treatment.
In 2023, the ASMS launched international educational programs. The first was a partnership with both the Korean Cleft Palate-Craniofacial Association and Korean Society for Simulation Surgery, focusing on cutting edge techniques in craniomaxillofacial surgery. This was followed shortly thereafter by a maxillofacial symposium in collaboration with the Romanian Association of Plastic Surgeons. International exchange of ideas and experience is a growing focus of the ASMS given the diverse clinical scope of maxillofacial surgery.
In 2020, the ASMS launched the journal, FACE, [6] in collaboration with the American Society of Craniofacial Surgeons. This SAGE Publishing journal is dedicated to advancing the art and science of craniomaxillofacial surgery by disseminating evidence-based peer reviewed research. In 2022, the FACE call [7] podcast was developed to highlight individual papers in FACE and provide short-term open access to journal articles in addition to audio content. The following year, 2023, FACE became indexed in Scopus.
American Society of Maxillofacial Surgeons initiatives focus on problems with facial form or function, [5] including [1] congenital craniofacial differences, facial trauma, reconstruction after head and neck cancer, and problems with bite. Congenital craniofacial differences are conditions affecting the head and face that present at or shortly after birth such as craniosynostosis, cleft lip and palate, hemifacial microsomia (aka craniofacial microsomia, oculoauriculovertebral spectrum, or Goldenhar syndrome), and Treacher Collins syndrome (aka mandibulofacial dysostosis). Traumatic facial injuries include orbital (eye socket) fracture, mandible (jaw) fracture, nasal fracture (broken nose), dog bite, and gunshot wound. Treatment of head and neck cancer and skin cancer of the face often results in missing tissue requiring jaw reconstruction, skin reconstruction, and nose reconstruction. Problems with occlusion (bite) may be treated with orthognathic surgery. American Society of Maxillofacial Surgeons members have contributed to early achievement in face transplant, [8] [9] [10] which is emerging as treatment for the most severe maxillofacial deformities.
Otorhinolaryngology is a surgical subspeciality within medicine that deals with the surgical and medical management of conditions of the head and neck. Doctors who specialize in this area are called otorhinolaryngologists, otolaryngologists, head and neck surgeons, or ENT surgeons or physicians. Patients seek treatment from an otorhinolaryngologist for diseases of the ear, nose, throat, base of the skull, head, and neck. These commonly include functional diseases that affect the senses and activities of eating, drinking, speaking, breathing, swallowing, and hearing. In addition, ENT surgery encompasses the surgical management of cancers and benign tumors and reconstruction of the head and neck as well as plastic surgery of the face, scalp, and neck.
Plastic surgery is a surgical specialty involving the restoration, reconstruction or alteration of the human body. It can be divided into two main categories: reconstructive surgery and cosmetic surgery. Reconstructive surgery includes craniofacial surgery, hand surgery, microsurgery, and the treatment of burns. While reconstructive surgery aims to reconstruct a part of the body or improve its functioning, cosmetic surgery aims to improve the appearance of it. A comprehensive definition of plastic surgery has never been established, because it has no distinct anatomical object and thus overlaps with practically all other surgical specialties. An essential feature of plastic surgery is that it involves the treatment of conditions that require or may require tissue relocation skills.
Oral and maxillofacial surgery is a surgical specialty focusing on reconstructive surgery of the face, facial trauma surgery, the oral cavity, head and neck, mouth, and jaws, as well as facial cosmetic surgery/facial plastic surgery including cleft lip and cleft palate surgery.
Orthognathic surgery, also known as corrective jaw surgery or simply jaw surgery, is surgery designed to correct conditions of the jaw and lower face related to structure, growth, airway issues including sleep apnea, TMJ disorders, malocclusion problems primarily arising from skeletal disharmonies, and other orthodontic dental bite problems that cannot be treated easily with braces, as well as the broad range of facial imbalances, disharmonies, asymmetries, and malproportions where correction may be considered to improve facial aesthetics and self-esteem.
Craniofacial surgery is a surgical subspecialty that deals with congenital and acquired deformities of the head, skull, face, neck, jaws and associated structures. Although craniofacial treatment often involves manipulation of bone, craniofacial surgery is not tissue-specific; craniofacial surgeons deal with bone, skin, nerve, muscle, teeth, and other related anatomy.
The Queen Victoria Hospital (QVH), located in East Grinstead, West Sussex, England is the specialist reconstructive surgery centre for the south east of England, and also provides services at clinics across the region. It has become world-famous for its pioneering burns and plastic surgery. The hospital was named after Queen Victoria. It is managed by the Queen Victoria Hospital NHS Foundation Trust.
The Le Fortfractures are a pattern of midface fractures originally described by the French surgeon, René Le Fort, in the early 1900s. He described three distinct fracture patterns. Although not always applicable to modern-day facial fractures, the Le Fort type fracture classification is still utilized today by medical providers to aid in describing facial trauma for communication, documentation, and surgical planning. Several surgical techniques have been established for facial reconstruction following Le Fort fractures, including maxillomandibular fixation (MMF) and open reduction and internal fixation (ORIF). The main goal of any surgical intervention is to re-establish occlusion, or the alignment of upper and lower teeth, to ensure the patient is able to eat. Complications following Le Fort fractures rely on the anatomical structures affected by the inciding injury.
