Course Overview

AROMS is a comprehensive lecture series covering the 12 domains of OMFS. It is a collaboration of high-yield information from the most utilized texts.

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Unit 1: Anatomy

One cannot understand the procedure unless they understand the anatomy. Here we establish our foundation as surgeons to have the confidence to know where we are and what we are getting into.

Unit Material

  1. Skull
  2. Cranial Nerves
  3. Face
  4. Orbit
  5. Parasinuses
  6. Ears
  7. Nose
  8. Mouth
  9. Salivary Glands
  10. Neck

Unit 2: Peri-Operative Management

My chief always used to say, “We have three goals as residents: Get the patient to the OR. Do the procedure. Get them home safely.” In order to do this, we must know how to manage an individual and their comorbidities in the pre-op, peri-op, and post-operative setting.

Unit Material

  1. Medical Management Part I
  2. Medical Management Part II
  3. Post-Operative Management
  4. Electrolytes Management
  5. Fluids Management
  6. Anticoagulation Management
  7. EKG Interpretation
  8. Antibiotic Guide
  9. Diagnostic Aids
  10. H&N Imaging

Unit 3: Anesthesia

Our ability to provide outpatient sedation is a cornerstone and hallmark of our specialty. It demands respect and understanding.

Unit Material

  1. Pharmacology
  2. Local Anesthetic
  3. Airway Management
  4. Outpatient Anesthesia
  5. Mechanical Ventilation

Unit 4: Teeth & Titanium

Teeth and titanium, bread and butter, pulling wizzies. Arguably the most common procedures we will perform in our daily practice. Yet, many of us learned it by just “winging it”. Start here to build good habits and maybe even kick some bad ones.

Unit Material - Dentoalveolar

  1. Management of 3rd Molars
  2. Expose & Bond
  3. Pre-Prosthetic Surgery
  4. Apicoectomy
  5. Vestibuloplasty
  6. Ankyloglossia
  7. Dental Clearance

Unit Material - Implantology

  1. Implant Basics
  2. Implant Treatment Planning
  3. Implants - Technique
  4. Sinus Lift
  5. Hard Tissue Augmentation
  6. Soft Tissue Augmentation
  7. Implant Salvage
  8. Distraction Osteogenesis

Unit 5: Orthognathic Surgery

For many of us, this was likely the first procedure we saw in the operating room. It is likely what made us decide we wanted to become Oral & Maxillofacial Surgeons. Here we discuss the principles, technique, and complications of corrective jaw surgery.

Unit Material

  1. Surgical Planning
  2. Database Acquisition
  3. Cephalometric Analysis
  4. Diagnosis & Treatment Planning
  5. Virtual Surgical Planning
  6. Complications
  7. Le Fort Osteotomy
  8. BSSO
  9. Genioplasty
  10. Inverted L Osteotomy
  11. VRO
  12. Subapical Osteotomies
  13. SARPE
  14. AMSO
  15. OSA
  16. Craniofacial Syndromes
  17. Oromandibular Dysostosis

Unit 6: Trauma

During World War I, treating the traumatic facial and jaw injuries caused by trench warfare forged the way for dental surgeons and established the principles of oral and maxillofacial surgery. Today, we honor this practice by continuing to provide coverage as an integral part of the accreditation required to be a Level I Trauma Facility.

Unit Material - Management

  1. Initial Trauma Management
  2. Facial Lacerations
  3. Facial Hemorrhage
  4. Tracheostomy
  5. Wound Healing
  6. Pediatric Trauma

Unit Material - Mandible

  1. Mandible Overview
  2. Principles of ORIF in the Mandible
  3. MMF
  4. Alveolar Fractures
  5. Anterior Mandible
  6. Mandible Body Fractures
  7. Mandible Angle Fractures
  8. Condylar Fractures
  9. Atrophic Mandibles
  10. Comminuted Fractures

Unit Material - Midface

  1. Principles of ORIF in the Midface
  2. Frontal Sinus Fractures
  3. NOE Fractures
  4. Dacrocystorhinostomy
  5. Nasal Fractures
  6. Orbital Fractures
  7. Zygoma Fractures
  8. Le Fort Injuries
  9. Panfacials

Unit 7: Cleft Lip & Palate

Some say that a baby’s smile is a gift from God. As OMFS, we have the privilege of serving as a member on the Cleft Lip & Palate Team. In turn, we get to watch these patients grow and to be a part of their lives.

