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Rg I[email protected] www.cleftworkshop.org 2 ND INTERNATIONAL COMPREHENSIVE CLEFT CARE WORKSHOP October 16-18, 2019 Hilton Lima Miraflores, Lima, Peru PRELIMINARY PROGRAM

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Rg [email protected] www.cleftworkshop.org

2ND INTERNATIONAL COMPREHENSIVE CLEFT CARE WORKSHOP

October 16-18, 2019 Hilton Lima Miraflores, Lima, Peru

PRELIMINARY PROGRAM

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Conference MAP

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Comprehensive Cleft Care Workshop – 16, 18 October - Lima 2019 Day I – OCTOBER 16

07:00 – 08:00 REGISTRATION AND WELCOME RECEPTION HUSCARÁN I, II & III ROOM

08:00 – 09:00 CONFERENCE OPENING Moderator: Dr. Usama Hamdan Opening Session - Dr. Usama Hamdan Opening Session – Dr. Fiorella Molinelli, Executive Chair, EsSalud Opening Session - Dr. Roberto Flores CLEFT CARE IN LATIN AMERICA – LOOKING BACK OVER 40 YEARS - Dr. Carlos Navarro GLOBAL CLEFT CARE – CONTEMPORARY CHALLENGES – Dr. Nivaldo Alonso Discussion

HUSCARÁN I, II & III ROOM 09:00 – 10:00 PRESURGICAL CONSIDERATIONS AND MANAGEMENT Moderator: Dr. Usama Hamdan FEEDING AND NUTRITION (From Latin America) – Dr. Maria Carmen Pamplona TRANSPORT/FOLLOW UP/OUTREACH – Dr. Marcia Dosal TRANSPORT/FOLLOW UP/OUTREACH – Dr. Cassio Raposo TRANSPORT/FOLLOW UP/OUTREACH – Dra. Carmen Morovic Discussion 10:00 – 10:20 BREAK

HUSCARÁN I, II & III ROOM 10:20 – 11:20 PRESURGICAL ORTHOPEDICS Moderator: Dr. Ricardo Bennun Nasoalveolar Molding – Dr. Pradip Shetye Latham device – Dr. Elcin Esenlik Dynacleft with nasal prong – Dr. Marcia Dosal Presurgical Orthopedic: No need -Dr. Marcus Collares Discussion 11:20 – 12:20 PRIMARY UNILATERAL LIP AND NOSE

HUSCARÁN I, II & III ROOM Moderator: Dr. Joseph Losee Fisher – Dr. David Fisher Morovic – Dr. Carmen Morovic Perry – Dr. Percy Rossell Perry Mohler approach for unilateral cleft lip repair - Dr. Roberto Flores Discussion 12:20 – 13:20 LUNCH 13:20 – 14:20

HUSCARÁN I, II & III ROOM ( Surgery – Dental) SALKANTAY ROOM (Speech and Language Pathology) PRIMARY BILATERAL LIP AND NOSE – CHALLENGES AND

INNOVATIONS

Moderator: Dr. Roberto Flores Moderator: Dr. Ann Kummer Mulliken approach for bilateral cleft lip – Dr. Carolyn Rogers Normal anatomy of the oral cavity and velopharyngeal

mechanism Title TBA– Dr. Ricardo Bennun Types of clefts of the lip/palate and how they relate to

embryological development Title TBA – Dr. Carmen Morovic Otological and hearing problems associated with cleft palate

Retrograde – Dr. Cassio Raposo Discussion Discussion

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14:20 – 15:10 HUSCARÁN I, II & III ROOM ( Surgery – Dental)

LATE PRESENTATION – CHALLENGES AND INNOVATIONS Moderator: Dr. Carmen Morovic Effects of dental and occlusal anomalies effects on speech

Dr. Ann Kummer Primary maxillary setback – Brian Sommerlad – Dr. Brian Sommerlad SPEAKER Discussion 15:10 – 15:30 BREAK 15:30 – 16:30

HUSCARÁN I, II & III ROOM ( Surgery – Dental) SALKANTAY ROOM (Speech and Language Pathology) CLEFT LIP SEQUELAE OF REPAIR

Moderator: Dr. David Fisher Moderator: Dr. Ann Kummer Classification System for Cleft lip revision – Dr. Usama Hamdan Normal resonance and resonance disorders Type V revision: Bilateral Cleft Lip revisions – Causes of velopharyngeal dysfunction (VPD) Cleft lip repair sequalae – Dr. Carlos Giugliano Effects of VPD on speech Complications in Cleft lip repair – Dr. Percy Rossell Perry Discussion Discussion 16:30 – 18:30

HUSCARÁN I, II & III ROOM ( Surgery – Dental) CLEFT LIP SIMULATION

Moderator: Dr. David Fisher

SIMULATION ROOM

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Comprehensive Cleft Care Workshop – 16, 18 October - Lima 2019 Day II – OCTOBER 17

