Oral and Maxillofacial Surgery


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Oral and Maxillofacial Surgery

  1. 1. The Division of Oral and Maxillofacial Surgery Patient Care The Holmes Hospital Oral and Maxillofacial Surgery Ambulatory Care Center is primarily devoted to resident outpatient clinical education.At the Center approximately 9,000 patient visits and 1,500 deep sedation surgeries were recorded Robert D. Marciani, DMD during the past academic year. Reductions in State and Professor of Surgery Federal government support of indigent care patients created additional demands for the resources and services supplied by Chief, Division of Oral and the Holmes Hospital Oral & Maxillofacial Surgery Center. The Maxillofacial Surgery Center provides a substantial health service to the Greater Robert.Marciani@uc.edu Cincinnati area and continues to be a valuable resource for both 513.584.2586 the community and health care providers in the tri-state area. The Division’s practice at the Medical Arts Building The University of Cincinnati Oral and Maxillofacial Surgery improved its ability to handle the increased demands ofresidency is the second oldest training program of oral and patients with dental facial deformities, dental implant needs,maxillofacial surgeons in the United States. The Division reconstructive jaw surgery, impacted teeth and head and neckcontinues to expand its considerable efforts as a center for the tumors by undergoing a major facility renovation and expan-correction of dental facial deformities as well as the compre- sion. A new surgical suite equipped for reconstructive oral andhensive care for maxillofacial trauma victims at UC and the maxillofacial surgery, new digital imaging capabilities andsurrounding area hospitals. The Division is focused on the additional examining rooms are now operational. The newlycomprehensive rehabilitation of the facial trauma patient and renovated facility has the capacity to evaluate and treat morethe dentally compromised patient. Emphasis this past year has patients and is vital to the future expansion of the oral andbeen on restoring the edentulous and partially edentulous maxillofacial surgery faculty.patient with dental implants following reconstructive andorthognathic surgery. The Division has completed an exten- Dr. Robert Marciani and Dr. Likith Reddy provide a tertiarysive study of obesity and its relationship to anesthesia and the care referral practice as the principal provider of oral andpractice of oral and maxillofacial surgery. Investigations in the maxillofacial trauma care in the region. The demographics ofDivision are proceeding to further develop outcomes the practice at the Medical Arts Building reflect the region’sassessments and establish the unique needs of the patient broad spectrum of racial, psychosocial and economic profiles.population suffering from excessive weight. The Division of Oral and Maxillofacial Surgery | Page 66
  2. 2. The Children’s Hospital Medical Center and theVeterans Affairs Medical Center are important elements ofthe educational and patient care responsibilities of theDivision. Dr. Reddy is an active member of the CraniofacialTeam at the Cincinnati Children’s Hospital and providesboth primary and tertiary care for hundreds of pediatricpatients with oral health and craniofacial needs. The mili-tary veteran population of the tri-state area has benefitedtremendously from the skills of UC oral and maxillofacialsurgeons in oral health rehabilitation with dental implants.Veterans now have available state-of-the art oral healthreconstruction as a result of the efforts of the Division ofOral and Maxillofacial Surgery and the Dental Service at theVeterans Affairs Medical Center.Education The Oral and Maxillofacial Surgery residency program, implantology, and clinical or laboratory research. Chief res-which received full accreditation in January 2006, offers idents are responsible for the pre- and postoperative carediversified training for treatment of facial trauma, surgical of all oral surgery patients and perform a majority of thereconstruction of skeletal deformities, facial cosmetic oral surgery at The University Hospital, as well as performsurgery, trauma surgery, and dental implants. The Division cases at the Cincinnati Children’s Hospital and Veteransoffers a four-year program whose principal goal is the Affairs Medical Center.training of oral and maxillofacial surgeons to practice abroad scope of oral and maxillofacial surgery and to Researchbecome qualified and prepared to take the Board examina- Clinical research recently enjoyed success at thetion. An optional degree track is available for the M.D. national level with the results of an outpatient ambulatorydegree. To qualify, the candidate must pass Part I of the anesthesia in the obese patient study paper accepted forNational Medical Exam to enter the third year of medical the AAOMS annual meeting and selected as one of the 15%school after first completing the four-year oral and of papers to compete for the outstanding