Andrew A Heggie

  • M.B.B.S., B.D.Sc., M.D.Sc., F.F.D.R.C.S., F.R.A.C.D.S. (OMS), F.R.C.S. (Ed)

    Plastics - Andrew Heggie

    Professor Andrew Heggie received his medical and dental degrees at the University of Melbourne and trained as an Oral & Maxillofacial surgeon (OMS) in the Victorian Programme. He undertook a Fellowship in Seattle in the treatment of facial deformity in 1982-1983 at Providence Medical Centre, the University of Washington and Harbourview Medical Centre.

    For the past 20 years he has led the Oral and Maxillofacial Surgery team within the Department in the collaborative management of cleft and cranio-maxillofacial disorders with a particular interest in the treatment of infant micrognathia / airway obstruction and the skeletal deformities in the syndromic craniosynostoses. Andrew is an enthusiastic teacher and has published over 60 articles in scientific literature. He is a reviewer for several journals and regularly lectures internationally as an invited speaker. He has been active on the Board of OMS for many years and has been directly involved in the construction of the current training pathway and the examinations for trainees in OMS in our region. He has served as President of the Australian & NZ Association of OMS and has been on the Scientific committee for a number of major national and international conferences.

    Andrew is also involved in teaching undergraduate medical and dental students, post-graduate orthodontic students and Oral and Maxillofacial registrars / Fellows in the Victorian / Tasmanian training centre.

    Special Interests

    Skeletal cleft deformities

    Craniofacial microsomia

    Skeletal correction in syndromic craniosynostoses

    Paediatric maxillofacial pathology & reconstruction

    Infant upper airway obstruction

    Qualifications /Training

    1977 B.D.Sc., L.D.S., University of Melbourne                                                    
    1979 - 81 Oral and Maxillofacial Surgery training - (Melbourne)
    1980 M.D.Sc., (University of Melbourne)
    1982 -83 Fellow, Oral and Maxillofacial Surgery - Univ Washington, Seattle
    1983 Fellowship in Oral and Maxillofacial Surgery, RACDS
    1983 Fellowship FFDRCS (Ire)
    1991 M.B.B.S. (University of Melbourne)
    2001

    Craniofacial Fellow, Royal Children's Hospital, Melbourne                 

    By Election

    1985      Fellow, American College of Oral and Maxillofacial Surgeons           
    2014 Fellow, Royal College of Surgeons (Edinburgh) Ad Hominem

    Academic involvement

    1995-1998 Examiner, Fellowship in Oral & Maxillofacial Surgery (RACDS)                                                                                                                                             
    1998-2002, 2013-2015 Member, Board of Studies, Oral & Maxillofacial Surgery
    1998-2001 Chairman of Examiners, Fellowship in Oral & Maxillofacial Surgery (RACDS)
    2002-present Editorial Board, International Journal of Oral & Maxillofacial Surgery 
    2004-present Associate Professor, Department of Paediatrics, University of Melbourne
    2004-2011 Chair of Examiners, Surgical Science and Training, Oral and Maxillofacial Surgery

    Current Appointments

    1987-Present

    1994-Present       

    Associate Oral and Maxillofacial Surgeon - Royal Melbourne Hospital


    Oral and Maxillofacial Surgeon - Royal Children's Hospital Melbourne

    1994-2018

    Head, Oral & Maxillofacial Surgery Programme, Department of Plastic and Maxillofacial Surgery - Royal Children's Hospital, Melbourne  

    Societies

    ANZAOMS Australian and New Zealand Association of Oral and Maxillofacial Surgeons            
    IAOMS International Association of Oral and Maxillofacial Surgeons
    ANZSCS Active Member, Australian and NZ Society of Craniomaxillofacial Surgeons
    AMA Australian Medical Association
    ADA Australian Dental Association
    ISOCS Active Member, International Society of Craniofacial Surgeons


