TarSys Slideshow - Dr. Robert A. Weiss

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Dr. Robert A. Weiss detailing TarSys.

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TarSys Slideshow - Dr. Robert A. Weiss

  1. 1. Robert A. Weiss, M.D, F.A.C.S <ul><li>Clinical Associate Professor University of Illinois at Chicago </li></ul><ul><li>Director, Oculofacial Plastic and Reconstructive Surgery, Ophthalmic Oncology and Orbital Disease Advocate Illinois Masonic Medical Center </li></ul><ul><li>Senior Partner Chicago Eye Institute </li></ul>Robert A. Weiss, MD, FACS
  2. 2. Robert A. Weiss, M.D, F.A.C.S <ul><li>Copyright by Robert A. Weiss, M.D. 2009. All rights reserved. This work, in whole and in each part, may not be reproduced and/or stored in any manner or with any device without the express written permission of the author. </li></ul>Robert A. Weiss, MD, FACS
  3. 3. TarSys Eyelid Reconstruction Robert A. Weiss, MD, FACS
  4. 4. TarSys Eyelid Reconstruction <ul><li>Bioengineered Eyelid Spacer Graft </li></ul><ul><li>Rehydrate in Sterile Saline 20 Minutes Before Use </li></ul>Robert A. Weiss, MD, FACS
  5. 5. TarSys Eyelid Reconstruction <ul><li>10 mm x 40 mm </li></ul>Robert A. Weiss, MD, FACS
  6. 6. TarSys Eyelid Reconstruction <ul><li>Severe Cicatricial Left Lower Lid Retraction & Upper Lid Ptosis (s/p 6 Prior LL Reconstructive Procedures) </li></ul><ul><li>Note Left Lagophthalmos Secondary to LLL Retraction </li></ul>Robert A. Weiss, MD, FACS
  7. 7. TarSys Eyelid Reconstruction <ul><li>Standard Subciliary Approach </li></ul>Robert A. Weiss, MD, FACS
  8. 8. TarSys Eyelid Reconstruction <ul><li>Skin-Orbicularis Muscle Flap </li></ul>Robert A. Weiss, MD, FACS
  9. 9. TarSys Eyelid Reconstruction <ul><li>Inferior Boarder of Tarsus Delineated </li></ul>Robert A. Weiss, MD, FACS
  10. 10. TarSys Eyelid Reconstruction <ul><li>Elevate Septum - Lower Lid Retractors </li></ul>Robert A. Weiss, MD, FACS
  11. 11. TarSys Eyelid Reconstruction <ul><li>Removal of Previously Placed Spacer </li></ul>Robert A. Weiss, MD, FACS
  12. 12. TarSys Eyelid Reconstruction <ul><li>Lateral Tarsal Strip - Lateral Orbital Tubercle - Supra-Placed Above Tubercle </li></ul>Robert A. Weiss, MD, FACS
  13. 13. TarSys Eyelid Reconstruction <ul><li>TarSys Attached to Medial Deep Tissues - Medial Canthal Tendon </li></ul>Robert A. Weiss, MD, FACS
  14. 14. TarSys Eyelid Reconstruction <ul><li>TarSys Attached To Tarsus Above and Recessed Lower Eyelid Retractors Below </li></ul>Robert A. Weiss, MD, FACS
  15. 15. TarSys Eyelid Reconstruction <ul><li>TarSys Attached To Tarsus Above and Recessed Lower Eyelid Retractors Below </li></ul>Robert A. Weiss, MD, FACS
  16. 16. TarSys Eyelid Reconstruction <ul><li>Limited Mid-Face Lift or Adjacent Tissue Transfer or Full-Thickness Skin Graft if Outer Lamellar Vertical Soft Tissue Shortage </li></ul>Robert A. Weiss, MD, FACS
  17. 17. TarSys Eyelid Reconstruction Robert A. Weiss, MD, FACS
  18. 18. TarSys Eyelid Reconstruction <ul><li>Note Symmetry of Lower Lid Position Relative to Inferior Limbus </li></ul>Robert A. Weiss, MD, FACS
