face to face issue 45

HONG KONG23rd International Conferenceon Oral amp Maxillofacial Surgery 2017 A S I A rsquo S W O R L D C I T Y

Organisers

31 March ndash 3 April 2017Hong Kong Convention amp Exhibition Centre

wwwicoms2017comCALL FOR ABSTRACTS SUBMIT YOUR ABSTRACT TODAYAbstracts must be submitted online Accepted abstracts will be published in the International Journal of Oral and Maxillofacial Surgery

SPONSORSHIP amp EXHIBITIONA range of sponsorship and exhibition opportunities are available Ensure your organization is at the most prestigious event within the industry

Contact us today to secure your involvement

The 23rd International Conference on Oral and Maxillofacial Surgery is the premier international forum for research theory and development related to oral and maxillofacial surgery

For enquiry

ICOMS 2017 Officeco LLink LimitedRoom 2302 23F Kwai Hung Holdings Centre 89 Kingrsquos Road Hong KongT (852) 2566 2889F (852) 2570 4773E icoms2017llinkcomhk

IMPORTANT DATES1 March 2016

Abstract Submission OPENS

1 April 2016Early-bird Registration OPENS

1 October 2016Abstract Submission Deadline

30 November 2016Early-bird Registration Deadline

For more information click here

Registration amp abstract submission

are now available

Act Now

Editor-in-Chief Javier Gonzaacutelez Lagunas

Managing Editor Lisa Markovic

Graphic DesignerMariacutea Montesinos

Executive Committee 2016 - 2017

Board of DirectorsJulio Acero President

Piet Haers Immediate Past PresidentAlexis Olsson Vice President

Gabriele Millesi Vice President ElectArthur Jee Treasurer

Larry Nissen IAOMS Foundation ChairmanKishore Nayak Interim Executive Director

Members-at-Large Javier Gonzaacutelez Lagunas

Sanjiv NairDavid Wiesenfeld

Regional Representatives Abdellfattah Sadakah Africa

Kenichi Kurita AsiaNick Kalavrezos Europe

Alejandro Martinez Latin AmericaArthur Jee North America

Jocelyn Shand OceaniaNabil Samman Editor-in-Chief IJOMS

Committee Chairmen Rui Fernandes Education CommitteeJoseph Helman Research Committee

Deepak Krishnan IAOMS NextGen CommitteeSteve Roser COGS Committee

Fred Rozema IT Advisory Committee Mark Wong IBCSOMS Representative

Nabil Samman 23rd ICOMS-2017 Hong Kong Luiz Marinho 24th ICOMS-2019 Brazil

David Koppel 25th ICOMS-2021 Glasgow

Issue 45 April 2016

CONTACT USIAOMS

8618 W Catalpa Ave Suite 1116 Chicago IL USA 60656 12242328737 communicationsiaomsorg

ello and goodbye My column in this issue has a bittersweet taste On one side we are opening a new mandate with our new president Julio Acero who officially took office in January Julio has been responsible for many of the educational projects of the IAOMS He is well known and respected worldwide and his imprint on the specialty will be long-lasting In the next two years he will be undertaking new projects and giving consistency to all the initiatives that Piet

Haers and others before him started with the common goal of having a strong sustainable and reliable association But we are also saying goodbye to Pierre Desy our Executive Director Two years ago Pierre took the challenge of bringing the structure of the association up to date Those of us who have been working with him know of his enthusiasm and know-how and we will miss his resolution commitment and dedication to IAOMS I personally wish him all the success in his new project Life of a scientific association depends on continuity With the extraordinary job that our previous presidents had done we can only go forward I am sure that in two yearrsquos time when Dr Acero will leave the presidency IAOMS will be in a stronger position as the global association for all oral and maxillofacial surgery professionals Our new Executive Director Mitchell Dvorak will also play a key role in the development and implementation of the projects that will make IAOMS bigger and betterIn this issue of Face to Face we are introducing to all our members ICOMS Hong Kong to be held in March 2017 The papers that Nabil Sammamrsquos team have prepared for us are just an amuse-bouche of the great meeting we will enjoy next year You can also find the first Spotify list especially devoted to oral and maxillofacial surgeons is there anything more maxillofacial then the lips

HOW I SEE IT

H

Javier Gonzaacutelez LagunasEDITOR IN CHIEF

ldquoLife of a scientific association depends on continuityrdquo

Letter from the Editor

CONTENTS

SPECIAL REPORT

NEXT GEN

BEYOND THE OR

SO YOU WANT TO WORK IN

COPY MEAutotransplantation of premolars with simultaneous bilateral intraalveolar sinuslift

FROM PROUST TO PIVOT

The Secret World of Women Surgeons

FELLOWSHIP

April 2016

FEMALE TO FEMALE

Cleft Lip and Palate and Craniomaxillofacial Surgery

Hong Kong

Dear Dr Acero

18

17

20

22

32

10

28

24

Peruacute

Julio Acero

Me amp them

Pierre Deacutesy IAOMS EXECUTIVE DIRECTOR

CHANGES IN THE EXECUTIVE DIRECTION

Dear members of the IAOMS

It is with mixed emotions that we announce the resignation of our Executive Director Pierre Deacutesy effective March 11 2016 Since 2014 Mr Deacutesy has skillfully helped stabilize the organizationsrsquo operations finances and infrastructure strengthened governance in collaboration with the Board

of Directors and led the development and implementation of strategic initiatives that positioned the association and the foundation for significant growth

ldquoAfter two years as Executive Director of the IAOMS I have asked the IAOMS Board of Directors to consider my resignation so that I may pursue another exciting career opportunityrdquo said Pierre Deacutesy ldquoI am extremely proud of IAOMS and the IAOMS Foundation and the work we have accomplished together I feel confident that I will be leaving a more solid growing organization that has come to be recognized as the global association in the field of oral and maxillofacial surgery The board is strong and the staff at IAOMS are outstanding They are a cohesive team committed and dedicated to the work they dordquo said Deacutesy ldquoIt has been a great honor for me to serve as Executive Director of IAOMS and to have the opportunity to work for a dynamic and nimble organization led by highly committed professionals I extend my deepest appreciation to all of our Board Executive Committee corporate partners staff and members It is the people who have made these experiences exceptional I will forever cherish having had the opportunity to meet and develop friendships with so many of you Thank you for two fantastic yearsrdquo

ldquoOn behalf of the IAOMS Board of Directors we want to thank Mr Deacutesy for his service to the organization and our missionrdquo said Julio Acero IAOMS President ldquoAlthough we are sad to see him go we are excited for him as he initiates this important next stage in his life and his career We are grateful for the incredible work Mr Deacutesy has done with the association and the foundation helping to heighten the specialtyrsquos visibility along with the ability to manage difficult situationsrdquo said Acero ldquoWe appreciate Mr Deacutesyrsquos advice and assistance in supporting a smooth transition during this time The Board of Directors Executive Committee and IAOMS Staff wish him all the best in his professional life Mr Deacutesy will always have a home in our association So this is not good-bye but merely see you next time albeit in a different capacityrdquo

