Division Activity and Information

DIVISION OF FACIAL PLASTIC & RECONSTRUCTIVE SURGERY

Dr. Peter Adamson, Chair

2014-15 DIVISION REPORT

It is my pleasure to report on the activities of the Division of Facial Plastic and Reconstructive Surgery for the academic year 2014-2015. We presently have 19 members, as we welcome Professor Douglas Chepeha joining our division. Other members of our division include Doctors Andres Gantous, Ashlin Alexander, Jamil Asaria, Cory Torgerson, Danny Enepekides, David Ellis, David Goldstein, Kevin Higgins, Krzysztof Conrad, Michael Brandt, Nitin Chauhan, Oakley Smith, Phil Solomon, Ralph Gilbert, Richard Rival, Robert Mounsey, Xerxes Punthakee and myself.

Teaching Courses
Two courses were held in conjunction with the Sinai Health System Surgical Skills Laboratory. The traditional Rhinoplasty Dissection Workshop, directed by Dr. Adamson, was held on March 30, 2015. This year the Soft Tissue Workshop was expanded to include three separate sessions. The Back to Basics session which included Simple Suturing Techniques was held September 29, 2014, Scar Revision November 24, 2014 and Local Flaps February 2, 2015. Doctors Ashlin Alexander and Michael Brandt, along with Dr. Adamson, directed the workshops. Fourteen divisional faculty attended and shared their experience.

In addition, many of our faculty participated in the Canadian Academy of Facial Plastic and Reconstructive Surgery Annual Clinical Day titled “Back to Basics” on October 25, 2014 in Toronto at the Chestnut Residence and Conference Centre. A large number of our members published peerreviewed papers, journal articles and book chapters. Many were also active in teaching presentations at regional, national and international meetings.

Individual Teaching
The aesthetic and reconstructive surgery one month set rotation continues for the PGY4 residents. Divisional faculty participating include Doctors Solomon, Rival, Ellis, Conrad and Adamson. Dr. Adamson and Dr. Ellis continue with their fellowships sponsored by the American Academy of Facial Plastic and Reconstructive Surgery. This year’s fellows included Dr. Susan Tan for Dr. Ellis and Dr. Eli Akbari for Dr. Adamson. Dr. Conrad’s fellow, Dr. Alipasha Rassouli, is sponsored by the department. Several members in the  Division also accept international surgeons for clinical observerships. These include Doctors Conrad, Ellis, Rival, Smith and Adamson.

Dr. Ralph Gilbert chaired our divisional Grand Rounds on January 9, 2015. The topic was Local and Regional Flaps and included  Doctors Chepeha, Enepekides and Higgins on the panel which discussed challenging cases. The Journal Club on March 24, 2015 discussed the topic of Face Transplantation. Several residents made excellent presentations which were followed by vigorous discussion amongst the residents and faculty. Dr. Jamil Asaria was invited to join the adjunct surgical faculty of the Division of Dermatology Mohs Surgery Program. He joins Dr. Adamson who lectures annually to the dermatology residents on facial
plastic surgery.

Divisional Activities
The division had its annual meeting at Vita Sociale on October 20, 2014. In addition to the usual issues discussed, there was a fulsome review of requirements for truth in advertising and specific professional ethical issues, some of which pose a challenge in this era of social media.

During the year the division participated in the review of one of our traditional awards, the Wilfred Goodman Award in Facial Plastic and Reconstructive Surgery. This award is based on academic merit as assessed by a paper in facial plastic and reconstructive surgery, emphasizing aesthetic surgery, which has been presented at a national meeting. The criteria for the award have been altered somewhat, with the award henceforth being open to all residents and fellows across Canada. Applications for the award will be reviewed by the Department of Otolaryngology-Head & Neck Surgery at the University of Toronto, with the final recommendation for the winner to be made by the Chair of our department. The winning paper will be presented at the Clinical Day of the Canadian Academy of Facial Plastic and Reconstructive Surgery. This award is currently endowed for $50,000 and will consist of an annual award of $1000, or in certain years two awards of $500 each. The award will only be given when merited, not necessarily annually.

