Tip sutures will be discussed

Facial paralysis is a complex condition that profoundly affects patients' quality of life both functionally and aesthetically. Therefore, sharing up-to-date knowledge and surgical experience regarding static and dynamic reanimation approaches is of great importance, particularly among ENT specialists, in terms of professional development and standardization of patient care.

videos on rhinoplasty techniques and personal approaches

Introduction: Facial paralysis negatively impacts patients’ physical, psychological, and social well-being. Optimal care requires a multidisciplinary approach involving specialists in neurotology, facial plastic surgery, neurosurgery, neuroradiology, physical therapy, ophthalmology, and neurology.

However, standardized collaborative pathways remain underdeveloped and underutilized. This study evaluates the outcomes of an algorithm used at our facial paralysis program.

Material & Methods: A retrospective review of all patients with facial palsy since March, 2023 until now. The group included both pediatric and adult patients.

Results: Fifty-three patients have been seen by our clinicians. Etiology of palsy included temporal bone fractures and other types of trauma, post-surgical, viral (e.g,, Bell's palsy and Ramsay Hunt syndrome), tumors (benign and malignant). Patients underwent facial nerve decompression and grafting as well as chemodenervation, selective myectomy, selective neurectomy, static and dynamic slings, facial nerve transfers, and muscle transfers (both pedicled and free flaps). All patients also underwent physiotherapy. A physical therapy evaluation form was created. Data collection has been initiated utilizing multiple outcome measures to demonstrate effectiveness of treatment. The current evaluation utilizes the House-Brackmann and Sunnybrook Grading Scales, the Facial Disability Index, the Synkinesis Assessment Questionnaire and the CORE 10. These measures look at both the physical and mental health impairments associated with facial nerve palsy.

Conclusions: A structured multidisciplinary model for facial paralysis management enhances functional recovery, aesthetic outcomes, and patient quality of life. Early referral and coordinated interdisciplinary care are critical determinants of success.

Lip asymmetry is commonly seen mostly due to iatrogenic etiology or due to Congenital Unilateral Lower Lip Palsy (CULLP) which is also a very common clinical presentation (1/180). I personally have lots of experience in this patient group. I would like to tell about my patient management and surgical technique and results.

To explain the tip plasty for projection rotation and definition just whit suture technique.

Explane the effectifness and power of different suture technique in tip plasty. How ı do the suture techniqe in different type of tips.

Organaizng the nose projektion, starting from radix to the tip for ideal profile.

This lecture will demonstrate how to predictably manage the nasal tip during rhinoplasty. The use of cartilage grafts and an asymmetric lateral crus steal allows for precise nasal tip management. This is important not only for a good aesthetic outcome but also aims to improve the function of the external nasal valve by opening it while maintaining symmetry, ensuring a satisfactory aesthetic outcome for the patient.