Unit Material

  1. Principles of Cleft Lip & Palate
  2. Cheilorhinoplasty
  3. Palatoplasty
  4. Cleft Grafting
  5. Cleft Le Fort Osteotomy
  6. Pharyngoplasty
  7. Secondary Surgery

Unit 8: TMJ

TMD and TMJ surgery has long been regarded as taboo. Most often presenting as a headache for both the patient as well as the surgeon. Yet, when one understands the disease process as well as the indications for surgery, it becomes nothing more than another vital service that we can provide as OMFS.

Unit Material

  1. Anatomy of the TMJ
  2. Pathology of the TMJ
  3. Evaluation of TMD
  4. Management of TMD
  5. Non-surgical Management
  6. Arthroscopy
  7. Advanced Arthroscopy
  8. Arthroplasty
  9. Hypermobility & Hypomobility of the TMJ
  10. Total Joint Replacement

Unit 9: Cosmetics

To truly master cosmetic surgery, one must have a complete understanding of the role and impact of manipulating both hard and soft tissue. From face lifts to lip fillers, here we explore the facial subunits.

Unit Material

  1. Brow Lift
  2. Blepharoplasty
  3. Rhinoplasty
  4. Rhytidectomy
  5. Otoplasty
  6. Adjuvent Therapy

Unit 10: Pathology

Lenny Pepperbottom once said, “It’s an Aspen. You can tell because of the way it is.” As oral surgeons, we are the community’s go-to people when it comes to lumps and bumps in the head and neck. Here we focus on what it is we are looking at…or what it could be.

Unit Material

  1. Differential Diagnosis
  2. Developmental Defects
  3. Dental Abnormalities
  4. Pulpal, Periapical, Periodontal
  5. Bacterial, Viral, Fungal
  6. Allergic, Immunologic, Derm
  7. Physical & Chemical Injury
  8. Epithelial Pathology
  9. Salivary Gland Disease
  10. Soft Tissue Lesions
  11. Bone Lesions
  12. Odontogenic Cysts
  13. Oral Squamous Cell Carcinoma
  14. H&N Infections Part I
  15. H&N Infections Part II
  16. Osteomyelitis, ORN, MRONJ

Unit 11: Ablation

Extractions and implants are things anyone with a D.D.S. will attempt. But when it comes to cutting things out, OMFS often finds itself as the last one standing. From excisional biopsies to composite resection, we explore the demolition side of surgery.

Unit Material

  1. Biopsy Technique
  2. Excision of Facial Skin Malignancy
  3. Excision of Oral Malignancy
  4. Enucleation & Curettage
  5. Glossectomy
  6. Mandibulectomy
  7. Maxillectomy
  8. Neck Dissection
  9. Orbital Resection
  10. Sublingual Gland Excision
  11. Submandibular Gland Excision
  12. Superficial Parotidectomy

Unit 12: Reconstruction

Taking things apart is easy. It’s putting them back together that’s hard. Over the past 30 years, microvascular surgery has blossomed to provide advanced reconstructive techniques to help all of the “Andy Gumps” of the world.

Unit Material - Nerve Repair

  1. Microneurosurgery

Unit Material - Avascular Graft

  1. Cranial Graft
  2. Iliac Crest Graft
  3. Tibial Bone Graft
  4. Costochondral Graft
  5. Intraoral Harvesting

Unit Material - Local & Regional Flaps

  1. Local Flaps
  2. Regional Grafts
  3. Facial Reconstruction
  4. Orofacial Arterial System
  5. Buccal Fat Pad Graft
  6. Temporalis Flap
  7. Pectoralis Flap
  8. Submental Island Flap

Unit Material - Free Flap

  1. Microvascular Principles
  2. Radial Forearm Free Flap
  3. Anterior Lateral Thigh Flap
  4. Rectus Abdominis Free Flap
  5. Fibula Free Flap
  6. DCIA Free Flap
  7. Scapula
  8. Skin Grafting