08:00 – 09:10 HUSCARÁN I, II & III ROOM (Surgery – Speech Pathology) SALKANTAY ROOM (Dental) CLEFT PALATE REPAIR – CHALLENGES AND INNOVATIONS PRE-SURGICAL INFANT ORTHOPEDICS

Moderator: Dr. Roberto Flores Moderator: Furlow - Dr. Joseph Losee Sequencing and timing of Orthodontic treatment in patients with

clefts - Dr. Pradip Shetye Radical IVV with vomer Flap – Dr. Brian Sommerlad

Buccal Flap – Dr. Robert Mann NAM in UCLP - Dr. Pradip Shetye Extended nasal Z-plasty – Dr. Marcus Collares Protocol for outpatient cleft palate repair – Dr. Carlos Giugliano NAM in BCLP - Dr. Pradip Shetye Discussion 09:10 – 10:10

HUSCARÁN I, II & III ROOM (Surgery – Speech Pathology) SALKANTAY ROOM (Dental) SPEECH AND HEARING PRE-SURGICAL INFANT ORTHOPEDICS

Moderator: Dr. Ann Kummer Moderator: Speech assessment and intervention – Dr. Ann Kummer Alternatives to NAM and Post-surgical Nasal Stenting -

Dr. Elcin Esenlik Hearing assessment and intervention – Dr. Krishna Patel Nasoendoscopy and other imaging techniques – Dr. Paul Willging Pediatric Dental Care in the management of patients with Clefts -

Dr. Serena Kassam VPI management without resources – Dr. Maria Carmen Pamplona Discussion Discussion (20 mins) 10:10 – 10:30 BREAK 10:30 – 11:40

HUSCARÁN I, II & III ROOM (Surgery – Speech Pathology) SALKANTAY ROOM (Dental) VPI SURGERY - STANDARD TECHNIQUES ORTHODONTIC TREATMENT DURING MIXED DENTITION IN

PATIENTS WITH CLEFTS (5-10 years) Moderator: Dr. Carlos Giugliano Moderator: Speech Therapy Perspectives – Dr. Ann Kummer Pre-bone graft orthodontics for patients with UCLP – Dr. Pradip

Sheyte IVV – Dr. Brian Sommerlad Furlow – Dr. Joseph Losee Pre-bone graft orthodontics for patients with BCLP for pre-max

repositioning – Dr. Pradip Sheyte Buccal Flap – Dr. Robert Mann Pharyngeal Flap + Sphincteroplasty – Dr. Krishna Patel Outcome of secondary alveolar bone graft procedure – Dr.

Daniela Garib Discussion 11:40 – 12:30

HUSCARÁN I, II & III ROOM (Surgery – Speech Pathology) SALKANTAY ROOM (Dental) VPI SURGERY – INNOVATIONS AND CHALLENGES ORTHODONTIC TREATMENT DURING MIXED DENTITION IN

PATIENTS WITH CLEFTS (5-10 years) Moderator: Dr. Brian Sommerlad Moderator: VPI treatment: Surgery, prosthetic device or speech therapy - Dr. Ann Kummer

Post-bone graft Orthodontics – Dr. Pradip Sheyte

VPI surgery in the syndromic and older patient – Dr. Carlos Giugliano Maxillary Expansion in Pts with Clefts -RME/SME/EDO – Dr.

Daniela Garib Total Immersion speech camps for children with clefts – Dr. Ma. Carmen Pamplona Free Flap – Dr. Wieslawa Pawlikowski Discussion Discussion 12:30 – 13:30 LUNCH

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13:30 – 14:40 HUSCARÁN I, II & III ROOM (Surgery – Speech Pathology) SALKANTAY ROOM (Dental)

FISTULA SURGERY ORTHODONTIC TREATMENT DURING PERMANENT DENTITION IN PATIENTS WITH CLEFTS (10 - 18 years)

Moderator: Moderator: Buccal flap - Dr. Robert Mann Dental Anomalies in patients with clefts – Dr. Daniela Garib Tongue Flap – TBA Local and Regional options for large fistulas – Dr. Percy Rossell Perry

Management of Impacted and missing teeth in patients with clefts (implant v/s substitute) – Dr. Pradip Sheyte

Free flap – Dr. Juan Carlos Rodriguez Phase II orthodontics treatment - Dr. Pradip Sheyte Discussion 14:40– 15:45

HUSCARÁN I, II & III ROOM (Surgery – Speech Pathology) SALKANTAY ROOM (Dental) CLEFT PALATE SEQUELAE AND CHALLENGES ORTHODONTIC TREATMENT DURING PERMANENT DENTITION