    Publications

    Peer-Reviewed Journal Articles

    1. Immediate prosthetic replacement following major maxillary surgery. Heggie AA, MacFarlane WI, Warneke S.Aust N.Z. J Surg. 1980;50:370-4.
    2. An unusual mandibular fracture resulting in partial neuropraxia of the inferior alveolar nerve. Heggie AA, O'Brien MD, Chippendale I. J Oral Surg. 1981;39:607-8.
    3. Facial Cellulitis caused by a soft tissue impacted denture. Heggie AA, Reade PC, MacFarlane WI. Aust Dent J 1981;26: 252 -4
    4. A malignant lesion of the infratemporal fossa causing mandibular displacement. Heggie AA, Reade PC. Aust Dent J. 1983;29:145-9.
    5. An example of the use of quantitation in histological diagnosis by a comparison of normal human cheek mucosa and cheek mucosa affected by lichen planus. Heggie AA, Lacy M, Reade PC. J Oral Pathol. 1985;14:483-90.
    6. Progressive systemic sclerosis-oro-facial manifestations. Case report. Wardrop RA, Heggie AA. Aust Dent J. 1987;34:258-62.
    7. A Calibrator for monitoring maxillary incisor position during orthognathic surgery. Heggie AA. Oral Surg. 1987;64:671-3.
    8. Co-ordinated treatment of secondary cleft deformities. Heggie AA, West RJ, McNeill W. Aust Dent J. 1988;33:116-28.
    9. Traumatic pharyngeal displacement of a full maxillary denture. Heggie AAC, Walker J. J Oral Maxillofac Surg. 1989;47:1208-10.
    10. A review of the management of anterior open bite malocclusion. Lawry DM, Heggie AA, Ruljancich MK, Crawford EC. Aust Ortho J. 1990;11:147-160.
    11. Maxillary Canine: present or not? Heggie AA. Oral Surg 1991 72:634
    12. The modified LeFort III osteotomy in the correction of mid-facial deficiency. Case reports. Heggie AA, Lawry DM, Ruljancich MK. Aust Dent J. 1993;38:345-50.
    13. The use of mandibular buccal cortical grafts in bimaxillary surgery. Heggie AA. J Oral Maxillofac Surg. 1993;51:1282-83.
    14. Vomero-sphenoidal disarticulation during the Le Fort I maxillary osteotomy: Case report. Smith K and Heggie AA. J Oral Maxillofac Surg. 1995;53:465-7.
    15. Concepts in the management of temporomandibular ankylosis. Heggie AA, Ann R Aust Coll Dent Surg. 1996;13:132-5.
    16. Squamous cell carcinoma of the tongue in a patient with Fanconi anaemia. Arpornmaeklong P, Heggie AA. J Dent Assoc Thai. 1998;48:246-9.
    17. Bilateral temporomandibular joint ankylosis after bimaxillary surgery. Wright GW, Heggie AA. J Oral Maxillofac Surg. 1998;56:1437-41.
    18. Distraction osteogenesis in a patient with micrognathia and a rare facial clefting syndrome. Heggie AA, Scott PA. Aust Orthod J. 1998;15:200-5.
    19. The use of bone grafts and substitutes in the cranio-maxillofacial region. Shand JM, Heggie AA. Ann R Aust Coll Dent Surg. 1998;14:125-30.
    20. Rhinoplasty in achieving total facial harmony. Heggie AA. Ann R Aust Coll Dent Surg. 1998;14:99-106.
    21. Juvenile ossifying fibroma of the maxilla: report of a case. Shand JM, Heggie AA, Holmes AD, Radden BG. J Craniofac Surg 1999;10:442-446.
    22. Anterior open bite malocclusion: stability of maxillary repositioning using rigid internal fixation. Arpornmaeklong P, Heggie AA. Aust Ortho J. 2000;16:69-81.
    23. The use of a resorbable fixation system in orthognathic surgery. Shand JM, Heggie AA. Brit J Oral Maxillofac Surg 2000;38:335-337.
    24. Maxillofacial injuries at the Royal Children's Hospital of Melbourne: a five year review. Shand JM, Heggie AA. Ann R Aust Coll Dent Surg. 2000;15:166-169.
    25. Unusual jaw lesions in the paediatric and adolescent patient: a management challenge. Heggie AA. Ann R Aust Coll Dent Surg. 2000;15:185-192.