scientific papermaxillofacial surgery residency program. in several categories. Additional studies are ongoing relat- The first year of the residency is intended to provide ed to obesity and surgical outcomes as well as long-termthe resident with a comprehensive working knowledge of studies in neurosurgical patients via mid-face osteotomiesoral and maxillofacial surgery, methods of diagnosis, in conjunction with neurosurgery.patient management, ambulatory sedation and anesthesia Other ongoing oral and maxillofacial surgery researchprinciples, and basic operative techniques. In the second includesyear, residents spend nine months on off-service rotationsand three months on the Oral and Maxillofacial Surgery 1. Transorbital minimally invasive surgical approa-Service. The third-year residents alternately spend five ches to anterior circulatory aneurysmsmonths on the Oral and Maxillofacial Surgery Service andseven months on off-service rotations. Off-service rotations 2. Outcomes assessment of orthognathicinclude anesthesia, plastic surgery, family medicine, inter- surgery patientsnal medicine, general surgery, trauma, SICU, ENT, surgical 3. Temporal defect reconstructions with Medpore and dermal grafts. The Division of Oral and Maxillofacial Surgery | Page 67
  3. 3. Community Connections The Division of Oral and Maxillofacial Surgery has along-standing commitment to the oral and maxillofacialsurgery needs of the Cincinnati community. The Divisiondonates approximately 2,000 hours to the community eachyear in terms of treating patients at low (uninsured) orno cost. Drs. Marciani and Reddy are frequent invited speakersin the region and nationally. Dr. Reddy was elected a Fellowof the American College of Surgeons in October 2006, arare honor for an oral and maxillofacial surgeon. Dr. Reddy has returned to his hometown of Hyderabad,India every year for the past five years to offer his servicesfree to the indigent population. During his three-week stay,Dr. Reddy treats an average of 50 to 60 patients. About 90%of the cases are for severe congenital facial deformities andthe rest are due to post-traumatic facial deformities. The Facultyresults are almost always life-altering for the patients. The (To view the full CV, visit our website at http://surgery.uc.edu)Discovery Channel, in a series titled Surgery Saved My Life,featured Dr. Reddy on his annual trip in November 2006 in Robert D. Marciani, DMDa show that was televised nationally and in Canada and Professor of SurgeryEngland. Chief, Division of Oral and Maxillofacial Surgery Dr. Marciani specializes in orthognathic surgery, temporo- mandibular joint surgery, implantology, and reconstructive jaw surgery. He is certified by the American Board of Oral and Maxillofacial Surgery. Likith V. Reddy, MD, DDS, FACS Assistant Professor of Clinical Surgery Director, Residency Program in Oral and Maxillofacial Surgery Dr. Reddy specializes in facial trauma, surgical reconstruc- tion of skeletal deformities, cleft lip and palate repair, facial cosmetic surgery, and sleep apnea. He is certified by the American Board of Oral and Maxillofacial Surgery. Dan J. Crocker, DDS Professor of Clinical Surgery Dr. Crocker specializes in oral and maxillofacial surgery and pathology. He is certified by the American Board of Oral Ella Turner – 50 Years at UC Pathology and the American Board of Oral and Maxillofacial Surgery. Ella Turner has served the University of Cincinnati and the Department of Surgery for 50 years, the last Frederick L. Steinbeck, MD, DDS 25 in the Division of Oral and Maxillofacial Surgery. Assistant Professor of Clinical Surgery She was honored with an anniversary reception on June 15, 2007, at the University Hospital Faculty Dr. Steinbeck specializes in oral and maxillofacial surgery Conference Center. Ellas contributions to the growth with emphasis on treatment of medical and surgical and development of oral and maxillofacial surgery problems of the maxillofacial region. He is certified by the residents through her steadfast work habits, caring American Board of Oral and Maxillofacial Surgery. demeanor, and expertise are greatly appreciated. The Division of Oral and Maxillofacial Surgery | Page 68
  4. 4. Robert B. Horton, DDS Professor of Clinical Surgery, Emeritus Assistant Chief, Division of Oral and Maxillofacial Surgery, Emeritus Dr. Horton specializes in oral and maxillofacial surgery, outpatient sedation and anesthesia. He is certified by the American Board of Oral and Maxillofacial Surgery. Active Volunteer Faculty James Cassidy, DDS Babak Emami, DDS Robert F. Faulkner, DDS Michael Grau, DMD Jimmie L. Harper, DDS, MS Gary S. Robins, DMD Randall D. Stastny, DMD Jeri Stull, DMD Douglas Wallace, DDS Further information on the Division of Oral and Maxillofacial Surgery, including presentations and publications, can be viewed on our website http://surgery.uc.edu.4000 20000 8 250 30003500 7 2500 2003000 15000 6 20002500 5 1502000 10000 4 15001500 3 100 10001000 5000 2 50 500 500 1 0 0 0 0 0 The Division of Oral and Maxillofacial Surgery | Page 69