IN PATIENTS WITH CLEFTS (10 - 18 years) Moderator: Moderator: Adult VPI – Dr. Carlos Giugliano Bone anchored Protraction Headgear Treatment – Dr. Daniela

Garib - Dr. Brian Sommerlad - Dr. Ricardo Bennun Early LeFort I and Alveolar Distraction – Dr. Elcin Esenlik

VPI Sequelae – SOBRAPAR experience – Dr. Cassio Raposo Discussion Discussion 15:45 – 16:00 BREAK 16:00 – 18:00

HUSCARÁN I, II & III ROOM (Surgery – Speech Pathology) SALKANTAY ROOM (Dental) CLEFT PALATE SIMULATION ORTHODONTIC TREATMENT AFTER SKELETAL MATURITY

(18+ years) Moderator: Course Coordinators: Dr. Joseph Losee and Dr. Brian Sommerlad

Moderator:

Cleft Palate Simulation Session Evaluation of Patient for orthognathic surgery and goals of pre-surgical orthodontics - Dr. Pradip Sheyte

2D surgical planning and Traditional Splint fabrication – Dr. Pradip Sheyte

3D surgical Planning and CAD/ Cam Splint fabrication - Dr. Pradip Sheyte

Orthodontic Preparation and post-surgical orthodontics for Surgery first protocol - Dr. Pradip Sheyte

Adult cleft orthodontics - Dr. Pradip Sheyte

Discussion

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Comprehensive Cleft Care Workshop – 16, 18 October - Lima 2019 Day III – OCTOBER 18

08:00 – 09:10 HUSCARÁN I, II & III ROOM (Surgery – Dental) SALKANTAY ROOM (Speech Pathology)

ALVEOLAR BONE GRAFT – THE ROAD TO SUCCESS I Moderator: Dr. Rolando Prada Moderator: Dr. Ann Kummer Orthodontic Preparation Unilateral – Dr. Pradip Shetye Perceptual evaluation of speech, resonance, and velopharyngeal

function Autogenous bone graft – Dr. Nivaldo Alonso Intra-oral examination Orthodontic preparation bilateral – Dr. Pedro Santiago Overview of instrumental procedures Premaxillary Setback - Dr. Derek Steinbacher Post Bone Graft Orthodontics – Dr. Pradip Shetye Discussion Discussion 09:10 – 10:00

HUSCARÁN I, II & III ROOM (Surgery – Dental) SALKANTAY ROOM (Speech Pathology) ALVEOLAR BONE GRAFT – TRENDS AND INNOVATIONS

Moderator: Dr. Pedro Santiago Moderator: Dr. Ann Kummer Alveolar Bone Graft without presurgical orthodontics – Dr. Cassio Raposo

BMP in Cleft Surgery – Dr. Nivaldo Alonso Tissue Engineering Solutions – Dr. Roberto Flores Discussion Discussion 10:00 – 10:20 BREAK 10:20 – 11:30

HUSCARÁN I, II & III ROOM (Surgery – Dental) SALKANTAY ROOM (Speech Pathology) ORTHOGNATHIC SURGERY I – PROTOCOLS AND PREDICTABILITY Moderator: Dr. Nivaldo Alonso Moderator: Dra. Ann Kummer Presurgical Orthodontics – Dr. Pedro Santiago Nasometry: How to do it and interpret it (15m) Orthognathic surgery in outreach settings – Nasometry practice lab (30m) Virtual Surgery Planning – Dr. Pradip Shetye LeFort I Advancement – Dr. Rolando Prada Post-Surgical Orthodontics – Dr. Pedro Santiago Discussion Discussion 11:30 – 12:40

HUSCARÁN I, II & III ROOM (Surgery – Dental) SALKANTAY ROOM (Speech Pathology) ORTHOGNATHIC SURGERY II – PROTOCOLS AND

PREDICTABILITY II

Moderator: Dr. Roberto Flores Moderator: Dra. Ann Kummer LeFort I (Surgery First) - Dr. Derek Steinbacher Nasopharyngoscopy: How to do it and interpret it (15m) LeFort I Distraction – Dr. Marcus Collares Nasopharyngoscopy practice lab or round table discussions

(50m) Alveolar Distraction – Dr. Elcin Esenlik Surgical intervention for clefts and VPI (30m) Two Jaw orthognathic surgery – Dr. Rolando Prada Multi piece Orthognathic surgery – Dr. Derek Steinbacher Discussion Discussion 12:40 – 13:40 LUNCH 13:40 – 14:40

HUSCARÁN I, II & III ROOM (Surgery – Dental) SALKANTAY ROOM (Speech Pathology) RHINOPLASTY IN CLEFT LIP PATIENTS

Moderator: Moderator: Dr. Ann Kummer Dr. David Fisher Phonological strategies for treating articulation in children with

cleft palate Dr. Maria Carmen Pamplona Dr. Carlos Giugliano Speech Therapy Techniques (60m) Dr. Rolando Prada