Over the course of the next few weeks the IAOMS Board of Directors will conduct interviews to identify Mr Deacutesyrsquos successor We look forward to continuing IAOMSrsquo work of strengthening our specialty through collaboration supporting ongoing strategic planning and advancing the field of Oral and Maxillofacial Surgery worldwide We are eager to see what the future brings as we move forward energized in our mission

Julio AceroPRESIDENT IAOMS

Following Mr Pierre Desyacutes resignement which was effective on last Friday March 12th an extensive search for the selection and appointment of a new Executive Director was performed by the IAOMS Board of Directors along with the collaboration of our Interim Executive Director Kishore Nayak and our past Executive

Director Pierre Desy According to this the Board of Directors and the IAOMS Executive Committee are delighted to announce the selection of Mitchell Dvorak as the new Executive Director of IAOMS which will be effective April 18 2016

Mr Dvorak has extensive experience working with nonprofit organizations in the healthcare and patient safety fields Most recently he was elected to the Board of Directors of the Association Forum in 2015 He has also served as Chair of the 2014 ndash 2015 ASAE Small Staff Association Committee In 2012 Mitch was named a Young and Aspiring Association Professional by Association TRENDS Mitch earned his graduate degree in Public Service Management from DePaul University and his bachelorrsquos degree in Political SciencePublic Administration from the University of North Dakota

I am sure that Mr Dvorak will build on the strong foundation laid by the IAOMS Board of Directors and the previous Executive Director and will lead the IAOMS into a new phase of development focusing on implementation of strategic initiatives strengthening our specialty through collaboration and continuing to advance the field of Oral and Maxillofacial Surgery worldwide

Please join me in welcoming Mr Dvorak to the IAOMS family and in wishing him the best for this important assignment

With my best regards


ANNOUNCEMENT NEW EXECUTIVE

DIRECTOR

ldquoMr Dvorak will build on the strong foundation laid by the IAOMS Board of Directors and the previous Executive Director and will lead the IAOMS into a new phase of developmentrdquo

ONLY 11 WEEKS after taking on the role of IAOMS President it feels like an entire lifetime has passed by with work dedicated to the Association Many exciting developments happened in such a short period of time As I said in my first message one of the key aspects of my Presidency will be taking a step forward to bring the Association to our members and have them express their opinions on the development of new projects The IAOMS Board of Directors Executive Committee and the dedicated staff of the IAOMS were very excited about analyzing the results of different surveys that were conducted For our next IAOMS Board of Directors and Executive Committee meeting being held in April the surveys will be one of the topics covered during our strategic planning meeting

MAY I TAKE THIS OPPORTUNITY TO THANK all members of the new Board of Directors Dr Olsson Dr Millesi Dr Jee and Dr Haers as well as to the entire Executive Committee for their support and commitment to the Association It is my pleasure to announce the appointment of Dr Larry Nissen as the IAOMS Foundation chair for a new term

Important changes have occurred in the last couple of weeks at the IAOMS Headquarters It is with mixed emotions that we announce the resignation of our Executive Director Pierre Deacutesy Mr Deacutesy was offered a career opportunity he could not refuse On behalf of the IAOMS Board of Directors I want to thank Mr Deacutesy for his incredible service to the organization and we wish him all the best in his new endeavor

AN EXTENSIVE SEARCH FOR A NEW EXECUTIVE DIRECTOR was performed by the IAOMS Board of Directors immediately after Mr Deacutesy communicated his resignation This process led to the appointment of Mr Mitchell Dvorak as the new IAOMS Executive Director effective April 18th 2016 Mr Dvorak has extensive experience working with nonprofit organizations I am sure Mr Dvorak will continue to lead the IAOMS toward a new phase of growth focusing on the implementation of exciting strategic initiatives

MAY I ALSO TAKE THIS OPPORTUNITY to thank Kishore Nayak who helped us during the transition period serving as the Interim Executive Director and

Lisa Markovic who stood in as the Executive Secretary I had the opportunity to visit the IAOMS Headquarters which recently moved from Rolling Meadows to a more functional space in Chicago The move will also have an impact in reducing the leasing expenses with a significant benefit to the Associationrsquos finances

WErsquoRE EXCITED TO ANNOUNCE that wersquore introducing a new IAOMS website that will better serve our members We know our current system needed improving and that membership renewal was often difficult This new system should alleviate those problems and wersquore pleased to introduce a simpler more streamlined system The new website will also include our eLearning program the IAOMS Review Course along with some exciting interactive benefits such as Group Forums Find A Member

WE WILL CONTINUE to strengthen Continuing Education worldwide as a unique tool aiming in the harmonization and progress of the Specialty Besides ongoing programs like those run by the Education Committee in Panamaacute and Sri Lanka we are planning to launch some exciting educational projects such as short IAOMS International Symposia to be held in different regions Latin America would most likely host the inaugural Symposium in collaboration with the Columbian Association Another Symposium in the Middle East is underway with our colleagues in Qatar We will keep you informed of all educational projects supported by the IAOMS worldwide

LAST BUT NOT LEAST PLEASE MARK YOUR AGENDA with the dates March 31st - April 3rd 2017 when we will all meet at the 23rd ICOMS to be held in Hong Kong The Organizing Committee chaired by Nabil Samman is working very hard and it is sure to be a superb scientific and social event My gratitude goes out to all colleagues engaged in so many projects in the different Committees and groups under the IAOMS umbrella I invite you to join us by participating in Association activities so we can continue our aim of promoting the progress of the Specialty of OMS at a global level

Letter from President IAOMS


10 iaomsorg April 2016

special report

Asiarsquos world city

HongKong

April 2016 iaomsorg 11

To EAT

Hong Kong is well known for the huge varieties of food The collections of cuisines from all over the world offer a great choice for food-

lovers There are also many Michelin-recommended

restaurants that are ranged from a budget cafeacute to a luxurious meal For local cuisines you may like to try the Dim Sums in a local Chinese restaurant or the fresh seafood on Lamma Island Vegetarian menu and Halal food are easily available in the city as well

To SEE

Hong Kong has been named as the ldquoPearl of the Orientrdquo for many years A tram ride to the peak at night will show you a stunning

night scene of the Victoria Harbour Rides on the Ferris wheel in Central or the cable car in Ngon Ping demonstrate different impressions of the energetic city The daytime and nighttime scenery can be very different too

