Andrew Heggie

Prof. Andrew A. C. Heggie
Clinical Professor, University of Melbourne. Oral & Maxillofacial Surgeon

MBBS(Melb), BDSc(Melb), MDSc(Melb), LDS(Vic), FRACDS, FFDRCS, FRACDS(OMS), FRCS(Edin), FICD, FADI, FPFA

Andrew Heggie obtained his dental and medical degrees from the University of Melbourne in 1977 and 1991 respectively, including a Master’s Degree in Oral Surgery.

He received his oral and maxillofacial surgery (OMS) training at the Royal Dental Hospital of Melbourne and the Royal Melbourne Hospital and associated teaching hospitals gaining specialist Fellowship qualifications in Australia and Ireland.

Surgeons

Andrew’s hospital experience in Australia and the USA

Andrew undertook a sub-speciality Fellowship in the management of facial deformity at the Northwest Centre for Corrective Jaw Surgery, Providence Medical Centre, Seattle. He then continued training in facial trauma in 1983 as Chief Resident in at the University of Washington and Harborview Medical Centre in Seattle. He then returned to Melbourne and commenced both private and public hospital practice and completed his medical degree.

Andrew has been in private practice with Kevin Ruljancich since 1983 and Jocelyn Shand since 2004. Subsequently in 2018 the practice was renamed and located as Melbourne Oral and Maxillofacial Surgery in the CBD.

University and College appointments

In 2004, Andrew was appointed an Associate Professor in the Department of Paediatrics, University of Melbourne and collaborately established the Melbourne Research Unit for Facial Disorders. In 2017 he was promoted as Clinical Professor for his contribution to research and teaching.  He continues to be actively involved in the development of Oral & Maxillofacial Surgery in the College being involved in the training and assessment processes of aspiring surgeons.

Andrew was President of the Australian & New Zealand Association of Oral & Maxillofacial Surgeons (2013-2015) and has been Chair of the Regional Surgical Committee of the Victorian/Tasmanian Training Programme and a past Chair of Examiners in both Basic and Advanced surgical training.

Sub-specialty interests in oral & maxillo-facial surgery

Andrew was Head of Oral and Maxillofacial Surgery within the Department of Plastic & Maxillofacial Surgery at the Royal Children’s Hospital of Melbourne from 1994 to 2018 and continues as Senior Surgeon. He developed expertise in the management of congenital and developmental facial disorders, particularly in the cleft and craniofacial spectrum. He has found that enabling patients to function well with respect to their jaw function and speech as well as maximising their facial aesthetics and consequently self esteem is extremely gratifying. The challenge of treating growing patients through to maturity with respect to reconstruction has been a major part of his life and deeply satisfying. He also has a strong interest in the treatment of nasal disproportion and obstruction (septo / rhinoplasty).

International affiliations and voluntary surgery

As an academic surgeon, Andrew is widely published in the peer reviewed surgical literature and travels regularly to national and international conferences, often on invitation to lecture. He is on the editorial boards of major international surgical journals and also undertakes operating missions overseas that have included China, Bangladesh, Indonesia and more recently, Vietnam. He is active in the national and international oral and maxillofacial associations and was elected an Active Member of the International Society of Craniofacial Surgeons. He was elected as a Fellow of the Royal College of Surgeons of Edinburgh (Ad Hom) in 2015 for his contribution to OMS internationally.

Andrew’s most memorable operation happened on a visit with the Children’s Hospital craniofacial team to Beijing, China. The team operated on a young boy with a large mid-line facial cleft extending from the brain to the upper teeth. Both halves of his face were moved together successfully resulting in a major improvement to his quality of life.

He is fascinated by evolutionary biology and follows new developments as a hobby. He is a keen snow-skier and scuba diver and enjoys the coastal surf while he is at the family holiday house on the Great Ocean Road.

If Andrew were not a doctor he would probably still be involved in some aspect of scientific research.

  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.
  1. Progressive systemic sclerosis-oro-facial manifestations. Case report. Wardrop RA, Heggie AA. Aust Dent J. 1987;34:258-62.
  2. A Calibrator for monitoring maxillary incisor position during orthognathic surgery. Heggie AA. Oral Surg. 1987;64:671-3.
  3. Co-ordinated treatment of secondary cleft deformities. Heggie AA, West RJ, McNeill W.  Aust Dent J. 1988;33:116-28.
  4. 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.

