In this webinar plastic surgeon, Marlen Sulamanidze will share his experience with treating the ptosis of the upper eyelids, by using spacer grafts.

Besides the theoretical part, the doctor will present a live demonstration of the procedure, with an interesting case. The patient is 63 years old. Complaints are right-sided facial ptosis, inability to close eyelids, and watering of the eyes.

Complaints are left-sided facial ptosis, inability to close eyelids, watering of the eyes, blurred vision in the left eye, and hearing loss in the left ear.

The surgery was successful, the neoplasm was removed and it turned out to be nonmalignant. During the surgery, the facial nerve was damaged. the surgery to repair the damaged nerve was performed and explained that the nerve would be repaired after exercises. But the improvements have not been seen.

The clinical manifestations are: ptosis of the soft tissues of the face, the right angle of the mouth, the right border of the eyelid, ptosis of the ending of the brows, insignificant mimic movement of the lower eyelid, the lips being shifted towards left, the activity of the mimic muscles are seen only on the left side.

Diagnosis: left-sided ptosis of the facial nerve, left-sided facial ptosis, insignificant mimic movement, the right border of the eyelid, ptosis of the ending of the brows

Planned procedures include left-sided blepharoplasty by the threaded spacer, canthopexy, lifting by Aptos method.

Also, we want to provide a visual representation of the changes that we got with the patient with the asymmetry caused by facial paralysis. It was part of a series of webinars: FACIAL PARESIS MASTERCLASS. 

To keep up with the progress of the results we will also provide a picture of the patient after several months of the procedure.

During the procedure alongside the Aptos threads, spacer grafts were also used, they are used in many conditions and are helpful in repairing lowered eye retraction, they help in better closure of the lids and also reduce eye irritation. Positioning the Aptos threads in subcutaneous tissue gave fission the ability to elevate, fixate and create a volume of tissue in affected areas.

Date: Thursday, October 13, 2022

Time: 12:00 CET

Registration link: https://aptos.global/course/2196/facial-paresis-masterclass 

Training language: English