To SHOP- to many

Hong Kong is the shopping heaven You can easily kill a day in modern malls in Tsim Sha Tsui or Causeway Bay Local markets

in Stanley and Mongkok are great places to find interesting things with a bargain Shops selling the most advanced models of electronics and computers are everywhere You may regret you have not brought enough cash or another credit card for your spendings

To EXPLORE

Hong Kong is great for adventurous people There are many scenic hiking routes on the Island or around Sai Kung A ride on the slow

old tram on the Island offers a different experience in between the hustling city The ferry ride is a budget way to enjoy the wind and the scene of the Harbour

To ENJOY family time

Hong Kong is very kids-friendly Ocean Park and the Disneyland are the two world-class theme parks that are both worth to go with

the family Parents travelling with toddlers or children will also enjoy the excellent transportation system throughout the city Nursing rooms and baby rooms are conveniently located in most malls

By Mike YY LeungClinical Assistant Professor Oral and Maxillofacial Surgery within the Faculty of Dentistry The University of Hong Kong

Five reasons to come to Hong Kong01

Tourist tram at the Peak Hong Kong


special report

By Alfred LauSpecialist in Oral and Maxillofacial Surgery Dental Implant and Maxillofacial Center Room 1901 The Center 99 Queenrsquos Road Central Hong Kong

History of Oral and Maxillofacial Surgery in Hong Kong

02

The history of oral and maxillofacial surgery (OMS) in Hong Kong could be traced back to around 65 years ago when it was still a colonial city under

the British government At that time the traditional ldquowesternrdquo education especially medicine and dentistry were very British-influenced After the World War II There were dental clinics established under the Hong Kong government medical system to serve the civil servants and their family members for general dental treatments Due to the ever-increasing demand of dental service mostly related to the increased in population the HK government expanded its dental service to include the general public but only emergency dental needs were served specifically dental extractions Subsequently more surgical-related situations were being referred including surgical removal of impacted teeth jaw fractures removal of pathological lesions such as jaw cysts and tumors This made up a referral center and had outlined the picture of OMS nowadays

THERE WERE LIMITED DENTAL SURGEONS who were competent to provide these kinds of surgical treatments to the patient at that time In the mid 1960s dentists who were interested in surgical training were being sent to countries such as UK and Australia for further training in oral surgical procedures After which the government dental service unit appointed the first consultant in Oral surgery This was a milestone in the field and thus provided the establishment of oral and maxillofacial surgery in Hong Kong The pioneers enabled widening of the scope in oral surgery with the knowledge gained overseas it ranged from dentoalveolar surgery pre-prosthetic surgery

TMJ diseases maxillofacial traumas oral and jaw pathologies salivary gland diseases tumor resection and reconstructive surgeries This made up almost a full scope of OMS nowadays Since the rapid development and the needs in oral surgery the local system became more aware of this important specialty The first title of specialist in Oral Surgery was granted to Dr Eric H Fung in 1980

THE SECOND IMPORTANT MILESTONE was the establishment of the department of oral surgery and oral medicine at the newly formed faculty of Dentistry of the University of Hong Kong in 1980 Professor Geoffrey L Howe from London was appointed as the Dean of the faculty as well as the Chair Professor of the department at that time Teaching was mainly conducted in the Prince Philip Dental hospital where dental extraction and minor oral surgery was taught to undergraduate students The Master of Dental Surgery programme was subsequently established for more advanced OMS procedures In-patient surgical


procedures were performed at a separate hospital at that time It was later relocated to Queen Mary Hospital which was also the official teaching hospital for the faculty of medicine Professor Henk Tideman came to Hong Kong as the Department Head in 1988 Professor Tideman made a lot of effort to promote the field and to establish the importance of OMS among other medical specialties The Department was subsequently renamed as Department of Oral and Maxillofacial Surgery Under his leadership and his significant contribution to the specialty together with the subsequent department heads Professor Lim Cheung and Professor Nabil Samman the department has further developed into an important training center both regionally and internationally

DR ERIC H FUNG FOUNDED the Hong Kong Association of Oral and Maxillofacial Surgeons (HKAOMS) in 1990 This was indeed an important step that connected the local field to the rest of the world enhancing interaction and exchange of knowledge

and experiences among colleagues around the world Professor Nabil Samman was elected as the President of Asian Association of Oral and Maxillofacial Surgeon (AAOMS) in 2004 to 2006 and was then elected as the President of the International Association of Oral and Maxillofacial Surgeons (IAOMS) from 2007 to 2009 He is currently the editor-in-chief of the International Journal of Oral and Maxillofacial Surgery (IJOMS) With the establishment of the Hong Kong College of Dental Surgeon as a constituent college of the Hong Kong Academy of Medicine in 1993 an official specialty training pathway was established in the Faculty of Dentistry and among the government hospitals OMS was recognized as a specialty by the Academy of Medicine of Hong Kong among all other Medical Specialties As one of the active regional OMS centers Hong Kong had held the Asian Conference on Oral and Maxillofacial Surgery (ACOMS) in 2006 The association also collaborated with the Chinese Association of Oral and Maxillofacial Surgeons co-organized the International Conference on Oral and Maxillofacial Surgery (ICOMS) in 2009 held in Shanghai China

DESPITE THE GROWTH OF OMS within the profession the specialty of OMS is still relatively unknown to the public This is relatively the same everywhere in the world It was reported in a recent survey (Lau 2014) that there were 75 of interviewee claimed they had never heard of the specialty of OMFS while the other 25 reported that they had heard of it Within these 25 who heard of OMS 54 said that they did not actually know what OMS was about while the rest claimed that they had knowledge about OMFS to a certain extent but a significant part of these people had a wrong concept of what OMS is about There is a very low awareness of OMS to the general public in terms of its scope of service the provision of service and training by the government and institutes One of the aims of HKAOMS is to promote and arouse the interest of OMS in Hong Kong Efforts have been made to increase public awareness through public lectures and seminars participation with other specialties and compliance with the public media Recently the younger generation has been very active and keen to learn about OMS and to promote the specialty to medical and non-medical related people The establishment of Young Oral and Maxillofacial Surgeon Group of Hong Kong in 2014 has gathered around 350 dental students and OMS trainees who have the same interest and mission Beside regular educations programme and social gatherings they also organize charity work within and outside of Hong Kong

UP TO 2016 we have around 50 registered OMS specialists and 20 trainees in Hong Kong Around half of the registered specialists worked in Private Sector and half in University or government settings We hope that Hong Kong will flourish more specialists with its local training We are pound to announce that ICOMS 2017 will be held in this world Asia city and we are all looking forward to see you all in Hong Kong