  1. Maxillary canine: present or not? Heggie AA. Oral Surg. 1991;72:634.
  2. The modified Le Fort III osteotomy in the correction of mid-facial deficiency. Case reports.  Heggie AA, Lawry DM, Ruljancich MK. Aust Dent J. 1993;38:345-50.
  3. The use of mandibular buccal cortical grafts in bimaxillary surgery. Heggie AA. J Oral Maxillofac Surg. 1993;51:1282-83.
  4. 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.
  5. Concepts in the management of temporomandibular ankylosis. Heggie AA, Ann R Aust Coll Dent Surg. 1996;13:132-5.
  6. Squamous cell carcinoma of the tongue in a patient with Fanconi anaemia. Arpornmaeklong P, Heggie AA. J Dent Assoc Thai. 1998;48:246-9.
  1. Bilateral temporomandibular joint ankylosis after bimaxillary surgery. Wright GW, Heggie AA. J Oral Maxillofac Surg. 1998;56:1437-41.
  2. Distraction osteogenesis in a patient with micrognathia and a rare facial clefting syndrome. Heggie AA, Scott PA.
    Aust Orthod J. 1998;15:200-5.
  3. 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.
  4. Rhinoplasty in achieving total facial harmony. Heggie AA. Ann R Aust Coll Dent Surg. 1998;14:99-106.
  5. 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.
  6. Anterior open bite malocclusion: stability of maxillary repositioning using rigid internal fixation.Arpornmaeklong P, Heggie AA. Aust Ortho J. 2000;16:69-81.
  7. The use of a resorbable fixation system in orthognathic surgery. Shand JM, Heggie AA. Brit J Oral Maxillofac Surg 2000;38:335-337.
  8. 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.
  9. Unusual jaw lesions in the paediatric and adolescent patient: a management challenge.Heggie AA Ann R Aust Coll Dent Surg. 2000;15:185-192.
  10. Difficult intubation induced by maxillary distraction device placement in craniosynostosis syndromes.
    J Roche, G Frawley & Heggie AA.
    Paediatr Anaesth. 2002;12:227-234.
  11. 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
  1. 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.
  2. 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.
  3. Hemifacial Microsomia: use of the OMENS-Plus classification at theRoyal Children’s Hospital of Melbourne.
    Poon C-H, Meara JG, Heggie AA.
    Plast Reconstr Surg 2003;111:1011-8.
  4. Canine eruption into grafted alveolar clefts: A retrospective study. Hogan L, Shand JM, Heggie AA, Kilpatrick K
    Aust. Dental J 2003;48:119-124.
  5. 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.
  6. Stability of combined Le Fort I maxillary advancement and mandibular reduction. Arpornmaeklong P, Shand JM, Heggie AA Aust Ortho J. 2003;19:57-66.
  7. 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.
  8. 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.
  9. Skeletal stability following maxillary impaction and mandibular advancement. Arpornmaeklong P, Shand JM, Heggie AA Int. J. Oral Maxillofac Surg. 2004;33:656-663.
  10. 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.
  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. Osseointegrated implant anchorage in a growing adolescent. Schneider PM, Heggie AA, Roberts WE
    Semin Orthod. 2006;12:272-283.
  7. 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.
  8. 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.
  9. Nasal reconstruction for maxillofacial dysplasia.
    Holmes AH, Lee SJ, Greensmith A, Heggie A., Meara, JG J Craniofac Surg. 2010:21;543-51.
  10. 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
  1. Tonsilloliths appearing as multiple opacities on panoramic imaging: Case report. Portnof JE, Heggie AA, Kleid S. Gen Dent. 2011:59;71-7
  2. A human homeotic transformation resulting from mutations in PLCB4 and GNA13 causes auriculocondylar syndrome.
    Reader MJ…..Heggie AA…CunninghamML
    Am J Hum Genet. 2012 ; 90: 907-14
  3. 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
  4. Obstructive sleep apnea successfully treated by mandibular distraction osteogenesis in a rare skeletal dysplasia.
    Griffiths AL, Heggie A, Holman S, Robertson SP, White SM.
    J Craniofac Surg. 2013 Mar;24(2):508-10.
  5. 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.
  1. 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
  2. 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.
  3. Rebuttal to Breugem et al.’s comment on Anesthetic implications ofinfants with mandibular hypoplasia treated with mandibular distraction osteogenesis. Frawley G, Shand J, Heggie A. Paediatr Anaesth. 2014 Feb;24(2):228-9.
  4. Oral and maxillofacial surgery: What are our credentials? Heggie AA. Ann Maxillofac Surg 2014; 4:1-2. (Invited editorial)
  5. 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: 1250-1254.