    26. Difficult intubation induced by maxillary distraction device placement in craniosynostosis syndromes. J Roche, G Frawley & Heggie AA. Paediatr Anaesth. 2002;12:227-234.
    27. Le Fort III internal distraction in syndromic craniosynostosis. Holmes AD, Wright GM, Meara J, Heggie AA, Probert T. J Craniofac Surg 2002;13:262-272
    28. Allogeneic bone grafting of calvarial defects: an experimental study in the rabbit. Shand JM, Heggie AA, Holmes AD, Holmes W. Int. J. Oral Maxillofac Surg 2002;31:525-531.
    29. A comparison of the stability of single-piece and segmental Le Fort I maxillary advancements. Arpornmaeklong P, Heggie AA, Shand J M. J Craniofac Surg 2003;14:3-9.
    30. Hemifacial Microsomia: use of the OMENS-Plus classification at the Royal Children's Hospital of Melbourne. Poon C-H, Meara JG, Heggie AA. Plast Reconstr Surg 2003;111:1011-8.
    31. Canine eruption into grafted alveolar clefts: A retrospective study. Hogan L, Shand JM, Heggie AA, Kilpatrick K. Aust. Dental J 2003;48:119-124.
    32. Juvenile mandibular chronic osteomyelitis: a distinct clinical entity. Heggie AA, Shand JM, Aldred MJ, Talacko AA. Int. J Oral Maxillofac Surg 2003;32:459-468.
    33. Stability of combined Le Fort I maxillary advancement and mandibular reduction. Arpornmaeklong P, Shand JM, Heggie AA. Aust Ortho J. 2003;19:57-66.
    34. Internal mandibular distraction to relieve airway obstruction in infants and young children with micrognathia. Chigurupati R, Massie J, Dargaville P, Heggie AA. Pediatr Pulmonol. 2004;37:230-235.
    35. Management of isolated orbital floor blow-out fractures: a survey of Australian and New Zealand oral and maxillofacial surgeons. Lynham AJ, Chapman PJ, Monsour FN, Snape L, Courtney DJ, Heggie AA, Jones RH, McKellar GM. Clin Experiment Ophthalmol 2004:32:42-45.
    36. Skeletal stability following maxillary impaction and mandibular advancement. Arpornmaeklong P, Shand JM, Heggie AA. Int. J. Oral Maxillofac Surg. 2004;33:656-663.
    37. The role of distraction osteogenesis in the management of craniofacial syndromes. Shand JM, Smith KS, Heggie AA. Oral Maxillofac Surg Clin North Am. 2004;16:525-504.
    38. The correction of fronto-orbital deformity in infant craniosynostosis--a one year experience. Teng L, Holmes AD, Heggie AA. Zhonghua Zheng Xing Wai Ke Za Zhi. 2004;20:336-9.
    39. Distraction osteogenesis in patients with syndromic midface retrusion--a primary experience. Teng L, Heggie AA, Holmes AD. Zhonghua Zheng Xing Wai Ke Za Zhi. 2005;21:18-21.
    40. Treatment outcomes for adolescent ectodermal dysplasia patients treated with dental implants. Sweeney IP, Ferguson JW, Heggie AA, Lucas JO. Int J Paediatr Dent. 2005;15:241-248.
    41. Mandibular distraction osteogenesis in the treatment of obstructive sleep apnoea syndrome in children with micrognathia. Teng L, Sun XM, Wu GP, Heggie AA, Holmes AD. Zhonghua Zheng Xing Wai Ke Za Zhi. 2005;21:248-251.
    42. Cysts of the jaws and advances in the diagnosis and management of naevoid basal cell carcinoma syndrome. Shand JM, Heggie AA. Oral Maxillofac Surg Clin North Am. 2005;17:403-414.
    43. Osseointegrated implant anchorage in a growing adolescent. Schneider PM, Heggie AA, Roberts WE. Semin Orthod. 2006;12:272-283.
    44. Complete correction of severe scaphocephaly: The Melbourne method of total remodeling. Greensmith AL, Holmes AD, Lo P, Maxiner W, Heggie AA, Meara JG. Plast Reconstr Surg. 2008;121:1300-1310.
    45. Prenatal and postnatal management of congenital granular cell tumours: A case report. Williams RW, Grave B, Stewart M, Heggie AA. Br J Oral Maxillofac Surg. 2009:47;56-58.
    46. Nasal reconstruction for maxillofacial dysplasia. Holmes AH, Lee SJ, Greensmith A, Heggie A, Meara, JG. J Craniofac Surg. 2010:21;543-51.