Hong Kong at night


special report

ldquoClose interaction with other specialties in orthodontics and prosthetics serves to strengthen the residentrsquos background in comprehensive case management in orthognathic pre-prosthetic and implant surgeryrdquo

By Mei Chong Dental Implant amp Maxillofacial Centre 5 Canton Road Tsim Sha Tsui Kowloon

03

The specialty training program in Oral and Maxillofacial Surgery in Hong Kong provides an advanced surgical training based on the dental

degree The specialty training follows the Hong Kong Academy of Medicine 6-year program like all other specialties composing of 3 years basic and 3 years advanced training in the specialty

Oral and maxillofacial surgery is a surgical discipline of dentistry It is a unique discipline in the fact that it lies at the interface of the dental and medical professions The Faculty of Dentistry of the University of Hong Kong provides both oral and maxillofacial teaching and service functions at the Prince Philip Dental Hospital and Queen Mary Hospital The scope of services provided includes dento-alveolar surgery maxillofacial trauma surgical management of TMJ disorders and oral pathologies reconstructive surgery for developmental and congenital deformities of facial skeleton

After finishing the undergraduate dental degree the options to further with specialty training usually starts by working as a first year houseman in the discipline of interest As a houseman in Oral and Maxillofacial Surgery there is vast exposure to the field through working with senior trainees in the surgical field hospital ward and working independently for minor oral surgical procedures After this exposure the commitment to training in the specialty follows Training in the specialty requires full-time devotion to develop competence in the full scope of the field Training through the University will require enrollment

in a masterrsquos degree program for oral and maxillofacial surgery The program although academically and financially challenging of long duration and not the only option in OMS training However the

Training of OMFS in Hong Kong by a resident


opportunity to be broadly educated and trained in a recognized program is desirable Close interaction with other specialties in orthodontics and prosthetics serves to strengthen the residentrsquos background in comprehensive case management in orthognathic pre-prosthetic and implant surgery Supervised surgery permits continuous learning from different peers and supervisors which permit trainees to best impart surgical knowledge and cadre of skills With the privilege for surgery comes responsibility in patient management Residents will alternate on an on-call roster to provide proper in-hospital patient support and post-surgical management The program involves structured learning and formal periodic evaluation and

examination after the first three years of basic training before allowed to proceed to the advanced training As part of the masterrsquos degree program participation in research is required It is encouraged to make scientific presentation and to publish in the scientific literature The final subsequent years of advanced training allow for more independent surgeries entrusted responsibly

In summary the training program incorporates a pathway to include a number of factors that contribute to the development of expertise in the surgical field The training promotes sound judgment technical skills integrity to encourage responsibility as ambassadors of the specialty

Hong Kong harbour with tourism junk


Engage us in the greater good As the Association looks to grow a disaster response

strategy worldwide we hope that you will include the trainees and young OMSs in that plan The NextGen could prove to be an effective catalyst in this endeavor with our communication network recently acquired skills in management of complex trauma and triage with a relatively flexible schedule The Generation Y OMS hope to use their special skills for a greater good and want to make a difference in the world around them We hope that you will grant the NextGen with more power and hence more responsibility

Provide mentorship for involvement and ascension in IAOMS We want to be a part of

the process and are motivated to help IAOMS evolve We need your guidance to make this transition to leaders Please encourage your contemporaries to take a NextGen surgeon under their guidance and help usher them to greatness Sometimes some of us donrsquot know where to start despite our best intentions Most of us are ambitious and genuinely care to shoulder the future of this organization and our specialty Your leadership can mentor us towards meaningful roles in IAOMS

Donrsquot be a stranger Despite the generational differences we have more in common than what

meets the surface Donrsquot exclude us because we are different or younger We like feedback ndash tell us what we are doing is good and what you would like us to do differently or better We do well when given direction but not micro-managed You our President are our best ally and biggest patron

A new era is aft for IAOMS Your mentoring and leadership of the next generation of OMSs is the best investment for the organization and the specialty We look to you as our guiding beacon


By Deepak Krishnan

CCongratulations on your Presidency We eagerly look forward to your era of leadership

Accept us for who we are It is a changing world and as much a changing specialty That

change means different things to Oral Maxillofacial Surgeons (OMSs) the world over One of the biggest changes is the emergence of the next generation of OMSs ndash our own NextGen We are sure that you have noted through your own interactions with the NextGen OMS one common theme resonates ndash we are a different breed Much like most of those before us we are motivated focused and driven but at a different pace a different style and a different direction We hope that you appreciate this difference and embrace it

Give us an identity Worldwide OMS struggles with an identity crisis Some of us have a crisis of

existence In some countries the specialty remains in its infancy whereas in others we have experienced a metamorphosis of convenience In the US the practice of OMS is threatened by the economic realities of decreasing re-imbursement forcing the average practitioner to abandon major surgery and hospital based care for only office-based dentoalveolar procedures This cuts at the very root of what a previous generation had struggled to build

Meanwhile in Europe we have become a medical specialty treating malignancies and deformities in large hospital centers In China large cities host regional referral centers with multiple hospital floors dedicated to the practice of OMS whereas in Malawi general surgeons continue to treat maladies of the face mouth and jaws out of primary care hospitals We hope that your presidency will look at the root causes of this disparity within our specialty and charge the NextGen with building bridges for the future Perhaps the next generation of OMSs will no longer live in an amphibian world struggling with identity crises in practices medical centers and cocktail conversations

Dear Dr Acero

NextGen

agrave

agrave

agrave

agrave

agrave


It gives me great pleasure to write about the International Fellowship and our experience involving the international fellows in the combined university and private hospital unit

Pretoria (South Africa) the largest CLP-unit in Africa together with Orlando (USA) and Bandung (Indonesia) was selected by the IAOMS to train the first group of young

international selected Oral-Maxillofacial Surgeons for the Fellowship in Cleft Lip and Palate and Craniomaxillofacial Surgery

It was decided that international fellows as applicable and fitting for national fellows should be exposed to a comprehensive treatment from infant to adolescent and to the philosophy of the

multi-disciplinary approach The fellows were hands-on exposed to the primary secondary and tertiary surgical treatments


Fellowship

Professor Kurt-W Buumltow

The protocol starts with the presurgical treatment as jaw-orthognathial suction and drinking plate The fellows had to place presurgical plates and were recently

exposed to the NAM treatment Primary unilateral cleft lip surgical exposure entailed 3 different surgical techniques and the bilateral cleft lip 2 different ones It included the primary anterior nasal floor reconstruction and 2 different techniques for the primary hard palate reconstruction Furthermore fellows were exposed to 3 different surgical techniques for the reconstruction of the primary soft palate columella lengthening in bilateral clefts and mandibular osteotomy and distraction for neonates with the Pierre Robin sequence The involvement for intermediate reconstruction included 3 different velopharyngeal techniques Secondary surgical involvements were for osteoplastyfusion including harvesting bone from the crista iliaca various orthognathic surgical techniques for the maxilla with

