plastic surgery alumni symposium 2006 - university … medical education sponsored by: the...

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Continuing Medical Education sponsored by: The Department of Surgery at the University of Pennsylvania Presents A CME-Certified Course Penn Plastic Surgery Alumni Symposium and Whitaker Lectureship Friday-Saturday, May 19-20, 2006 The Inn at Penn Philadelphia, Pennsylvania

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Cont inuing Medica l Educat ion

sponsored by:

The Department of Surgeryat the University of Pennsylvania

PresentsA CME-Certified Course

Penn Plastic SurgeryAlumni Symposium

and Whitaker Lectureship

Friday-Saturday, May 19-20, 2006

The Inn at PennPhiladelphia, Pennsylvania

Although I have only been here for just over a year, I have come to further realizehow very special the University of Pennsylvania's Plastic Surgery Program is over

most other programs. At Penn, there is a strongsense of collegiality, a tradition of excellence ineducation and clinical care, and a very loyal andsupportive alumni. The Penn alumni are stronglyrepresented throughout national Plastic Surgeryin leadership of other academic Plastic SurgeryPrograms, within our national societies, andthrough countless presentations at our nationalmeetings. I am unaware of any other programwhose alumni faithfully gather each year in suchlarge numbers for the alumni dinner during theannual ASPS meeting. Your response to comeback to your alma mater to inaugurate theWhitaker Lectureship and participate in our sci-entific program has been overwhelming. Your

support of our program and your accomplishments and contributions to PlasticSurgery continue to secure us as one of the finest programs worldwide.

We gather this weekend to honor the person who has been the leader of Penn PlasticSurgery for 17 years, Dr. Linton A. Whitaker. During his tenure, Dr. Whitaker wasresponsible for developing a comprehensive faculty with expertise in all areas ofPlastic Surgery, augmenting the quality and educational reputation of the residencyprogram, and initiating one of the first Craniofacial fellowships. Dr. Whitaker hasbeen a pioneer within both Craniofacial Surgery and Aesthetic Surgery. In additionto the Craniofacial program, Dr. Whitaker founded the Edwin and Fannie Gray HallCenter for Human Appearance, and continues to serve as its Director. The interna-tionally recognized center is founded on a unique principle of interdisciplinary care ofappearance related conditions.

Dr. Whitaker has profoundly touched each and everyone of us both personally andprofessionally. As a small way of recognizing his enormouscontributions to us and to Penn Plastic Surgery, we are inau-gurating the Whitaker lectureship this weekend. TheWhitaker lectureship will continue as an annual springtimeevent, inviting a very special visiting lecturer. The firstWhitaker lecturers are Dr. Whitaker's closest colleagues andfellow pioneers in Craniofacial Surgery, Drs. Marchac, Ortiz-Monasterio, and Salyer. We welcome you all back to Pennfor what will be a wonderful weekend together. Thank youall for coming.

Microsurgical Reconstruction of Obstructive Lymphadema: RevisitedRichard W. Dabb, MD, FACS

Total Nasal Reconstruction Utilizing Distraction OsteogenesisChristopher P. Godek, MD, FACS

Free Tram vs. DIEP vs. SIEA, Patient Selection and IndicationsJoseph M. Serletti, MD, FACS

Don't Always Believe What the Professor SaysWendell B. Whitacre, MD

3:00 PM Break

3:30 PM Whitaker LectureshipModerator: Scott P. Bartlett, MD

Fifty Years of Rhinoplasty Fernando Ortiz Monasterio, MD

Multiple Facelifts: Evolution of TechniquesDaniel Marchac, MD

Cleft Lip and Palate, Treatment from Infancyto Adulthood - 36 Years Experience

Kenneth E. Salyer, MD, FAAP, FACS

5:30 PM Program Evaluation and Conclusion

5:45 PM Adjournment

7:00 PM Dinner - The Philadelphia Club

Linton A. Whitaker, MD

Joseph M. Serletti, MD

Course OverviewThis symposium and lectureship has been designed to update plastic surgeonsand fellows on the newest techniques, products and advancements in the specialtyof plastic surgery. This will be accomplished through a combination of threekeynote lectures and a series of overview talks based on original works coveringpertinent fields of interest in aesthetic and reconstructive surgery. Time for ques-tions and answers will be provided to encourage audience participation and facul-ty interaction.

