П'ята місія американських реконструктивних хірургів обличчя

The FACE TO FACE mission of reconstructive facial surgeons took place in the city of Lviv from May 10 to 18. They managed to operate on 25 patients with complex head and neck injuries, most of whom were representatives of the military and several civilian patients injured as a result of hostilities of the war.

Full team of the 5th Face to Face mission before departure to the hospital on the first day

The FACE TO FACE mission of reconstructive facial surgeons took place in the city of Lviv from May 10 to 18. They managed to operate on 25 patients with complex head and neck injuries, most of whom were representatives of the military and several civilian patients injured as a result of hostilities of the war.

Dr. Bruce K. Moskowitz and Dr. Kyrylo Chuhai are examining the patient

 

The FACE TO FACE mission of reconstructive facial surgeons took place in the city of Lviv from May 10 to 18. They managed to operate on 25 patients with complex head and neck injuries, most of whom were representatives of the military and several civilian patients injured as a result of hostilities of the war.

Dr. Anna Tovkes, Dr. Kyrylo Chuhai, Dr. Ivanka Nebor
Dr. Bruce K. Moskowitz, Dr. Kyrylo Chuhai and Dr. Anna Tovkes during the operation plan discussion
Dr. Vitaliy Panchenko with the American surgeons are performing the jaw reconstruction

The FACE TO FACE mission of reconstructive facial surgeons took place in the city of Lviv from May 10 to 18. They managed to operate on 25 patients with complex head and neck injuries, most of whom were representatives of the military and several civilian patients injured as a result of hostilities of the war.

The team of reconstructive surgeons is taking fibula bone part with the vascular pedicle from the leg
Dr. Bruce K. Moskowitz, Dr. Anna Tovkes

The FACE TO FACE mission of reconstructive facial surgeons took place in the city of Lviv from May 10 to 18. They managed to operate on 25 patients with complex head and neck injuries, most of whom were representatives of the military and several civilian patients injured as a result of hostilities of the war.

Every day before the start of the surgeries, the doctors conducted round examinations of the patients who had already undergone surgery together with their Ukrainian colleagues. At the end of the operating week, a final round, with summing up and organizational meetings was held with gratitude from the hospital that hosted the mission and expressions of wishes for further cooperation.

Dr. John Frodel is evaluating the patients’ state

The FACE TO FACE mission of reconstructive facial surgeons took place in the city of Lviv from May 10 to 18. They managed to operate on 25 patients with complex head and neck injuries, most of whom were representatives of the military and several civilian patients injured as a result of hostilities of the war.

Dr. John Frodel, Dr. Bruce K. Moskowitz, Dr. Kyrylo Chuhai, Dr. Yelyzaveta Baran

Other interventions performed during the May visit of American surgeons were no less interesting and lengthy. Here is the full list of the medical interventions performed: 

  • Jaw reconstruction using a free fibular flap with PSI placement – 7
  • Zygomatic bone reduction - 2
  • Orbital floor and zygomatic reconstruction using a two-component PSI - 3
  • Reconstruction of the lower orbital wall using PSI - 1
  • Closing the defect after osteoplastic trepanation with a porous polyethylene implant - 1
  • Reconstruction of the frontal bone defect using PSI - 1
  • Reconstruction of the frontal bone defect using titanium mesh - 1
  • Installation of a gold weight on the upper eyelid - 1
  • Reconstruction of the eyelid using a local skin flap - 2
  • Revision of scars - 5
  • Removal of metal fragments from shells from facial tissues - 2
  • Rhinoplasty - 3
  • Repositioning of tissues in the area of ​​the bridge of the nose - 1
  • Extra-auricular skin graft for eyelid reconstruction - 3
  • Eyelid reconstruction using skin graft from the buttock area + orbital volume restoration using fat graft from the buttock area - 1
  • Pedicle flap from pericranium for PSI coverage - 2
  • Canthoplasty - 6
  • Installation of a silicone sling for upper eyelid support - 1
  • Free flap from the anterolateral thigh for soft tissue reconstruction of the zygomatic region - 1
  • Commissuroplasty - 2
  • Upper lip reconstruction using a local skin flap - 1
  • Removal of the lower eyelid retractor muscles - 1
  • Видалення мʼязів-ретракторів нижньої повіки - 1
  • Dacryocystorhinostomy - 1
  • Karapandzyk flap for oral cleft reconstruction - 1
  • Restoration of facial symmetry after facial nerve paralysis using a graft from the broad fascia of the thigh – 1

 

Mariana Varchuk (scrub nurse) is assisting to Dr. Manoj Abraham, who is operating on the patient
Susan Ketigian (head nurse) is preparing the instruments for the next operation
Instrument table during the operation

After the mission was completed, teams hold online meetings to assess interim results and discuss the future plans. This way, the approach to patient management is comprehensive and includes not only surgical intervention, but also subsequent patient monitoring.