Professor Kurt-W Buumltow has had his training at various Universities and received the following degrees BSc[Chemistry and Botany-Biochemistry](RAU) BChD MChD[in Maxillo-Facial and Oral Surgery](Stell) DrMedDent(Erlangen) PhD DSc[Odont](Pret) a Colleges of Medicine of South Africa fellowship(pr) FCMFOS(SA) and fellowships by invitation was conferred in England and USA as LFIBA and FABI He is the only South African Maxillo-Facial and Oral Surgeon who is registered with a professional doctor title and holds three academic doctor titles


or without intra-oral or craniomaxillary distraction and specific orthognathic-aesthetical surgery for the mandible in adolescent patients with clefts Part of the secondarytertiary surgery included cleft rhinoplasty and revision surgery As an assistant surgeon exposure to rare types of cleft deformities was obligatory These deformities include oblique facial clefts lateral facial clefts holoprosencephaly treatment and other craniofacial surgery Each fellow meticulously had to keep a surgical logbook of procedures done as a surgeon and as an assistant surgeon which was certified at the end of their fellowship period As such a fellow could reach the following surgical numbers in a period of 6 months 305 procedures of which 163 were in primary reconstruction 71 procedures performed as surgeon and 234 as assistant surgeon

Part of this intensive training was to be involved and contribute to the multidisciplinary cleft clinic the preoperative and postoperative ward rounds and discussions of plusmn30

PowerPoint lectures received on every aspect of primary secondary tertiary and exceptional deformity treatment With the patient or parentrsquos permission photographic material was collected by the fellows for personal use which was then duplicated and submitted to the Director

ldquoldquoDue to this continuous

interaction together with the photographic material collected the fellows were able to present papers co-author abstracts and journal publications and could

present cases for their additional professional examinations in

other countriesrdquo

This intensive one-on-one teaching and time spent with the fellows was very rewarding for me as a Director Questions such as ldquowhyrdquo ldquowhy notrdquo ldquowhat about thisrdquo and request

ldquoshow me againrdquo stimulated a number of research discussions and topics Due to this continuous interaction together with the photographic material collected the fellows were able to present papers co-author abstracts and journal publications and could present cases for their additional professional examinations in other countries This material in conjunction with the presented PowerPoint lectures and their research contribution induced the publication of the book ldquoCleft ndash Ultimate Treatmentrdquo (Reach Publishers) which included fellowsrsquo photographic material and their research references

All the fellows travelled to certain parts of South Africa and all paid a visit to the famous Kruger

National Park with its abundance of African wildlife including the Big Five This comprehensive training in Pretoria and their visit to South Africa will undoubtedly leave them with a lifelong memory due to the exceptional comprehensive subspecialist knowledge gained and surgical experience obtained

The multi-disciplinary facial cleft deformity clinic in Pretoria

Famous Kruger Park


THE SECRET WORLD OF WOMEN SURGEONS

DBy Gabriele Millesi IAOMS Vice President Elect

Female to female

ear Colleagues and dear Friends of the IAOMS

When I was appointed Vice President Elect at the ICOMS in Melbourne it was a wonderful experience So many nice words and hearty congratulations flew my way from colleagues from

regions all over the world I was addressed primarily by our female members and I realized in that moment that we have many female OMS viewpoints Approving a female onto the Board of Directors was a strong signal from the IAOMS to encourage our young females to stay in the OMS field and feel represented in the specialty The IAOMS is one of the first Associations to recognize a female in its governing body As the first woman to sit on the IAOMS Board of Directors I hope to be a positive example in this leadership role I

will have an open ear for any concerns from our young colleagues both female and male

Taking it One Step FurtherOne essential step in your career is networking and exchanging experiences both positive and negative This essential step may help you organize your own professional and private life We therefore decided with our F2F Editor Javier Lagunas Gonzales to create The Secret World of Women Surgeons as a featured article in every issue of Face to Face We will ask colleagues in different levels of their careers rotating from region to region to give us a short personal insight into their professional and private life sharing positive and negative experiences Finally we will provide you with contact information so you are able to interact with these colleagues in the future and gain a valuable networking experience


AS AN EXAMPLE FOLLOWING IS MY STORYBy the time I finished Medical School I decided to go into dentistry but soon after I realized that Oral and Maxillofacial Surgery was my thing I started residency at the University of Vienna and have stayed there ever since ending up as an assistant professor Retrospectively two realities influenced my life For private reasons I did not do a long lasting fellowship abroad something that I often see with young male and female colleagues today Would I have been in a different place had I participated in a fellowship abroad Of course Fellowships are very important because they inspire your professional development My second hurdle was that during my work for my PhD I became pregnant I was entangled in an intrauterine rabbit project with up to a thousand histological specimen and two babies Naturally family won the battle (a typical female fate) So what is my advice If you want to have children go for it but believe in your academic and surgical career Maybe you only have to slow down and re-orient yourself but be attentive and work on your practical skills as surgery is a practical trade In female colleagues I sometimes observed an alarming sign lack of courage self-consciousness and missing the routine of their job To make all of this work it requires the support and belief of your Chief which I experienced and ideally flexible working hours In my observation the work environment as an OMS is improving for the better hopefully not for the sacrifice of training however

The bottom line Work on your practical skills and stick to your ambition

wwwiaomsorgmembershiprenew


What is your favorite word Family

What is your least favorite word Envy

What is your favorite drug Oral and Maxillofacial Surgery

What sound or noise do you love The Birdsong

What sound or noise do you hate Air compressors

What is your favorite curse word None

Who would you like to see on a new banknote The IAOMS Foundation logo

What profession other than your own would you not like to attempt Mathematician

From Proust to Pivot

AN APPARENTLY INNOCENT QUESTIONNAIRE FOR ORAL AND MAXILLOFACIAL SURGEONS

Yoursquove heard of the Proust Questionnaire Adapted and made famous in the back pages of Vanity Fair Magazine it was named not for questions but for the answers given by Marcel Proust to a set of questions asked by his friend Antoinette Faure

Then for many years Bernard Pivot conducted a cultural program in french TV called ldquoApostrophesrdquo All his guess received the same 10 questions at the end of the interview

So in Face to Face we thought that being oral and maxillofacial surgeons human beings as the rest those questionnaites were a great method to let us know some personality traits of our interviewed

Enjoy and compare their answers with those of celebrities

Julio Acero


If you were reincarnated as some other plant or animal what would it be A lion

If Heaven exists what would you like to hear God say when you arrive at the Pearly Gates I forgive you

