Facial paralysis is extremely disfiguring for the patient who is carrying it. It may be congenital or acquired, for example, after resection of a tumor.
Treatment of facial paralysis should cover the upper third, middle third and lower third of the face. The goal is to achieve symmetry.
For the upper third we treat the healthy side, as it is not possible to provide movement to the forehead. We surgically perform a “permanent botox” on the patient. At the level of the eyelids is obtained symmetry by different techniques combined.
As for the middle third, we started in Argentina in the year 2002 to do the lengthening temporalis myoplasty, a technique described by Daniel Labbé, a very talented french surgeon. With more than ten years of experience, we can say that this flap offers excellent results in terms of symmetry and movement.
Lower third of the face.
As for the lower third of the face, we used a very interesting flap of muscle on the lips of the healthy side.
This treatment is performed in 2 or 3 surgical stages and can be done perfectly with local anesthesia. The only one that is performed under general anesthesia is the Labbé Flap.
Dr. Fernanda Valotta attended the XI International Symposium on Plastic Surgery at Sheraton Hotel in São Paulo, March 19-21, 2010, as also where, for the first time, the N°1 in nasal reconstruction, Frederick Menick, and N°1 in reconstruction of ears, Francoise Firmin. The following week, from March 23 to 26, Dr. Valotta was invited by Dr. César Raposo do Amaral, director of the hospital of craniofacial surgery in Campinas, SOBRAPAR, founded by his father Casio Raposo do Amaral. There Dr. Firmin dictate a course of reconstruction of ears with live surgeries, all participants being able to witness ten interventions performed in the operating room.
11th International Microsurgical Symposium was held on September 16 and 17th of, 2011, in Botucatu, São Paulo, Brazil and was organized by Dr. Fausto Viterbo, world reference for microsurgery. Dr. Daniel Labbé, renowned French plastic surgeon and creator of an original flap for the treatment of facial paralysis which was later called the labbé flap, was one of the speakers at the successful symposium where Dr. Fernanda Valotta was in charge of a lecture in which she exposed her experience with the mentioned flap. The event was also attended by numerous surgeons from around the world including countries such as China, Japan, Taiwan and Korea, who traveled especially for this symposium, including Dr. David Chuang.
During the 42nd Argentine Congress of Plastic Surgery, held in the city of Buenos Aires, professionals and specialists in the field, made their contribution to the enrichment of the meetings through official accounts, conferences, round tables, tables of controversies, contributions to the central themes, free themes, among others. Dr. Francoise Firmin, former President of the French Society of Plastic, Reconstructive and Aesthetic Surgery was one of the main invited international speakers. Dr. Firmin had the collaboration of Dr. Fernanda Valotta during her presentation at the Congress where the steel sutures designed by Dr. Valotta and manufactured by SURGIKAL (*) were also presented. These sutures are indispensable to stabilize the cartilage model performed by Dr. Valotta for her patients, and until now were not available in the country. At the same time, a Workshop on “Carving of the Ear” was conducted, led by Dr. Firmin and coordinated by Dr. Valotta. (*) Dr. Valotta does not charge any kind of royalties for the sale of this product.
Dr. Fernanda Valotta was invited by Dr. Milomir Minkovic, an internationally renowned reconstructive surgeon, and one of the organizers of the 38th Alpine Workshop on Plastic and Reconstructive Surgery (2011), to participate in this meeting of surgeons, made since 1974 in different regions of Europe This event aims not only to share the latest medical advances in a series of “friendly meetings” but also is dedicated to sharing a common sport to all surgeons who attend it: skiing. This encourages camaraderie and unity among colleagues. This is why this meeting is held every year in a different ski center through all Europe. The international event, which is accessed only by personal and individual invitation and limited space with a maximum of 50 previously selected surgeons, was held in Austria and was organized by Andreas Schmidt and Milomir Ninkovic at the Hotel Edelweiss, Obergurgl from 12 to 19th of March, 2011. Dr. Fernanda Valotta presented his work on this occasion: Extreme mandibular distraction. Retroposition chin osteotomy: a trick to avoid the flattening of the mentolabial groove. A new classification of ptosis. Definitive correction of severe deviations of the nasal septum. Preface This book should accompany the proceding workshops to remind all […]
Dr. Fernanda Valotta was invited to participate as lecturer of the “III International Conference Breast, Plastic, Reconstructive and Aesthetic Surgery 2010” and the “X International Congress of Plastic, Reconstructive and Aesthetic Surgery LAPSO 2010“. For this reason she traveled to the charming city of St. Petersburg, Russia, accompanied by Dr. Hans Anderl, pioneer in nerve-grafting for facial paralysis, by Dr. Daniel Marchac, one of the world’s craniofacial surgery parents, And by Dr. Milomir Ninkovic, one of the best micro-surgeons in the world.During the Congress, Dr. Valotta exposed her experience in facial paralysis with the Labbe flap, and also gave a lecture on total nasal reconstruction. At the end of the Congress, Dr. Valotta traveled to France to perfect herself alongside Dr. Francoise Firmin. For a week, Dr. Valotta had the opportunity to witness numerous atrial reconstruction surgeries performed by the N°1 ear surgeon in the world.
Dr. Fernanda Valotta, a specialist in reconstructive surgery, was invited twice to give a workshop on Atrial Reconstruction at the Hospital of Craniofacial Anomalies of the University of São Paulo. This hospital has ten operating theaters exclusively dedicated to operations of malformed patients. It´s one of the largest hospital in the world because of the large number of patients receiving. Known as the City without Limits, Baurú has São Paulo´s University Campus where you can find the Faculty of Dentistry of Baurú, Hospital of Rehabilitation of Craniofacial Anomalies and Prefectural Campus The hospital was classified by the World Health Organization as a Center of Excellence in Latin America, based on the development of international research and studies. Frequented by students from different regions of Brazil, as well as from other countries, it´s responsible for the training, updating and qualification of a significant group of dental surgeons, speech therapists, teachers and researchers from Brazil and abroad. Dr. Valotta performed ten ear reconstructions in patients with hemicraneofacial microsomia and Treacher Collins syndrome. Hemicraneofacial microsomy is characterized because patients have the branch of the small jaw of the affected side. It is given in 1 patient in every 3,500 to 4,500 births. Depending on the degree of smallness […]
In November of 2013, I was invited by Dr. Silvana Acosta, pediatric plastic surgeon, to dictate a specific course on HEADSET RECONSTRUCTION, in Santiago. The course took place in the INDISA CLINIC. I gave four conferences, two surgeries with video, and a very interesting workshop “hands on” where I taught participants how to carve a model of an ear with cartilage-like material. I was amazed because there were many who did very good models, best of which are used to seeing in these courses.