    47. Repair of critical size defects in the rabbit calvarium with the use of a novel scaffold material. Shand JM, Heggie AA, Portnof J Ann R Australas Coll Dent Surg. 2010:20;71-74
    48. Tonsilloliths appearing as multiple opacities on panoramic imaging: Case report. Portnof JE, Heggie AA, Kleid S. Gen Dent. 2011:59;71-74
    49. A human homeotic transformation resulting from mutations in PLCB4 and GNA13 causes auriculocondylar syndrome. Reader MJ, Heggie AA, Cunningham ML, Am J Hum Genet. 2012 ; 90: 07-14
    50. Tongue reduction for macroglossia in Beckwith Wiedemann syndrome: review and application of new technique. Heggie AA, Vujcich NJ, Portnof JE, Morgan AT. Int J Oral Maxillofac Surg. 2013; 42: 185-191
    51. Obstructive sleep apnea successfully treater by mandibular distraction osteogenesis in a rare skeletal dysplasia. Griffiths AL, Heggie AA, Holman S, Robertson SP, White SM. J Craniofac Surg. 2013 Mar;24(2):508-10.
    52. Anesthetic implications of infants with mandibular hypoplasia treated with mandibular distraction osteogenesis. Frawley G, Espenell A, Howe P, Shand J, Heggie A. Paediatr Anaesth. 2013 Apr;23(4):342-8.
    53. The role of distraction osteogenesis in the management of craniofacial syndromes. Heggie AA, Kumar R, Shand JM. Ann Maxillofac Surg. 2013 Jan-Jun; 3(1):4-10
    54. Clinical pathologic conference case 4: a 15-year-old boy with radiographic changes in the left mandible. Steyn, N, Heggie, A, MacGregor, D., Aldred, M. J. et al. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2013; 116(1): e71-75.
    55. Rebuttal to Breugem et al.'s comment on Anesthetic implications of infants with mandibular hypoplasia treated with mandibular distraction osteogenesis. Frawley G, Shand J, Heggie A, Paediatr Anaesth. 2014 Feb;24(2):228-9.
    56. Oral and maxillofacial surgery: What are our credentials. Heggie AA. Ann Maxillofacial Surg 2014;4(1):1-2.
    57. Novel variants in GNAI3 associated with auriculocondylar syndrome strengthen a common dominant negative effect. Romanelli Tavares VL, Heggie AA, Passos-Bueno MR.Eur J Hum Genet 2014; 23:481-5.
    58. Avascular necrosis of the midface secondary to disseminated intravascular coagulation. Nguyen EV, Heggie AA Int J Oral Maxillofac Surg 2014; 43:1441- 4
    59. A mouse splice-site mutant and individuals with atypical chromosome 22q11.2 deletions demonstrate the crucial role for crkl in craniofacial and pharyngeal development. Miller KA, Tan TY, Heggie AA, Farlie PG. Mol Syndromol 2014; 5: 276-286
    60. The rotational genioplasty: a modified technique for patients with obstructive sleep apnoea. Heggie AA, Portnof JE, Kumar R. Int J Oral Maxillofac Surg 2015; 44: 760-762.
    61. Isolated orbital floor fractures in the paediatric patient: case series and review of management. Heggie AA, Vujcich NJ, Shand JM, Bordbar P. Int J Oral Maxillofac Surg 2015; 44: Epub.

    Text Contributions

    1. Temporomandibular joint disorders in children. Heggie AA. Oral and Maxillofacial Surgery Knowledge Update 2001;3:47-66.
    2. Cameron: Handbook of Pediatric Dentistry 2E. Heggie AA- Chapter: Trauma management 2002
    3. RCH Trauma Manual: Maxillofacial Injuries 2003. Poon C, Heggie AA
    4. Oral and Maxillofacial Surgery – Anderson, Kahnberg and Pogrel, 2010, Cleft Surgery- Distraction & Secondary naso-labial revision, Heggie AA
    5. Atlas of Oral & Maxillofacial Surgery-Kademani & Tiwana, Elsevier 2015: Chapter 45-Total Cranial Vault Remodelling. Heggie AA, Holmes AD. Chapter 53- Cleft (Secondary) Rhinoplasty in the Adult Patient. Heggie AA
    6. In preparation- Segmental surgery (Orthognathic Surgery: Principles, Planning and Practice) Wiley. Shand JM, Heggie AA