What is your idea of perfect happiness 2 ideas Being with my family in peace and harmony And appreciating a good result after treating a patient

What is your greatest fear War

What is the trait you most deplore in yourself I have not time to look into my traits

What is the trait you most deplore in others Sloth

Which living person do you most admire All those who give their life for the others

What is your greatest extravagance My hats in summer

What is your current state of mind Accelerated but in peace and order

What do you consider the most overrated virtue Altruism (Difference between Theory and practice)

On what occasion do you lie Never (almost)

What do you most dislike about your appearance Nothing

Which living person do you most despise All those who mistreat others

What is the quality you most like in a man Seriousness and honesty

What is the quality you most like in a woman Seriousness and honesty

Which words or phrases do you most overuse I dont know

What or who is the greatest love of your life WHO My wife and my children WHAT My specialty OMFS

When and where were you happiest Many times my infancy my family life my professional life my appointment as the IAOMS President

Which talent would you most like to have Prudence

If you could change one thing about yourself what would it be Being able to find more time for my family life

What do you consider your greatest achievement Achieving

a respectable position in my specialty OMFS

If you were to die and come back as a person or a thing what would it be As myself again am sorry for that

Where would you most like to live Where I am living in Spain

What is your most treasured possession My family and My friends throughout the World ie the maxillofacial global family

What do you regard as the lowest depth of misery Making profit of the human disasters

What is your favorite occupation Oral and Maxillofacial Surgery Walking Cinema Theater

What is your most marked characteristic Constancy

What do you most value in your friends Loyalty and solidarity

Who are your favorite writers Cervantes Ken Follet

Who is your hero of fiction Don Quixote

Which historical figure do you most identify with Julius Caesar

Who are your heroes in real life The Missionaries

What are your favorite names Maria Angeles Belen Julio Jesuacutes

What is it that you most dislike Disloyalty and lies

What is your greatest regret Not having more time to participate to humanitary missions

How would you like to die In peace

What is your motto Give as much as you can and you will receive much more


Copy Me

Autotransplantation of premolars in young patients may be a treatment of choice in patients with aplasia of other premolars or loss of incisors caused by trauma In the ldquoOslo-protocolrdquo we prefer to use premolars for autotransplantation where the root has reached 12 to 34 of the expected root development Some times the autotransplantation can be performed only with sedation but in other cases it is necessary to use general anaesthesia with nasal intubation in these cases We present a case with a 13 year old female with aplasia of the first maxillary premolars with the sinus floor in close relation to the roots of the deciduous first molars

BENTE BROKSTAD HERLOFSON1 assoc prof DDS PhD

1is the current Norwegian councillor of IAOMS

1

(A) Preoperative Ortopantomogram shows non-erupted 2nd mandibular premolars and aplasia of 2nd maxillary premolars with sinus floor in close proximity to the roots(B C) Intraoral radiograph of right (B) and left (C) recipient sites showing the deciduous teeth with large maxillary sinus

A

B C

AUTOTRANSPLANTATION OF PREMOLARS with simultaneous bilateral intraalveolar sinuslift

TORE BJOslashRNLAND prof DDS PhD


Preoperative situation before autotransplantation

(A) After extraction of the left 2nd deciduous maxillary molar preparation of a new alveolus with conical burs 60 or 70 mm wide (B) and lifting of the sinus membrane

3

4

After extraction of the right 2nd deciduous mandibular molar removal of bone and exposure of the non-erupted premolar keeping the dental follicle intact

A

B

2


5 6

Copy Me

Careful removal of the 2nd premolar from the alveolus before transplantation to the recipient alveolus

After transplantation of the mandibular left premolar to the left maxillary 2nd premolar area The dental follicle is intact The premolar is secured with only sutures a so called H-suture It is important the there is no occlusal contact with the opposite jaw The patient should not participate in sport activity for 2 weeks and a soft diet is administered

One week postoperative control on right side (A) and left side (B) The sutures are kept for 2 weeks

7

A

B

Two weeks postoperative with the two transplanted premolars in the place of the maxillary 2nd premolar The patients recovered well without any complications and only slight pain

Postoperative intraoral radiographs showing the transplanted premolars in infraposition on the right side (A) and left side (B) with the roots extending above the sinus wall It is expected that the transplanted teeth will erupt with normal vitality

8

9A B


FOUNDATION CHAIRMAN REPORT

After two eventful years for the IAOMS Foundation I thought it would be helpful to review the three principles that are the cornerstones of a foundation These principles can be referred to as the Foundation Triade and even though they may be separate they all are interdependent These principles are Talent Time and Treasure Without understanding the importance of these three it is difficult to maintain continual growth of the organization

The first principle TALENT is easy to explain ndash it refers to the people who are available to present the many programs that our Foundation provides Fortunately the IAOMS is blessed with many exceptionally gifted Fellows who understand that sharing knowledge is critical in achieving the mission of the Foundation and Association The willingness to provide expertise in the various areas of the specialty is universal to our specialty and allows a variety of speakers that are able to present in all areas of the world

TIME is the second principle and relates directly to the first Not only do we have talented individuals to present they are willing to take the Time to prepare lectures travel to various venues often in remote locations and provide educational experiences that will be invaluable to the attendees Many of us who do not lecture may not readily understand the commitment that our speakers have or the number of hours required to provide these outstanding programs

The third principle TREASURE can be interpreted to have two parts The first part encompasses the first two principles To have a cadre of knowledgeable Fellows that are willing to share their expertise and time to provide exceptional educational experiences

Larry W Nissen IAOMS Foundation Chairman

is truly a major portion of the IAOMS Treasure The second part of our Treasure is-of course- the financial resources that our Fellows and corporate partners provide The past two years have been the best in the history of our Foundation with the KLS Martin Group Challenge Grant and our Fellows and friends giving over $100000 per year in donations The generous pledges to the Laskin Legacy Society will also help to better solidify future donations

As we have discussed in the past building the corpus of our Foundation allows the Board to predictably budget for future programs Even though we have had great successes in the past two years it is somewhat troubling that these donations came from less than 10 of our membership If we were to triple or quadruple the number of donors we could see an even greater impact on the corpus of our Foundation and provide further educational experiences around the world

Looking forward in 2016 I ask that each member commit to the Foundation Triade We need your Talent your Time and your Treasure in order to meet the educational challenges of the world and better achieve the mission of the IAOMS Foundation

Thank you

A big

THE FOUNDATION TRIADE


So you want to workIN PERUacute

The Republic of Peru is a representative democratic republic of South America whose west coast is bordered by the Pacific Ocean and has a population of almost 32 millions

inhabitants It consists of 24 departments and one constitutional province Lima the capital concentrates the 32 of the Peruvian population and the official language is the Spanish

