Down Fracture- A Podcast for Talkin' Jaws

In this episode, Dr. Bobek and Dr. Wasson discuss what patients and practitioners should actually know about having surgery at the hospital, including some things that might be counterintuitive. Topics covered in this episode: - How hospital culture around jaw surgery varies dramatically between institutions and even between different areas of the same building - The history of orthognathic surger...

In this episode, Dr. Bobek and Dr. Wasson are joined by Angie Barker Murphy of Murphy Healthcare Consultants, who has worked in oral surgery compliance and accreditation since 1999. Angie helped one of the earliest oral surgery practices pursue AAAHC certification for in-office jaw surgery and has since built a consulting practice helping oral surgery offices through the accreditation process. Top...

In this episode, Dr. Bobek and Dr. Wasson discuss CT superimpositions in orthognathic surgery: what they are, when they are useful, and why more surgeons are not routinely doing them. Topics covered in this episode: - What superimposition means in the context of jaw surgery outcomes and how it differs from just reviewing a post-op CT - Uses beyond outcome review: condylar hyperplasia monitoring, a...

In this episode, Dr. Bobek and Dr. Wasson start with a brief clarification on the transmucosal pterygomaxillary disjunction technique from last week, then move into a discussion on what they actually add to a standard MMA beyond the double jaw surgery itself. Topics covered in this episode:- Transmucosal pterygomaxillary disjunction: a quick visual clarification with imaging- Nasal work during MMA...

In this episode, Dr. Bobek and Dr. Wasson try something a little different, taking turns presenting hot takes and arguing opposite sides. The discussion surfaces useful clinical nuance along the way. Topics covered in this episode: - Aligners vs traditional braces for surgical orthognathic cases: bracket safety in the OR, setup efficiency, post-op relapse, and whether provider comfort is driving t...

In this episode, Dr. Bobek and Dr. Wasson discuss overcorrection in orthognathic surgery, covering how their thinking on the topic has shifted with experience and what they currently do in practice for different jaw movements. Topics covered in this episode: Anterior open bite overcorrection and when segmenting the maxilla is worth considering Class 2 correction: whether leaving patients tight sti...

In this episode, Dr. Bobek and Dr. Wasson are joined by Dr. Moe Hakim, an oral and maxillofacial surgeon based in Arlington, Virginia. Dr. Hakim's practice focuses on TMJ surgery and orthognathic surgery, and he has been publishing on arthroscopic outcomes and PRF in the TMJ space. Topics covered in this episode: Whether open joint surgery still has a place in contemporary TMJ practice Arthroc...

In this episode, Drs. Wasson & Bobek are again joined by Dr. Lou Mercuri to get into the weeds on the TMJ prosthetic materials, metal testing, and current protocols for prosthetic joint infections.

In this episode, Dr. Bobek and Dr. Wasson are joined by Dr. Michael Olson, an otolaryngologist and facial plastic and reconstructive surgeon at Mayo Clinic with a fellowship in sleep surgery. Dr. Olson is one of a small number of ENTs who consistently performs orthognathic surgery for OSA, which makes for an interesting conversation about how the two specialties approach sleep surgery differently...

Is surgery first orthognathics the future or a shortcut with real tradeoffs? In this episode, Dr. Bobek and Dr. Wasson dig into one of the most debated topics in surgical-orthodontic treatment: whether jaw surgery should come before braces, and when it actually makes sense to do it. This episode gives you a frank look at how two oral and maxillofacial surgeons actually think about this in practice...

In this episode, Dr. Sam Bobek and Dr. Michael Wasson are joined by Dr. Vince Maxim Lucero, a pediatric and oral and maxillofacial anesthesiologist with over 40 years of experience, trained at Yale, the University of Washington, and the Hospital for Sick Children in Toronto. They cover how anesthesia for jaw surgery has evolved over the decades, including blood pressure management, hypotensive ane...

In this episode, Drs. Bobek and Wasson discuss moving the maxilla posteriorly.

In this episode, Drs. Bobek & Wasson discuss the differences between marketing and gimmicks in jaw surgery. Multiple contemporary topics and procedures are discussed with an attempt to assist the listener in determining which category each falls into.

In this episode, Drs. Bobek & Wasson discuss MMAw, or Maxillomandibular Advancement with Widening to treat Obstructive Sleep Apnea (OSA).

In this episode, Drs. Wasson & Bobek discuss ideas or concepts presented in the literature that we feel are not good ones (or as the kids say-"no bueno.")

In this episode, Drs. Wasson & Bobek discuss provider wellness including causes of burnout and what can be done to address it. Kind of. You know how it goes with us.

In this episode, Dr. Wasson & Bobek discuss whether the type of mandibular fixation causes condylar resorption. We also celebrate a US hockey gold medal extravaganza.

In this episode we again discuss ethical considerations in jaw surgery practice. We may also discuss Sam's love of The Biebs.

In this episode, Drs. Wasson & Bobek discuss some ethical questions in jaw surgery. There may also be some pro-Seahawks talk and some old man sayings sprinkled in.

In this episode, Drs Bobek & Wasson are joined by Dr. Curtis Gill to discuss benzodiazepine use and other patient management strategies in the post-operative period.

In this episode, Drs. Wasson & Bobek discuss barriers to Obstructive Sleep Apnea treatment in OMFS practice.

In this episode, Drs. Wasson & Bobek discuss tips and tricks for splints in orthognathic surgery.

In this episode, Drs. Wasson & Bobek look back on the year and discuss two of their favorite cases from the past 365 days. And per usual there is shenanigans.

In this episode, Drs. Wasson & Bobek discuss the surgical considerations for orthognathic surgery in the older population. There is also an interesting discussion on pants.

In this episode, Drs. Wasson & Bobek discuss the nuances of treatment for vertical maxillary excess.