Day 1 :
Cambridge International University, Caracas-Venezuela
Time : 09:00AM-09:45AM
Dr. Cristal Marquez is a Plastic and Reconstructive Surgeon focused on founding an aesthetic-surgical Medical Center that enhances individual beauty, stimulating self-love as the basis of everything. She has worked 2 years as Plastic and Reconstructive Surgeon in Saudi Arabia while also pursuing a PhD in Philosophy of Aesthetic and Reconstructive Plastic Surgery from Cambridge International University. She has extensive experience with aesthetic surgeries, care of burn patientsas and as speaker in cientific meeting presenting several works in Caracas, Venezuela. She studied general surgery, working in one of the largest hospitals in Latin America as Trauma-Shock surgeon.
BDD is a very common disorder, with hardly any gender differences and described worldwide, with prevalence ranging between 1.7-2.5% in general population samples; up to 15% in psychiatric admission units; from10 to 40% in psychiatry consultations; and from 8 to 53% in dermatology, plastic surgery, or surgery maxillofacial.
As surgeons our training, it is essential to memorize the human anatomy, its functioning, and pathologies, emphasizing pre-operative preparation, surgery and post-operative follow up is equally important to obtain the best result, however, dysmorphophobia is subtly treated in the specialty, sometimes underestimating how serious it is to fall into the pathological circle of these patients, far from improving their appearance, we are many times enhancing their frustrations, everything under social media pessure.
But what is the best for the patients and for us?
As surgeons we must figure out:
If the requesting is possible and safe?If they’re doing it for the right reasons.How many procedures have the patientlooking for a specific result? In how long?Have the patient sings of dysmorphophobia? Is that enhanced by social media? Our goal is to stimulate the patients to be the best version of their selves, appreciating all kinds of beauty. If we find the way to match our surgical knowledge with social empathics abilities, we will find the perfect formula to have patients more happy with their results, and surgeon less stressful for the unrealistic expectations that in some cases are the key for unnecessary problems.
Dept Oral and maxillofacial surgery The Sahlgrenska
Keynote: Beyond Surgery first – Just surgery
Time : 09:45 to 10:30
From a rather strict protocol in bimaxillary jaw corrections with a stepwise treatment including pre-surgical orthodontic treatment and surgery always starting in the maxilla, things are now being challenged. It started with “Mandible first” and moved on to “Surgery first” in selected cases. We have at our unit operated a number of cases without any orthodontic treatment at all. We call this “Just Surgery” . During 2021 we will continue to collect data on stability and over all treatment outcome. Preliminary data show promising results regarding postoperative stability of the bone segments but the selection of cases is demanding and many cases are contraindicated for the protocol, such as patients with crowding and/or uneven dental arches. This presentation will focus on the possibilities and limitations with orthognathic surgery without additional orthodontic treatment
The Welsh Centre for Burns and Plastic Surgery
Keynote: Designing a coordinate skin mapping system for skin cancer surgeries on the head for preventing wrong-site surgeries
Time : 11:00 to 11:45
Eleni Hadjikyriacou undertook her primary medical qualification, Masters in Medicine, at the age of 24 years from Unversity of Debrecen, Hungary. Following graduation she begun her foundation training in UK, at general surgery department in Harrow Hospital, London. She is currently a Core Surgical Trainee in Plastics at Morristons Hospital in Swansea.
Surgical site accuracy in skin cancer surgery has been and will stay as a never-ending concern. Several methods are used for the purpose including photography, marking unified or self-drawn diagrams and written description in the notes. In our suggested, easy still accurate system, skin lesions can be pinpointed depending on head coordinates and measuring distances.
Methods: Using aesthetic subunits can be feasible in defining a surgical site especially on areas with several units such as ear and nose. Still, it can be challenging in describing two or more lesions on the same subunit. Marking plain 2d or 3d models is operator dependent and does not consider individual sizing variations that occasionally will not fit in the model used. A coordinate system that depends on crossing landmark lines in two dimensions and numerical measurement may be the solution for localizing lesions on head and neck. There is no need for models to be in each patient’s notes. Only both ends of the referral process should have them to make the marking easier.
Conclusion: Conclusion Surgical site accuracy has been and will stay a never-ending concern. In the previously detailed innovative system, an easy, still accurate, method is demonstrated. Testing its specificity and sensitivity against other methods such as description in the notes using zones or aesthetic subunits, patient description and photographs will be the prospective step to do.