Nurses Lindsey Norito and Cory Reyburn
Dr. Ivanka Nebor
Dr. Manoj Abraham and Dr. Anna Tovkes are discussing the patient with Ukrainian anesthesiologist
Dr. Grigoriy Mashkevich together with Dr. Vitaliy Panchenko are taking the fibula fragment to reconstruct the jaw of the patient.

In summary, each visit of American reconstructive surgeons to Ukraine is the result of the tireless and hard work of both American and Ukrainian colleagues - doctors, nurses, volunteers. This is a very important important project that we hope to continue and thank everyone who was involved in organizing the fifth mission Face to Face!

Dr. Augustine Moscatello, Dr. Manoj Abraham, Dr. Bruce K. Moskowitz

The mission was supported by:

American Academy of Facial Plastic & Reconstructive Surgery

Razom for Ukraine

INgenius

Healing the Children Northeast 

Materialise 

We express our sincere gratitude to:

The team of surgeons and nurses from the USA:

Doctors:

Manoj T. Abraham – MD, Chair of the Humanitarian Arm of the AAFPRS, Attending Faculty, Department of Otorhinolaryngology—Head and Neck Surgery, New York Medical College & Icahn School of Medicine at Mount Sinai

 

John Frodel – MD, Facial Plastic Surgery, Otolaryngology, Guthrie.

 

Grigoriy Mashkevich – MD, Plastic Surgeon, Assistant Professor at Department of Otorhinolaryngology—Head and Neck Surgery, Mount Sinai

 

Bruce Moskowitz – MD, Ophthalmic Plastic Surgery, Assistant Clinical Professor at Mount Sinai

 

Augustine Moscatello – MD, Professor, Chairman at the Department of Otolaryngology—Head and Neck Surgery, New York Medical College

 

Ryan Daniel Winters – MD, Facial plastic and reconstructive surgeon, Australia, Newcastle.

 

Boris Chernobilsky – MD, Clinical Assistant Professor, Department of Otorhinolaryngology—Head and Neck Surgery, NYU Grossman School of medicine

 

Shaun Desai – MD, Associate Professor of Otolaryngology-Head and Neck Surgery at Johns Hopkins

Ivanka Nebor MD – resident in Otolaryngology-Head and Neck surgery, Westchester Medical Center.

Nurses:

Susan Ketigian RN – Head Nurse

Teresa O’Malley – Registered Nurse

Lindsey Norrito – Surgical tech

Lindsey Norrito – Surgical tech

 

Jamie (Harold) Orange – Surgical tech

 

Yurij Tsuvanyk – Surgical tech 

 

Maribel Caraballo – Surgical tech

 

Mariana Varchuk – Registered Nurse

 

Cory Reyburn – Registered Nurse

Emmett Harty Jr – Registered Nurse

 

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Viktoriya Ygreen – Registered Nurse

 

The Team of Ukrainian Doctors:

To the plastic surgeon Vitaly Panchenko – for his great organizational contribution to the mission on the part of the hospital that hosted the American surgeons.

ВTo the local Ukrainian team of surgeons, anesthesiologists, interns, nurses, and junior medical staff of the hospital for their well-coordinated and impeccable team-work..

Ukrainian anesthesiologist with Emmett Harty Jr (registered nurse)


We thank the organization Razom for Ukraine – for their huge contribution to the mission's work, financial and organizational support. Special thanks to Lilya Dzhaliuk, Iryna Matsiuk, Yulia Shami, Oleksandra Domaradska, and Natalia Kuts.

Teresa O’Malley with Iryna Matsiuk
Alex Domaradskiy (Project manager from Razom for Ukraine)

 

The INgenius Team: : Ivanka Nebor, Kyryl Chugai, Elizaveta Baran, Anna Tovkes, and Igor Solovy — for organizing the mission's work at a high level..

INgenius team (from left to right):  first line - Dr. Anna Tovkes, Dr. Ivanka Nebor, Dr. Yelyzaveta Baran; second line – Igor Solovey, Dr. Vitaliy Panchenko, Dr. Kyrylo Chuhai

 

The Materialise Team – for the production of patient-specific 3D implants, as well as to the company's volunteers - Olga Gornyak, Kateryna Stepura, Anna Davydok, Nela Sadytska - for their assistance in planning and developing models and coordinating their installation during surgeries.

Materialise team (from left to right): Olha Horniak, Nelia Sadytska, Kateryna Stepura, Anna Davydok.

Together to victory!