SS06 - I Thought my Next Patient was a Simple Orthognathic Consult: Comprehensive Management of the Adult Patient with Co-existing Dentofacial Deformity, OSA/SDB and TMJ DJD
Consultant in Oral and Maxillofacial SurgeryConsultant in Pediatric and Adolescent MedicineAssistant Professor of Surgery Mayo Clinic Rochester, Minnesota
Oral and maxillofacial surgeons will commonly see adult patients who simultaneously present with dentofacial deformities, TMJ DJD and sleep-disordered breathing. Interestingly, these patients frequently have nearly uniform clinical and radiographic findings, making identification of this "phenotypical" patient straightforward. Unfortunately, they are usually not referred with such a definitive package of diagnoses nor rarely with a thoughtful plan for management. However, identification of these patients is crucial to permit proper management and prevent morbidity and potential mortality. Combined treatment of these entangled problems can predictably be accomplished with a thoughtful virtual and clinical surgical treatment plan. This session will present multiple such patients, and review their workup, surgical planning and treatments – including enhanced recovery protocols – to establish a cohesive approach to their overall management.
Learning Objectives:
At the conclusion of this presentation, participants should be able to:
Identify patients who might be at risk of a combination of DFD, TMJ DJD and SDB.
Manage patients with a combination of DFD, TMJ DJD and SDB/OSA
Describe and utilize enhanced recovery techniques for patients having complex maxillofacial bony reconstruction.