62.     Odontogenic myxoma in the paediatric patient: a review of 8 cases. Subramaniam SS, Heggie AA, Kumar R, Shand JM Int J Oral Maxillofac Surg 2016; 45:1614-1617

63.    Infant mandibular distraction for upper airway obstruction: a clinical audit. Adhikari AM, Heggie AA, Shand JM, Bordbar P, Pellicano A, Kilpatrick N Plast Reconstr Surg Glob Open. 2016; 45:e812

64.     Skeletal stability of maxillary advancement with and without a mandibular reduction in the cleft lip and palate patient.
Wong FX, Heggie AA, Shand JM, Schneider PM
Int J Oral Maxillofac Surg. 2016; 45:1501-1507

65.     Simple bone cyst of the mandibular condyle. Rapaport BHJ, Heggie AA. Ann Maxillofac Surg. 2016; 6: 314-315

  1. Secondary bone grafting of alveolar clefts: a review of outcome at two centres in Australia and the UK.
    Kumar R, Heggie A, Shand J, Dominguez-Gonzalez S, Kilpatrick N, Shah J Brit J Oral Maxillofac Surg. 2017; 55: 496-499
  2. A standard set of outcome measures for the comprehensive appraisal of cleft care.  Allori AC, Kelley T, Meara JG…..Heggie AA, ….Wong KWCleft Palate Craniofac 2017; 54 : 540-554
  3. Hypotensive anaesthesia techniques in orthognathic surgery-Letter to Editor. Hughes PJ, Heggie AA Int J Oral Maxillofac Surg. 2017; 46:1352
  4. Craniofacial disorders Heggie AA  Australian Dental Journal 2018; 63:(1 Suppl): S58–S68
  5. Versatile osteotomies Lim L, Heggie AA Australian Dental Journal 2018; 63:(1 Suppl): S48–S57
  6. Long term outcomes of craniofacial implants for the restoration of facial defects. Subramaniam S, Breik O, Cadd B, Peart G, Wiesenfeld D, Heggie AA, Gibbons S, Nastri A
    Int J Oral Maxillofac Surg,. 2018; 47: 773-782

