Name:
Surname:
Address:
Telephone:
Date of birth:
E-mail:
Specialty:
University affiliation(s):
Title:
Other teaching experience:
Hospital affiliation(s):
Title:
AO courses attended:
Fellowship attended:
Practice profile (assign):
(A) Trauma
(B) Tumor
(C) Orthognathic
(D) Distraction
(E) Pediatric
(F) Other
Please specify
Lecturing Languages (assign):
(A) English
(B) Spanish
(C) French
(D) German
(E) Other(s)
Please specify
Lecturing Preferences (assign):
Anatomy / Surgical Approaches:
(A) Mandible
(B) Midface
Principles:
(A) History and structure
(B) Biomechanics
(C) Fracture Healing
(D) Instruments and implants
(E) Occlusion
(F) Load Bearing and Load Sharing
(G) Diagnosis (Imaging)
(H) Endoscopic
Fracture Treatment:
(A) Mandible
(B) Atrophic Mandible
(C) Condyle
(D) Maxilla / Midface
(E) NOE
(F) Internal Orbits
(G) Gunshot wounds
Orthognathic Surgery:
(A) Planning
(B) Mandible
(C) Maxilla
(D) Midface
Reconstruction / Tumors:
(A) Mandible
(B) Midface
(C) Neurocranium
(D) Pediatric
(E) Microvascular flaps
Complications / Errors:
(A) Infections
(B) Non union / mal union / pseudoarthrosis
(C) Controversies
Others:
Picture: