Indication Eyebrow lift. KLS Martin Group The principle: Endoscopically assisted brow lift has...
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Transcript of Indication Eyebrow lift. KLS Martin Group The principle: Endoscopically assisted brow lift has...
Indication
Eyebrow lift
KLS Martin Group
The principle:
Endoscopically assisted brow lift has become a mainstream technique in plastic surgery
Resorbable competitor‘s solutions are not handy and difficult to install
Special Pin: Endobrow SonicPin Rx
Suture anchoring is easy, safe and fast
PM 2 ● December 2011
KLS Martin GroupPM 2 ● December 2011
The principle:
Suture is placed in the groove of the Endobrow SonicPin Rx
Pin penetrates into bone cavities and carries the suture into the hole
Tissue fixation using both ends of the suture
KLS Martin Group
Clinical evaluation (Dr. Stephen Paul Beals, Arizona/USA)
23 patients medicated within 9 months occupying the Martin products
Using KLS Martin SonicWeld Pins, 5mm drill bits and 2.0 Vicryl suture
Amount of pins: 2 to 4 pins per patient (usually utilizing 2 pins)
PM 2 ● December 2011
All 23 patients had a stable brow lift
Sonic Pins are consistently reliable and were successful in eyebrow lifting
KLS Martin Group
Suture to be recommended:
2.0 Vicryl™© (polyglactin)
Alternatively: Dexon™ (polyglycolic), Ethilon™© 3.0, and Ethicon™© silk 3.0
PDS (polidiaxanone) as it is very heat-sensitive
Suture not to be recommended:
PM 2 ● December 2011
KLS Martin Group
Intermediate report from Dr. Beals:
Drill hole made with KLS Martin power system (BOS Drill)
Important:
- Drill needs to penetrate the bone to its full depth
- Point of insertion should be dry
- All bone dust must be removed
PM 2 ● December 2011
KLS Martin Group
Fixing suture by pushing the pin into the hole
Hold the sonotrode in place for 3–5 seconds
Remove when material is consolidated
Patients usually receive 1 fixation pin on each side of the midline
Some patients received additional pins, placed in the temporal ridge region (one on each side)
Intermediate report from Dr. Beals:
PM 2 ● December 2011
KLS Martin Group
Clinical case from the USA (Dr. Stephan Beals)
Resorbable materials in general:
Bulky
Cumbersome to apply
KLS MARTIN pins:
Completely resorbable within 1 year
Fast and easy insertion
Easy to learn
Flush with the bone not palpable by the patient
Small but reliable
PM 2 ● December 2011
KLS Martin Group
Results of endobrow lifting
PM 2 ● December 2011
Before After Before After
Intraoperative approach:
Place the suture over the hole without any tension – tension will cut the pin and may even damage the suture on the bone edges
Simply place the pin over the hole – bisecting the suture with the grooved tip
Push into the hole 1mm and maintain slight pressure.
Activate welder
Stop when head of the SonicPin is flattened
Wait for 3-5 seconds
Rotate sonotrode and remove from SonicPin
Wait for 10-15 seconds for final consolidation
Test suture strength with slight pull
KLS Martin GroupPM 2 ● December 2011
KLS Martin GroupPM-2 ● June 2010
Competitor‘s product „Endotine“
Resorbable implants
Super smooth implants
Able to correct post-operative
Only 1 cut necessary
General anaesthesia not necessary
Available in three different sizes
KLS Martin GroupPM-2 ● June 2010
Procedure with competitor‘s product
1. Make the incision and lift the brow to the desired position
2. Make the hole
3. Grasp the device
4. Place the device
5. Elevate the tissue
6. Secure the tissue