ABSTRACTS

  1. Immediate prosthetic replacement following major maxillary surgery.Heggie AA, MacFarlane WI, Warneke S.
    J Oral Surg 1981;39:977.
  2. A study of normal human buccal mucosaHeggie AA, Reade PC.J Dent Res 1981;60B:1068.
  3. Transitional cell carcinoma. (Letter)Heggie AA.Aust Dent J. 1981;26:335.
  4. A retrospective review of bimaxillary orthognathic surgery. Allen P, Heggie AA, Cook RM, Reade PC.
    J Dent Res. 1986;65:475.
  1. A retrospective cephalometric review of combined surgical and orthodontic management of anterior open bite.
    Lawry DM, Heggie AA, Ruljancich MK, Crawford EC.
    J Dent Res. 1989;68:541.
  2. AIDS, aesthetic surgery, and the plastic surgeon.(Letter)Heggie AA. Plast Reconstr Surg. 1993;92:985.
  3. Ein beitrag zur behandlung des frontal offenen bisses. Lawry DM, Heggie AA, Ruljancich MK, Crawford EC. Informationen Aus ~ I Orthodontie & Kieferorthopadie 1994;3:275.
  4. The versatility of orthognathic and adjunctive procedures in the management of dentofacial deformity. Heggie AA. Ann R Aust Coll Dent Surg. 1994;11:227.
  5. Maxillary stability of combined maxillary superior repositioning and mandibular advancement using rigid fixation.
    Arpornmaeklong P, Heggie AA.
    Int J Oral Maxillofac Surg 1997;26(Supp No.1):105.
  6. The vascular change during and after mandibular distraction. Sawaki Y, Heggie AA “2nd International Congress on Cranial and Facial Bone DistractionProcesses”. Diner, PA, VazqueMP. (Editors): Bologna, Monduzzi editore.International Proceedings Division, 1999:23-27.
  7. A retrospective study of alveolar bone grafts in cleft patients at the Royal Childrens Hospital, Melbourne, 1996-1999.
    Hogan LC, Heggie AA, Kilpatrick N
    Aust. Dental J (Research Supplement) 2000;24:S27.
  8. Mid-facial distraction: evolving changes to treatment protocols.Heggie AA, Holmes AD, Breidahl AF
    Aust NZ J. Surg 2002;72(supp): A91(PR56)
  9. Mid-facial distraction: evolving changes to treatment protocols.Heggie AA, Holmes AD, Breidahl AF
    The 4th Asia Pacific Craniofacial Association Conference October 21st-23rd, 2002 Tokyo, Japan. 05-1-4, 41
  10. Mandibular distraction for airway obstruction in infants and neonates with craniofacial anomalies. Chigurupati R, Heggie AA, Napoli J J. Oral Maxillofac Surg 2002; 60 (Suppl 1),67.
  11. Juvenile mandibular chronic osteomyelitis: A distinct clinical entity Shand JM, Heggie AA, Aldred MJ, Talacko AA Int J Oral Maxillofac Surg 2003;32(Supp 1):S57, 028.2
  1. An evaluation of vertical dento-facial relationships in patients with Class II Division I Malocclusions. Watanabe K, Heggie AA, Sawaki Y, Yambe M, Ueda M Int J Oral Maxillofac Surg 2003;32(Supp 1):S86, P1.25
  2. Orthognathic surgery: an integrated approach to the management of oro-facial deformity  Heggie AA  Int J Oral Maxillofac Surg 2003;32(Supp 2):10, LA.12
  3. Internal mandibular distraction in the correction of airway obstruction in the paediatric craniofacial patient
    Heggie AA, Massie J, MacDougall P
    Aust. N.Z. J. Surg 2004;74(Supp):A98,PR11
  4. Juvenile mandibular chronic osteomyelitis- a distinct clinical entityHeggie AA, Shand JM, Aldred M
    Aust. N.Z. J. Surg 2004;74(Supp):A99,PR14
  5. Interdisciplinary management of neurofibromatosis 1, involving the craniomaxillofacial region in children.
    Hall RK, Scott PA, Holmes A, Heggie AA, Maixner W, Delatycki M, Zacharin M, Ashley D J. Craniomaxfac, Surg 2004:32(Supp 1):122
  6. The use of autogenous tissue grafts in rhinoplasty and nasal reconstruction. Heggie AA Ann Roy Australas Coll Dent Surg 2004;17:135
  7. Complete correction of severe scaphocephaly: total vault remodeling with occipital elevation.  Heggie A, Holmes A, Greensmith A, Meara J, Low P, Maixner W Int J Oral Maxillofac Surg 2005;34(Supp 1-029.1):57.
  8. Management of upper airway obstruction in the paediatric craniofacial patient. Heggie A Asian J. Oral Maxillofac Surg 2006;18(Supp 1 S-068):25.
  9. Complete correction of severe scaphocephaly: total vault remodeling with occipital elevation. Heggie A, A, Greensmith, Holmes A, Low P, Maixner W, Meara J. Asian J. Oral Maxillofac Surg 2006;18(Supp 1 FP-145):40.
  10. Treatment strategies for total skeletal correction in craniofacial patients from birth to adulthood. SL11.1. Heggie A. Int J Oral Maxillofac Surg 2009;38: 412.
  1. Outcome of mandibular distraction for the management of micrognathia and obstructive apnoea. O3.4. Shand J, Heggie A., Massie J. Int J Oral Maxillofac Surg 2009;38: 443.
  2. Technique for surgical tongue reduction. O3.2. Heggie A., Portnof J. Int J Oral Maxillofac Surg 2009;38: 442.
  3. Hemifacial (craniofacial) microsomia- assessment of protocol driven outcomes. AA Heggie, J Shand. Int J Oral Maxillofac Surg. 2011;40(10):1092
  4. Skeletal correction of the mid-face in the adolescent craniofacial patient. AA Heggie, AD Holmes, J Shand. Int J Oral Maxillofac Surg. 2011;40(10):1091
  5. Tumours of the maxillofacial skeleton in the paediatric patient: an approach to management and reconstruction. Heggie A. Proceedings of the 10th Asian Congress on Oral and Maxillofacial Surgeons, Bali, Indonesia, Nov 2012, 31.
  1. Management of mandibular high-flow arteriovenous malformations. Shand J,Heggie A. Int J Oral Maxillofac Surg 2013;42: 1177.
  2. Management of mid-facial post-traumatic facial deformities. Heggie A. ANZ J. Surg. 2014;84: 56(CF19).
  3. Outcomes of mandibular distraction for the management of neonates and infants with micrognathia and upper airway obstruction. Shand J, Heggie A, Pellicano et al. Int J Oral Maxillofac Surg 2015; 44, Supp 1: e16
  4. Skeletal management of craniofacial microsomia. Heggie A.Int J Oral Maxillofac Surg 2015; 44, Supp 1: e6-e7
  5. Autogenous TMJ reconstruction with occlusal preservation: an alternative to total alloplastic joint replacement. Dastaran M, Ricciardo P, Heggie A. Int J Oral Maxillofac Surg 2015; 44, Supp 1: e51