Educational ObjectivesAt the conclusion of this activity, participants should be better able to:

1. Describe advancements in the field of plastic surgery, specifically pertaining to the topics of trunk, extremity, hand, craniomaxillofacial, and cosmeticsurgery.

2. Provide a historical perspective on the specialty of plastic surgery.

3. Explain the role of state-of-the-art non-invasive cosmetic procedures suchas facial injectables and resurfacing.

4. Provide an overview of the evolution of the field of craniofacial plasticsurgery.

AccreditationThe University of Pennsylvania School of Medicine is accredited by theAccreditation Council for Continuing Medical Education (ACCME) to providecontinuing medical education for physicians.

Designation of CreditThe University of Pennsylvania designates this educational activity for a maxi-mum of 11.5 AMA PRA Category 1 credit(s)TM. Physicians should only claimcredit commensurate with the extent of their participation in the activity.

Hosting InstitutionPenn Plastic Surgery Alumni Symposium and Whitaker Lectureship is host-ed by the Department of Surgery, Division of Plastic Surgery, University ofPennsylvania.

Hypnosis in SurgeryLawrence P. Kerr, MD

Orbicularis HitchSteven Cohen, MD

Suture Suspension Malarplasty:A Simplified Approach to Mid Face Lifts

R. Barrett Noone, MD

10:15 AM Break

10:30 AM Craniofacial and Cleft SurgeryModerator: Scott P. Bartlett, MD

Fibrous Dysplasia - The New Biology, Implications for TreatmentRobert J. Havlik, MD

A Cleft Surgeon's Approach to Vascular Anomalies of the Lipand Nose

David W. Low, MD

Progress in Palatoplasty: A Farewell to FistulaJoseph E. Losee, MD, FAAP, FACS

A Decade of Syndromic and Non Syndromic Craniosynostosis:Surgical, Psychosocial and Educational Outcomes

Craig A. Vander Kolk, MD

Mechanobiology and BoneJack C. Yu, MD

12:00 PM Lunch

1:00 PM Flaps, Hand, Extremity, Breast, Head and NeckModerator: David W. Low, MD

The Three Stage Forehead FlapScott P. Bartlett, MD

PollicizationBenjamin Chang, MD

3:30 PM Break

4:00 PM Penn Resident Session IIModerators: Joseph M. Serletti, MD, FACS and

Don D. LaRossa, MD

Fibula Free Flap Reconstruction of the Iliumin Children after Resection of the Hemipelvis

Darrin M. Hubert, MD

Alloderm and It's Uses in Breast Reconstruction Samuel Roy, MD

Changing Epidemiological Spectrum ofthe Single Suture Craniosynostosis

Russell Reid, MD

True Lambdoid SynostosisJames M. Smartt, Jr, MD

5:30 PM Adjournment

6:00 PM Cocktail Reception - 10 Penn Tower

Saturday, May 20, 2006

8:00 AM Continental Breakfast

8:15 AM Cosmetic SurgeryModerator: Louis P. Bucky, MD

The Role of the NPY-2 Receptor in Lipo RemodelingStephen B. Baker, MD

Eyelid Phenol Peel - An Important Adjunct to BlepharoplastyJohn E. Gatti, MD

Correction of the Lower Lid - Cheek InterfaceHarvey M. Rosen, MD

Reversing BrowliftsMichael J. Yaremchuk, MD

Disclosure of Relevant Financial RelationshipsIt is policy at the University of Pennsylvania School of Medicine for individualswho are in a position to control the content of an educational activity to discloseto the learners all relevant financial relationships that they have with any commer-cial interest that provides products or services that may be relevant to the contentof this continuing medical education activity. For this purpose we consider rela-tionships of the person involved in the CME activity to include financial relation-ships of a spouse or partner.