Paul Tessier was a French maxillofacial surgeon. He was considered the father of modern craniofacial surgery.
A jaw abnormality is a disorder in the formation, shape and/or size of the jaw. In general abnormalities arise within the jaw when there is a disturbance or fault in the fusion of the mandibular processes. The mandible in particular has the most differential typical growth anomalies than any other bone in the human skeleton. This is due to variants in the complex symmetrical growth pattern which formulates the mandible.
Aesthetic medicine is a branch of modern medicine that focuses on altering cosmetic appearance through the treatment of conditions including scars, skin laxity, wrinkles, moles, liver spots, excess fat, cellulite, unwanted hair, skin discoloration, and spider veins. Traditionally, it includes dermatology, oral and maxillofacial surgery, reconstructive surgery and plastic surgery, surgical procedures, non-surgical procedures, and a combination of both. Aesthetic medicine procedures are usually elective. There is a long history of aesthetic medicine procedures, dating back to many notable cases in the 19th century, though techniques have developed much since then.
A facial cleft is an opening or gap in the face, or a malformation of a part of the face. Facial clefts is a collective term for all sorts of clefts. All structures like bone, soft tissue, skin etc. can be affected. Facial clefts are extremely rare congenital anomalies. There are many variations of a type of clefting and classifications are needed to describe and classify all types of clefting. Facial clefts hardly ever occur isolated; most of the time there is an overlap of adjacent facial clefts.
Peter James Taub, MD, FACS, FAAP, is an American Professor of Surgery, Pediatrics, Dentistry, Neurosurgery, and Medical Education at the Icahn School of Medicine at Mount Sinai as well as Attending Plastic and Reconstructive Surgeon at the Mount Sinai Medical Center and Elmhurst Hospital Center, all in New York City. He is a diplomate of both the American Board of Surgery and the American Board of Plastic Surgery.
Hermann F. Sailer is a German maxillofacial surgeon. He leads the Klinik Professor Sailer in Zurich and is the founder of the Cleft-Children International Foundation.
Colonel Robert G. Hale, DDS is an oral and maxillofacial surgeon and former Commander of the US Army Dental and Trauma Research Detachment. Hale lectures worldwide on craniomaxillofacial battle injuries and regenerative medicine. He is a researcher and public advocate for the advancement and benefits of regenerative medicine.
Hugo Obwegeser was an Austrian Oral and Maxillo-Facial Surgeon and Plastic Surgeon who is known as the father of the modern orthognathic surgery. In his publication of 1970, he was the first surgeon to describe the simultaneous procedure which involved surgeries of both Maxilla and Mandible involving Le Fort I and Bilateral Sagittal Split Osteotomy technique.
Neuroplastic or neuroplastic and reconstructive surgery is the surgical specialty involved in reconstruction or restoration of patients who undergo surgery of the central or peripheral nervous system. The field includes a wide variety of surgical procedures that seek to restore or replace a patient's skull, face, scalp, dura, the spine and/or its overlying tissues.
Andrew A.C. Heggie is an oral and maxillofacial surgeon at the Royal Children's Hospital in Melbourne, Australia. His primary interest has been the management of developmental skeletal facial deformity, including patients with cleft lip and palate, craniofacial microsomia and infants with micrognathism. His contribution to the treatment of infant upper airway obstruction for Pierre Robin sequence, using internal devices for jaw lengthening using distraction osteogenesis, has replaced the need for tracheostomy in this condition. In 2019, Heggie was awarded Member of the Order of Australia for significant service to medicine and dentistry in the field of oral and maxillofacial surgery.
Derek Steinbacher is an American cosmetic plastic, rhinoplasty, and maxillofacial surgeon who is Professor of Plastic Surgery at Yale New Haven Health in Connecticut. He is also the chief of the Dental Department and Oral and Maxillofacial Surgery at Yale New Haven Health. He is known for his clinical work, research and incorporation of 3D analysis and printing into jaw surgery, craniofacial surgery and rhinoplasty.
Adam Jeremy Oppenheimer is an American plastic surgeon and medical researcher known previously for his research in craniofacial surgery and current work in labiaplasty surgery.
Mandibular setback surgery is a surgical procedure performed along the occlusal plane to prevent bite opening on the anterior or posterior teeth and retract the lower jaw for both functional and aesthetic effects in patients with mandibular prognathism. It is an orthodontic surgery that is a form of reconstructive plastic surgery. There are three main types of procedures for mandibular setback surgery: Bilateral Sagittal Split Osteotomy (BSSO), Intraoral Vertical Ramus Osteotomy (IVRO) and Extraoral Ramus Osteotomy (EVRO), depending on the magnitude of mandibular setback for each patient. Postoperative care aims to minimise postoperative complications, complications includes bite changes, relapse and nerve injury.
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