The Division of Oral and Maxillofacial Surgery | Page 66

The University of Cincinnati Oral and Maxillofacial Surgeryresidency is the second oldest training program of oral andmaxillofacial surgeons in the United States. The Division continues to expand its considerable efforts as a center for thecorrection of dental facial deformities as well as the compre-hensive care for maxillofacial trauma victims at UC and the surrounding area hospitals. The Division is focused on the comprehensive rehabilitation of the facial trauma patient andthe dentally compromised patient. Emphasis this past year hasbeen on restoring the edentulous and partially edentulouspatient with dental implants following reconstructive andorthognathic surgery. The Division has completed an exten-sive study of obesity and its relationship to anesthesia and thepractice of oral and maxillofacial surgery. Investigations in theDivision are proceeding to further develop outcomes assessments and establish the unique needs of the patientpopulation suffering from excessive weight.

Patient CareThe Holmes Hospital Oral and Maxillofacial Surgery

Ambulatory Care Center is primarily devoted to resident outpatient clinical education.At the Center approximately 9,000patient visits and 1,500 deep sedation surgeries were recordedduring the past academic year. Reductions in State and Federal government support of indigent care patients createdadditional demands for the resources and services supplied bythe Holmes Hospital Oral & Maxillofacial Surgery Center. TheCenter provides a substantial health service to the GreaterCincinnati area and continues to be a valuable resource for boththe community and health care providers in the tri-state area.

The Division’s practice at the Medical Arts Buildingimproved its ability to handle the increased demands ofpatients with dental facial deformities, dental implant needs,reconstructive jaw surgery, impacted teeth and head and necktumors by undergoing a major facility renovation and expan-sion. A new surgical suite equipped for reconstructive oral andmaxillofacial surgery, new digital imaging capabilities andadditional examining rooms are now operational. The newlyrenovated facility has the capacity to evaluate and treat morepatients and is vital to the future expansion of the oral andmaxillofacial surgery faculty.

Dr. Robert Marciani and Dr. Likith Reddy provide a tertiarycare referral practice as the principal provider of oral and maxillofacial trauma care in the region. The demographics ofthe practice at the Medical Arts Building reflect the region’sbroad spectrum of racial, psychosocial and economic profiles.

Robert D. Marciani, DMD

Professor of Surgery

Chief, Division of Oral andMaxillofacial Surgery

Robert.Marciani@uc.edu

513.584.2586

The Division of

Oral and Maxillofacial Surgery

The Division of Oral and Maxillofacial Surgery | Page 67

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.

EducationThe Oral and Maxillofacial Surgery residency program,

which received full accreditation in January 2006, offersdiversified training for treatment of facial trauma, surgicalreconstruction of skeletal deformities, facial cosmeticsurgery, trauma surgery, and dental implants. The Divisionoffers a four-year program whose principal goal is the training of oral and maxillofacial surgeons to practice abroad scope of oral and maxillofacial surgery and tobecome qualified and prepared to take the Board examina-tion. An optional degree track is available for the M.D.degree. To qualify, the candidate must pass Part I of theNational Medical Exam to enter the third year of medicalschool after first completing the four-year oral and maxillofacial surgery residency program.

The first year of the residency is intended to providethe resident with a comprehensive working knowledge oforal and maxillofacial surgery, methods of diagnosis,patient management, ambulatory sedation and anesthesiaprinciples, and basic operative techniques. In the secondyear, residents spend nine months on off-service rotationsand three months on the Oral and Maxillofacial SurgeryService. The third-year residents alternately spend fivemonths on the Oral and Maxillofacial Surgery Service andseven months on off-service rotations. Off-service rotationsinclude anesthesia, plastic surgery, family medicine, inter-nal medicine, general surgery, trauma, SICU, ENT, surgical

implantology, and clinical or laboratory research. Chief res-idents are responsible for the pre- and postoperative careof all oral surgery patients and perform a majority of theoral surgery at The University Hospital, as well as performcases at the Cincinnati Children’s Hospital and VeteransAffairs Medical Center.

ResearchClinical research recently enjoyed success at the

national level with the results of an outpatient ambulatoryanesthesia in the obese patient study paper accepted forthe AAOMS annual meeting and selected as one of the 15%of papers to compete for the outstanding scientific paperin several categories. Additional studies are ongoing relat-ed to obesity and surgical outcomes as well as long-termstudies in neurosurgical patients via mid-face osteotomiesin conjunction with neurosurgery.

Other ongoing oral and maxillofacial surgery researchincludes

1. Transorbital minimally invasive surgical approa-ches to anterior circulatory aneurysms

2. Outcomes assessment of orthognathic surgery patients

3. Temporal defect reconstructions with Medpore and dermal grafts.

The Division of Oral and Maxillofacial Surgery | Page 68

Community ConnectionsThe Division of Oral and Maxillofacial Surgery has a

long-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) or no 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. Theresults are almost always life-altering for the patients. TheDiscovery Channel, in a series titled Surgery Saved My Life,featured Dr. Reddy on his annual trip in November 2006 ina show that was televised nationally and in Canada andEngland.

Faculty(To view the full CV, visit our website at http://surgery.uc.edu)

Robert D. Marciani, DMDProfessor of SurgeryChief, Division of Oral and Maxillofacial Surgery

Dr. Marciani specializes in orthognathic surgery, temporo-mandibular joint surgery, implantology, and reconstructivejaw surgery. He is certified by the American Board of Oraland Maxillofacial Surgery.

Likith V. Reddy, MD, DDS, FACSAssistant Professor of Clinical SurgeryDirector, Residency Program in Oral and Maxillofacial

Surgery

Dr. Reddy specializes in facial trauma, surgical reconstruc-tion of skeletal deformities, cleft lip and palate repair, facialcosmetic surgery, and sleep apnea. He is certified by theAmerican Board of Oral and Maxillofacial Surgery.

Dan J. Crocker, DDSProfessor of Clinical Surgery

Dr. Crocker specializes in oral and maxillofacial surgery andpathology. He is certified by the American Board of OralPathology and the American Board of Oral andMaxillofacial Surgery.

Frederick L. Steinbeck, MD, DDSAssistant Professor of Clinical Surgery

Dr. Steinbeck specializes in oral and maxillofacial surgerywith emphasis on treatment of medical and surgical problems of the maxillofacial region. He is certified by theAmerican Board of Oral and Maxillofacial Surgery.

Ella Turner – 50 Years at UCElla Turner has served the University of Cincinnatiand the Department of Surgery for 50 years, the last25 in the Division of Oral and Maxillofacial Surgery.She was honored with an anniversary reception onJune 15, 2007, at the University Hospital FacultyConference Center. Ella's contributions to the growthand development of oral and maxillofacial surgeryresidents through her steadfast work habits, caringdemeanor, and expertise are greatly appreciated.

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Robert B. Horton, DDSProfessor of Clinical Surgery, EmeritusAssistant Chief, Division of Oral and Maxillofacial

Surgery, Emeritus

Dr. Horton specializes in oral and maxillofacial surgery,outpatient sedation and anesthesia. He is certified by theAmerican Board of Oral and Maxillofacial Surgery.

Active Volunteer FacultyJames Cassidy, DDSBabak Emami, DDSRobert F. Faulkner, DDSMichael Grau, DMDJimmie L. Harper, DDS, MSGary S. Robins, DMDRandall D. Stastny, DMDJeri Stull, DMDDouglas Wallace, DDS

Further information on the Division of Oral and MaxillofacialSurgery, including presentations and publications, can beviewed on our website http://surgery.uc.edu.