Oral and maxillofacial surgery in Peru is a dental specialty The degree is obtained after completing a 4 years residency

For an oral and maxillofacial surgeon to work in the Peru he must first have his title of surgeon-dentist and his title of specialist

in Oral and Maxillofacial Surgery issued by a Peruvian University He must also be registered in the College of Dentists and in its national registry of specialist issued by the Dental Association of Peru (colegio Odontoloacutegico de Peru) Currently the recognition of degrees and qualifications of the National Superintendency of University Higher Education (SUNEDU wwwsunedugobpe) is also

By Leopoldo Menesesrequired Finally it should be noted that to work in the public secto r the Rural and Marginal urban health certificate is also required (SERUMS wwwminsagobpeserviciosserums2010)

If you are a foreigner wishing to work in Peru the first thing you should ask for is the recognition of your degrees and titles by the SUNEDU This is an administrative procedure that recognizes the Diploma obtained abroad as long as it isissued by an University and authorised by the legally competent authority of that particular country This is only possible when there is an agreement of Cultural Reciprocity or Trade Agreement governing the recognition between the Peru and the country in which the academic

Oral and maxillofacial surgeonProf of the Universidad Peruana Cayetano HerediaPresident ALACIBU

1


degree or professional degree was obtained If you you can not access the automatic recognition then you can go through a revalidation process which is an academic procedure performed through an authorized Peruvian University (wwwsunedugobpegrados-y-titulosrequisitos-grados-y-titulos)

The second step is to be enrolled in the national registry of degrees and titles in the SUNEDU (wwwsunedugobpegrados-

y-titulosrequisitos-grados-y-titulos) After registration enrollment is required in the College of Dentists (wwwcoporgpecolegiatura) and in the National Registry of Specialists (wwwcoporgpeinscripcion-en-el-registro-nacional-de-especialistas-magisterdoctor) both granted by the Dental Association of Peru

Salaries in Peru for the oral and maxillofacial surgeon depend on where you work In the public sector monthly salaries range from 750 to 1700 dollars with a working load of 6-8 hours per day In private practice wages are slightly higher with an average of 2000 dollars The current practice in our country is to work in the public system in the morning and in private hospitals in the afternoon There is a limited number of positions in the public system The most profitable activity for the surgeon in the Peru is private practice

In Peru we have a total number of 123 oral and maxillofacial surgeons enrolled in the National Register of Specialist They work in different public or private institutions and in teaching in only 7 of the 24 geographical departments Most work in the capital Lima followed by Arequipa La Libertad Puno Cusco Piura and Tacna The scientific association that represents OMFS in Peru is the Peruvian Association of oral and maxillofacial surgery ASPECIBUM wwwaspecibumorgpe

The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016

ALACIBU Buenos Aires Argentina

August 6-9 2017

ULTIMATE GUIDE TO SCIENTIFIC MEETINGSTHE

AsianOMSManila PhilippinesNovember 9-122016

EACMFSLondon UKSeptember 13-162016

AAOMSLas Vegas USSeptember 18-232016

ALACIBUBuenos Aires ArgentinaAugust 6-92017

ANZAOMSGoldCoast AustraliaOctober 20ndash222016

PanAfCOMSSharm el Sheikh EgyptApril 29 May 12016 (TBC)

HKAOMS Hong Kong March 23 3 April 2017


AsianOMS Manila Philippines

November 9-122016

ANZAOMS GoldCoast Australia

October 20ndash222016

PanAfCOMS Sharm el Sheikh Egypt

April 29 May 1 2016 (TBC)

ICOMS Hong Kong

March 23 3 April 2017

ULTIMATE GUIDE TO SCIENTIFIC MEETINGS


Beyond OR

Opening a practice is normally the result of individual drive its concept its development its

implementation requires time and effort from its founder This solo practice will eventually grow and the surgeon will suddenly face a lack of time a lack of capacity or the lack of resources

So the moment has arrived to associate to find partners and to delegate This might be a forbidden word for many surgeons It is a common thought that we are essential in our practice and that if we do not operate a particular case the patient will complain because it is YOU who he is looking for

First we have learned that we are not indispensable Next we have to learn how to educate our patients to explain to them that now we are a team and that our medical staff or partners are as good as we are

By Javier Gonzaacutelez Lagunas

ME amp THEM

Finally you need to hire and to retain the right

partners in your practice you want them to be engaged caring for the

practice and recognized for their work They must be aligned with the vision of your practice But they can also be an extraordinary force helping you to explore new pathways that can open new doors to your career

But you still have to go one step further Now you need to be the practice leader administrator director controller while you continue to be the visible surgeon of the practice

Partnership is not easy Which is the value of the practice Which part of the share is distributed Who makes the decisions Those are important strategic aspects that have to be dealt with in-depth

But definitely the most difficult decision is to get the ball rolling to change the model of your practice Are you reluctant to change


iaomsorg

1AS PAGINAS (31marzo)

4-5 Staff-editorial 31marzo

6-7 contents 30 MARZO

8-9 nuevas cartas (31mar)

10-15 special 30MARZO

16-17 SPOTIFY+NEXTGEN31

18-19 felloship30MARZO

20-21 female to female30MARZO

22-23 proust30marzo

24-25 copy me 30MARZO

27 dr nissen30marzo

28-29 To work in peru31marzo

30-31GUIDE TO SCIENTIFIC MEETINGS

32 BEYOND+ANUNCIO+CONTRA

Editor-in-Chief Javier Gonzaacutelez Lagunas

Managing Editor Lisa Markovic

Graphic DesignerMariacutea Montesinos

Executive Committee 2016 - 2017

Board of DirectorsJulio Acero President

Piet Haers Immediate Past PresidentAlexis Olsson Vice President

Gabriele Millesi Vice President ElectArthur Jee Treasurer

Larry Nissen IAOMS Foundation ChairmanKishore Nayak Interim Executive Director

Members-at-Large Javier Gonzaacutelez Lagunas

Sanjiv NairDavid Wiesenfeld

Regional Representatives Abdellfattah Sadakah Africa

Kenichi Kurita AsiaNick Kalavrezos Europe

Alejandro Martinez Latin AmericaArthur Jee North America

Jocelyn Shand OceaniaNabil Samman Editor-in-Chief IJOMS

Committee Chairmen Rui Fernandes Education CommitteeJoseph Helman Research Committee