In addition, this year a new award was created to honor one of our esteemed colleagues, Dr. Joseph K. H. Wong, who passed away in 2014. Through the efforts and generosity of his wife, Gaye Quan, the funds which had been used to support Dr. Wong’s own foundation, Smile China, have been transferred to the University of Toronto to be utilized for an annual lecture and to support humanitarian missions. The lecture will be in Dr. Wong’s name and will bring an invited guest to speak on topics in facial plastic and reconstructive surgery. Proceeds from the endowment fund will also be open to faculty and residents to apply for humanitarian missions. The management of the funds and awards will be under the auspices of the Chair of our department. Currently the endowed funds are $240,000, which will be split equally for the lectureship and the humanitarian activities grants. Dr. Eli Akbari, Dr. Adamson’s fellow, was this year’s winner of the Krzysztof Conrad Award for excellence in Facial Plastic and Reconstructive Surgery.

Association Activities
Dr. Andres Gantous is our Canadian Regional Director on the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) Board of Directors. Dr. Asaria sits on the Emerging Trends and Technologies and the Face to Face Committees of the AAFPRS. Doctors Alexander and Mounsey continue their work on committees at the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) writing written and oral examination protocols. Dr. Michael Brandt sits on the C.O.R.E (Centralized Otolaryngology Research Efforts) committee for research activities, representing the American Academy of Facial Plastic and Reconstructive Surgery at the American Academy of Otolaryngology-Head & Neck Surgery.

Dr. Adamson continues in his role as President of the International Board for Certification in Facial Plastic and Reconstructive Surgery, taking leading roles in the board examinations in Washington, DC and London, England. He continues as a Senior Advisor to the ABFPRS and is on the International Advisory Board of the Journal of the American Medical Association in Facial Plastic Surgery (JAMA FPS).

Humanitarian Efforts
Once again, it is noteworthy that the receipt of funds to begin Dr. Joseph Wong’s endowment to support humanitarian activities will have a very positive impact on our department and our division. This year Dr. Nikolaus Wolter was supported by the department to participate in the Face the Future™ Foundation mission to Ulyanovsk, Russia.

Dr. Adamson continues as President and Founder of the Face the Future™ Foundation. This year the foundation supported four overseas missions, two to Rwanda and two to Russia. Dr. Adamson was the Chef de Mission for missions to Kigali, Rwanda with a team of 12 in February and a mission to Ulyanovsk, Russia with a team of 10 in June. More details of these missions can be found in the Humanitarian Activities Report elsewhere in the 2014-15 Annual Report.

Future Directions
All members of our faculty continue to encourage residents to consider electives in facial plastic and reconstructive surgery. We also look forward to continuing the recently established tradition of having a PGY4 resident participate in the annual Face the Future™ missions. It is also hopeful that other staff faculty members of our department may consider joining future missions.

We look to continue our core lecture series, our rhinoplasty and soft tissue workshops and our PGY4 resident rotations. This year we are planning a Skin Cancer Education Day working with Dermatology. We will continue to support the overall academic mission of our department in facial plastic and reconstructive surgery.

It takes much work by many people to provide all of the academic activities outlined above. I would like to express my deepest appreciation and gratitude to each and every member of our division for their enthusiasm and commitment to our academic mission and for their numerous contributions. In addition, Doctors Witterick, Campisi, Vescan and numerous other faculty continue to provide the necessary support and valuable advice for our work. It must be recognized that virtually all of our activities take place because of the superb dedication and support of our departmental administrative staff. In particular, on behalf of all of our divisional faculty members, I extend my gratitude to Sonia Valente, Sandra Kellogg and Audrea Martin. And we also look forward to working with Michael Figueiredo in the years to come.

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