This intent of this policy is not to prevent expert faculty with relevant relation-ship(s) with commercial interest(s) from involvement in CME, but rather toensure that Penn CME-certified activities promote quality and safety, are effectivein improving medical practice, are based on valid content, and are independent ofcontrol from commercial interests and free of commercial bias. Peer review ofall content was conducted for all faculty presentations whose disclosure informa-tion provided to the Penn Office of CME was found to contain relationships thatcreated a conflict of interest relative to the topic of their presentation. In addi-tion, all faculty were instructed to provide a balanced, scientifically rigorous andevidence-based presentations.

The staff in the Office of CME at the University of Pennsylvania School ofMedicine and the peer reviewer have reported no relevant financial relationshipswith any commercial interests related to the contact of this educational activity.

The following faculty have disclosed that they have no financial relationships withany commercial interests related to the content of this educational activity:

Scott P. Bartlett, MDCraig B. Birgfeld, MDLouis P. Bucky, MDBenjamin Chang, MDSteven Cohen, MDRichard W. Dabb, MD, FACSJohn E. Gatti, MDChristopher P. Godek, MD, FACSRobert J. Havlik, MDDarrin M. Hubert, MDOksana Jackson, MDSuhail K. Kanchwala, MDLawrence P. Kerr, MDDon D. LaRossa, MDDavid W. Low, MD

Daniel Marchac, MDR. Barrett Noone, MDFernando Ortiz Monasterio, MD Russell Reid, MD Harvey M. Rosen, MDSamuel Roy, MD Rachel A. Ruotolo, MDJesse C. Selber, MD, MPHJoseph M. Serletti, MD, FACSAlison E. Slemp, MDJames M. Smartt, Jr, MDCraig A. Vander Kolk, MDWendell B. Whitacre, MDMichael J.Yaremchuk, MDJack C. Yu, MD

The following faculty have the listed relevant financial relationships with commer-cial interests related to the content of this educational activity:

Faculty Name Name of Commercial Interest Relationship

Stephen B. Baker, MD Phoenix Ventures InventorJoseph E. Losee, MD, FAAP, FACS Life Cell Research SupportKenneth E. Salyer, MD, FAAP, FACS Medicis Consultant

Relevant Financial Relationships: Relevant financial relationships are those relationships in whichthe individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, hono-raria, ownership interests (e.g. stocks, stock options, or other ownership interest, excluding diversi-fied mutual funds), or other financial benefit. Financial benefits are usually associated with rolessuch as employment, management positions, independent contractor (including contractedresearch), consulting, speaking, teaching, membership on advisory committees or review panels,board membership, and other activities from which remuneration is received or expected.

Investigational and/or Off-Label Use ofCommercial Products and Devices

The University of Pennsylvania School of Medicine requires all faculty to discloseany planned discussion of an investigational and/or off-label use of a pharma-ceutical product or device within their presentations. Participants should notethat the use of products outside and FDA-approved labeling should be consid-ered experimental and are advised to consult current prescribing information forapproved indications.

Program AgendaFriday, May 19, 2006

12:30 PM Registration

1:15 PM Opening Comments - Joseph M. Serletti, MD, FACS

1:30 PM Penn Resident Session IModerators: Joseph M. Serletti, MD, FACS and

Don D. LaRossa, MD

Mid Face Growth and Voice Disturbances in Patients with theEEC Syndrome

Craig B. Birgfeld, MD

Lip Adhesion and Nasal Conformers: Staging Cleft Lip Repairto Optimize Outcomes

Rachel A. Ruotolo, MD

Long Term Outcomes Following Craniosynostosis Repair Jesse C. Selber, MD, MPH

Modifications of Breast Reconstruction in the Thin Patient Alison E. Slemp, MD

The CHOP Modification of the Furlow Double Opposing Z Palatoplasty: Long Term Outcomes

Oksana Jackson, MD

Bilateral Free Flap Breast Reconstruction:A New Paradigm in the Treatment of Breast Cancer

Suhail K. Kanchwala, MD

Craig A. Vander Kolk, MDAssociate Professor of Plastic SurgeryAssistant Professor of PediatricsThe Johns Hopkins UniversityBaltimore, Maryland

Wendell B. Whitacre, MDTucson, Arizona

Michael J. Yaremchuk, MDProfessor of SurgeryHarvard Medical School Director, Craniofacial SurgeryMassachusetts General Hospital Boston, Massachusetts

Jack C. Yu, MDChief, Division of Plastic SurgeryMedical College of GeorgiaAugusta, Georgia

The following faculty reported specific mentions of off-label and/or investiga-tional use of products within their presentations.