Deepak Krishnan IAOMS NextGen CommitteeSteve Roser COGS Committee

Fred Rozema IT Advisory Committee Mark Wong IBCSOMS Representative

Nabil Samman 23rd ICOMS-2017 Hong Kong Luiz Marinho 24th ICOMS-2019 Brazil

David Koppel 25th ICOMS-2021 Glasgow

Issue 45 April 2016

CONTACT USIAOMS

8618 W Catalpa Ave Suite 1116 Chicago IL USA 60656 12242328737 communicationsiaomsorg



HOW I SEE IT

H




CONTENTS

SPECIAL REPORT

NEXT GEN

BEYOND THE OR





FELLOWSHIP

April 2016

FEMALE TO FEMALE


Hong Kong

Dear Dr Acero

18

17

20

22

32

10

28

24

Peruacute

Julio Acero

Me amp them


















DIRECTOR














special report


HongKong


To EAT




To SEE



To SHOP- to many



To EXPLORE










special report



02












Hong Kong at night


special report



03





















By Deepak Krishnan







Dear Dr Acero

NextGen

agrave

agrave

agrave

agrave

agrave








Fellowship


















Famous Kruger Park




Female to female

























Julio Acero









































Copy Me




1


A

B C






3

4


A

B

2


5 6

Copy Me




7

A

B



8

9A B











Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo






HOW I SEE IT

H




CONTENTS

SPECIAL REPORT

NEXT GEN

BEYOND THE OR





FELLOWSHIP

April 2016

FEMALE TO FEMALE


Hong Kong

Dear Dr Acero

18

17

20

22

32

10

28

24

Peruacute

Julio Acero

Me amp them


















DIRECTOR














special report


HongKong


To EAT




To SEE



To SHOP- to many



To EXPLORE










special report



02












Hong Kong at night


special report



03





















By Deepak Krishnan







Dear Dr Acero

NextGen

agrave

agrave

agrave

agrave

agrave








Fellowship


















Famous Kruger Park




Female to female

























Julio Acero









































Copy Me




1


A

B C






3

4


A

B

2


5 6

Copy Me




7

A

B



8

9A B











Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo




CONTENTS

SPECIAL REPORT

NEXT GEN

BEYOND THE OR





FELLOWSHIP

April 2016

FEMALE TO FEMALE


Hong Kong

Dear Dr Acero

18

17

20

22

32

10

28

24

Peruacute

Julio Acero

Me amp them


















DIRECTOR














special report


HongKong


To EAT




To SEE



To SHOP- to many



To EXPLORE










special report



02












Hong Kong at night


special report



03





















By Deepak Krishnan







Dear Dr Acero

NextGen

agrave

agrave

agrave

agrave

agrave








Fellowship


















Famous Kruger Park




Female to female

























Julio Acero









































Copy Me




1


A

B C






3

4


A

B

2


5 6

Copy Me




7

A

B



8

9A B











Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo





















DIRECTOR














special report


HongKong


To EAT




To SEE



To SHOP- to many



To EXPLORE










special report



02












Hong Kong at night


special report



03





















By Deepak Krishnan







Dear Dr Acero

NextGen

agrave

agrave

agrave

agrave

agrave








Fellowship


















Famous Kruger Park




Female to female

























Julio Acero









































Copy Me




1


A

B C






3

4


A

B

2


5 6

Copy Me




7

A

B



8

9A B











Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo
















special report


HongKong


To EAT




To SEE



To SHOP- to many



To EXPLORE










special report



02












Hong Kong at night


special report



03





















By Deepak Krishnan







Dear Dr Acero

NextGen

agrave

agrave

agrave

agrave

agrave








Fellowship


















Famous Kruger Park




Female to female

























Julio Acero









































Copy Me




1


A

B C






3

4


A

B

2


5 6

Copy Me




7

A

B



8

9A B











Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo





To EAT




To SEE



To SHOP- to many



To EXPLORE










special report



02












Hong Kong at night


special report



03





















By Deepak Krishnan







Dear Dr Acero

NextGen

agrave

agrave

agrave

agrave

agrave








Fellowship


















Famous Kruger Park




Female to female

























Julio Acero









































Copy Me




1


A

B C






3

4


A

B

2


5 6

Copy Me




7

A

B



8

9A B











Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo





special report



02












Hong Kong at night


special report



03





















By Deepak Krishnan







Dear Dr Acero

NextGen

agrave

agrave

agrave

agrave

agrave








Fellowship


















Famous Kruger Park




Female to female

























Julio Acero









































Copy Me




1


A

B C






3

4


A

B

2


5 6

Copy Me




7

A

B



8

9A B











Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo










Hong Kong at night


special report



03





















By Deepak Krishnan







Dear Dr Acero

NextGen

agrave

agrave

agrave

agrave

agrave








Fellowship


















Famous Kruger Park




Female to female

























Julio Acero









































Copy Me




1


A

B C






3

4


A

B

2


5 6

Copy Me




7

A

B



8

9A B











Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo





special report



03





















By Deepak Krishnan







Dear Dr Acero

NextGen

agrave

agrave

agrave

agrave

agrave








Fellowship


















Famous Kruger Park




Female to female

























Julio Acero









































Copy Me




1


A

B C






3

4


A

B

2


5 6

Copy Me




7

A

B



8

9A B











Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo


















By Deepak Krishnan







Dear Dr Acero

NextGen

agrave

agrave

agrave

agrave

agrave








Fellowship


















Famous Kruger Park




Female to female

























Julio Acero









































Copy Me




1


A

B C






3

4


A

B

2


5 6

Copy Me




7

A

B



8

9A B











Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo











Fellowship


















Famous Kruger Park




Female to female

























Julio Acero









































Copy Me




1


A

B C






3

4


A

B

2


5 6

Copy Me




7

A

B



8

9A B











Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo

















Famous Kruger Park




Female to female

























Julio Acero









































Copy Me




1


A

B C






3

4


A

B

2


5 6

Copy Me




7

A

B



8

9A B











Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo







Female to female

























Julio Acero









































Copy Me




1


A

B C






3

4


A

B

2


5 6

Copy Me




7

A

B



8

9A B











Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo























Julio Acero









































Copy Me




1


A

B C






3

4


A

B

2


5 6

Copy Me




7

A

B



8

9A B











Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo












































Copy Me




1


A

B C






3

4


A

B

2


5 6

Copy Me




7

A

B



8

9A B











Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo







3

4


A

B

2


5 6

Copy Me




7

A

B



8

9A B











Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo





5 6

Copy Me




7

A

B



8

9A B











Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo














Thank you

A big












1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo














1







The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo










The Data2


EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo





EACMFS London UK

September 13-162016

AAOMS Las Vegas US

September 18-232016


August 6-9 2017











November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo






November 9-122016





ICOMS Hong Kong




Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo





Beyond OR






ME amp THEM








iaomsorg









22-23 proust30marzo


27 dr nissen30marzo





iaomsorg









22-23 proust30marzo


27 dr nissen30marzo












22-23 proust30marzo


27 dr nissen30marzo




face to face issue 45

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