  19. 19. TarSys Eyelid Reconstruction <ul><li>Intra-Operative - Right Lower Lid Repair with TarSys Inner Lamellar Reconstruction and Mid-Facelift Outer Lamellar Reconstruction </li></ul>Robert A. Weiss, MD, FACS
  20. 20. TarSys Eyelid Reconstruction <ul><li>Bilateral Lower Lid Repair with TarSys Inner Lamellar Reconstruction and Mid-Facelift Outer Lamellar Reconstruction </li></ul>Robert A. Weiss, MD, FACS
  21. 21. TarSys Eyelid Reconstruction <ul><li>Left Lower Eyelid Retraction S/P Emergency Room Physician Primary Repair </li></ul><ul><li>S/P Secondary Repair with Lateral Tarsal Strip, TarSys Graft and Adjacent Tissue Transfer </li></ul>Robert A. Weiss, MD, FACS
  22. 22. TarSys Eyelid Reconstruction <ul><li>Eyelid Retraction Maxillary Hypoplasia and Prior Blepharoplasty with Secondary Mechanical and Inner Lamellar Cicatricial Lower </li></ul><ul><li>S/P Lateral Tarsal Strip with TarSys Graft and Limited Mid-Facelift </li></ul>Robert A. Weiss, MD, FACS
  23. 23. TarSys Eyelid Reconstruction <ul><li>Lagophthalomos Associated with Lower Eyelid RetractionMaxillary Hypoplasia and Prior Blepharoplasty </li></ul><ul><li>S/P Lateral Tarsal Strip with TarSys Graft and Limited Mid-Facelift </li></ul>Robert A. Weiss, MD, FACS
  24. 24. TarSys Eyelid Reconstruction <ul><li>Primary Highly Malignant Merkel Cell Tumor </li></ul>Robert A. Weiss, MD, FACS
  25. 25. TarSys Eyelid Reconstruction Robert A. Weiss, MD, FACS Cut Edge of Orbicularis Muscle, (Aponeurosis Removed En Bloc with Neoplasm)
  26. 26. TarSys Eyelid Reconstruction Robert A. Weiss, MD, FACS Whitnall’s Ligament Superior/Forniceal Conjunctiva Lacrimal Gland Cut Edge of Levator Just Above Aponeurosis Junction
  27. 27. TarSys Eyelid Reconstruction Robert A. Weiss, MD, FACS Conunctiva Deep To Tarsys - Anchored on Anterior Surface of Graft Levator Muscle Anchored to Superior Edge of Tarsys
  28. 28. TarSys Eyelid Reconstruction Robert A. Weiss, MD, FACS
  29. 29. TarSys Eyelid Reconstruction <ul><li>Early Post-Op </li></ul>Robert A. Weiss, MD, FACS
  30. 30. TARSYS Eyelid Reconstruction <ul><li>Primary Highly Malignant Merkel Cell Tumor </li></ul>Robert A. Weiss, MD, FACS
  31. 31. TarSys Eyelid Reconstruction <ul><li>Wide Tumor Excision with Frozen Section Control & Full-Thickness Reconstruction Using TarSys Spacer Graft </li></ul>Robert A. Weiss, MD, FACS
  32. 32. TarSys Eyelid Reconstruction Robert A. Weiss, MD, FACS
  33. 33. TarSys Eyelid Reconstruction <ul><li>4 Week Post-Op </li></ul><ul><li>Normal Functioning Right Upper Lid with Asymptomatic Quiet Anterior Segment </li></ul><ul><li>Left Upper Eyelid Ptosis Secondary to Hering’s Law </li></ul>Robert A. Weiss, MD, FACS
  34. 34. TarSys Eyelid Reconstruction <ul><li>10 Week Post-Op at Peak of Acute Radiation Soft Tissue Injury </li></ul>Robert A. Weiss, MD, FACS
  35. 35. TarSys Eyelid Reconstruction <ul><li>10 Weeks s/p TarSys Right Upper Lid Reconstruction with Secondary Electron Radiation Therapy </li></ul>Robert A. Weiss, MD, FACS

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