Investigational and/orFaculty Product Off-Label Use

Joseph E. Losee, MD, FAAP, FACS AlloDerm Use in cleft palateKenneth E. Salyer, MD, FAAP, FACS rh-BMPs Use in filling cranial defects

The Course Director and Course Facultyare all from Philadelphia, Pennsylvania

Course DirectorJoseph M. Serletti, MD, FACS

Professor of Surgery Chief, Division of the Plastic Surgery

Hospital of the University of Pennsylvania

Scott P. Bartlett, MDProfessor of SurgeryHospital of theUniversity of Pennsylvania Director, Craniofacial Program Children's Hospital of Philadelphia

Craig B. Birgfeld, MDChief, Plastic Surgical ResidentHospital of theUniversity of Pennsylvania

Louis P. Bucky, MDAssociate Professor of SurgeryHospital of theUniversity of Pennsylvania

Benjamin Chang, MDAssociate Professorof Clinical SurgeryHospital of theUniversity of Pennsylvania

Darrin M. Hubert, MDPlastic Surgical Resident Hospital of theUniversity of Pennsylvania

Oksana Jackson, MDPlastic Surgical Resident Hospital of theUniversity of Pennsylvania

Suhail K. Kanchwala, MDSurgical ResidentHospital of theUniversity of Pennsylvania

Don D. LaRossa, MDProfessor of SurgeryHospital of theUniversity of PennsylvaniaChief, Pediatric Plastic SurgeryChildren's Hospital of Philadelphia

David W. Low, MDAssociate Professor of Surgery Hospital of theUniversity of Pennsylvania

R. Barrett Noone, MDClinical Professor of SurgeryHospital of theUniversity of Pennsylvania

Russell Reid, MD Craniofacial Fellow Hospital of theUniversity of Pennsylvania

Harvey M. Rosen, MDProfessor of Surgery Chief, Plastic andReconstructive Surgery Pennsylvania Hospital

Stephen B. Baker, MDAssistant Professor of SurgeryGeorgetown University HospitalWashington, District of Columbia

Steven Cohen, MDFaces PlusSan Diego, California

Richard W. Dabb, MD, FACSThe Center for Aesthetic &Reconstructive Surgery of York, PCYork, Pennsylvania

John E. Gatti, MDAssistant Clinical Professorof Surgery -UMDNJJohn E. Gatti Plastic andReconstructive SurgeryCherry Hill, New Jersey

Christopher P. Godek, MD, FACSThe Personal Enhancement Center Toms River, New Jersey

Robert J. Havlik, MDProfessor of SurgeryIndiana UniversityIndianapolis, Indiana

Lawrence P. Kerr, MDUMA/Health Science CenterBinghamton, New York

Joseph E. Losee, MD, FAAP, FACSAssistant Professor ofSurgery and Pediatrics,Chief, Division ofPediatric Plastic SurgeryDirector, PittsburghCleft-Craniofacial Center Children's Hospital of PittsburghPittsburgh, Pennsylvania

Daniel Marchac, MDCraniofacial GroupParis, France

Fernando Ortiz Monasterio, MDHospital "Manuel Gea Gonzalez"Mexico City, Mexico

Kenneth E. Salyer, MD, FAAP, FACSFounding Chairman and Director,Advanced Surgical InstitutesInternational Craniofacial Institute andCleft Lip and Palate Treatment CenterDallas, Texas

Samuel Roy, MD Breast/Aesthetic FellowHospital of theUniversity of Pennsylvania

Rachel A. Ruotolo, MDChief, Plastic Surgical Resident Hospital of theUniversity of Pennsylvania

Jesse C. Selber, MD, MPHPlastic Surgical Resident Hospital of theUniversity of Pennsylvania

Alison E. Slemp, MDPlastic Surgical Resident Hospital of theUniversity of Pennsylvania

James M. Smartt, Jr, MDSurgical ResidentHospital of theUniversity of Pennsylvania

Visiting Course Faculty

Course Faculty