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Dr. Derek Steinbacher Discussion Discussion 14:40 – 15:40

HUSCARÁN I, II & III ROOM (Surgery – Dental) SALKANTAY ROOM (Speech Pathology) RARE FACIAL CLEFT

Moderator: Moderator: Dr. Ann Kummer Presurgical Orthopedics – Dr. Elcin Esenlik 3-4 Tessier – Dr. Nivaldo Alonso 5 Tessier – Dr. Rolando Prada 0 Tessier – Dr. Cassio Raposo Discussion Discussion 15:40 – 16:00 BREAK 16:00 – 17:20

HUSCARÁN I, II & III ROOM (Surgery – Dental) SALKANTAY ROOM (Speech Pathology) Models of Cleft Care for Latin America (Advantages, Challenges,

Path for the future)

Moderator: Moderator: Dr. Ann Kummer GSF – Dr. Usama Hamdan Case studies in an interactive format BRAZIL – Dr. Nivaldo Alonso MEXICO – Dr. Marcia Dosal CHILE – Dr. Carmen Morovic PERU – TBA Discussion Discussion 17:20 – 17:30 HUSCARÁN I, II & III ROOM Closing Remarks – Dr. Flores Dr. Hamdan

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SECOND INTERNATIONAL COMPREHENSIVE CLEFT CARE WORKSHOP

Logistics Partner

October 16-18, 2019 Hilton Lima Miraflores Lima, Peru

Category Early

Bird

After

4/30/19

Surgeons

Limited to 250

$750 $800

Surgical Simulations* Limited to 50

$200 per

session

$200 per

session

Dentists $550 $600

Speech Pathologists $550 $600

Allied Health $550 $600

Registration Information

EARLY BIRD RATES APPLY UNTIL APRIL 30, 2019

*Must be registered as a surgeon to attend a simulation. Registration includes: Access to all scientific sessions, opening

session, welcome reception & exhibits Daily lunches & coffee breaks Conference bag & program book

There is a special rate for Residents in Training.

Please contact [email protected].

Register online: www.cleftworkshop.org

2019 International CCCW Co-Hosts

101 Access Road, Suite 205 Norwood, MA 02062

+1 (781) 355-2065

[email protected] www.cleftworkshop.org

Education for Sustainable Cleft Care

SPEAKERS CCCW Co-Chairs Usama Hamdan (United States) Roberto Flores (United States)

Surgery Brian Sommerlad (United Kingdom) David Fisher (Canada) Joseph Losee (United States) Derek Steinbacher (United States) Cassio Raposo (Brazil) Ricardo Bennun (Brazil) Marcia Rosario Perez Dosal (Mexico) Carmen Morovic (Chile) Rolando Prada Madrid (Colombia) Carlos Navarro (Peru) Juan Carlos Rodriguez (Argentina) Nivaldo Alonso (Brazil) Robert Mann (United States) Carlos Giugliano (Chile) Carolyn Rogers (United States) Wieslawa Pawlikowski (Peru) Percy Rossell Perry (Peru) Krishna Patel (United States) Marcus Collares (Brazil) Paul Willging (United States)

Dental Pradip Shetye (United States) Pedro Santiago (United States) Serena Kassam (United States) Elcin Esenlik (Turkey)

Daniela Garib (Brazil)

Speech Ann Kummer (United States) Maria C Pamplona (Mexico)

An unparalleled educational opportunity for surgeons, dentists & speech pathologists to:

Connect & interact with some of the world’s most prominent experts in the craniofacial and cleft fields

Learn through a comprehensive, multidisciplinary & clinically applicable educational curriculum

Participate in hands-on simulation sessions with individual feedback from instructors, small team discussions & detailed case reviews

This activity has been approved for AMA PRA Category 1 Credit™

Information can be found online at: https://cleftworkshop.org/cme-information/

2019 International Comprehensive Cleft Care

Workshop (CCCW)

CCCW Course Chairs

CCCW Co-Chairs

Dr. Usama Hamdan President of Global Smile Foundation & Assistant Clinical Professor of Otolaryngology, Tufts University School of Medicine

Dr. Roberto Flores Joseph G. McCarthy Associate Professor of Plastic Surgery & Director of Craniofacial Program at New York University Langone Medical Center

Dr. Pradip Shetye Director of Craniofacial Dental Center, Assistant Professor, Department of Plastic Surgery, New York University School of Medicine

Dr. Pedro Santiago Director of Orthodontics & Associate Consulting Professor of Surgery, Duke University

Dr. Ann Kummer Senior Director, Division of Speech-Language Pathology, Professor of Clinical Pediatrics & Professor of Otolaryngology, University of Cincinnati Medical Center

Speech Course Chair

Dental Course Co-Chairs