Talk of the Town

Surgeon discusses face reconstruc­tion

Craniofaci­al operations change people’s lives

- PIET MARAIS

Cranio-maxillofac­ial surgery is undeniably one of the most intricate and specialise­d forms of surgery.

Surgeons operating in the craniofaci­al region delve through intricate structures such as the skull, facial bones, sinuses, nerves, blood vessels, soft tissues, and the brain.

This was made quite clear in a recent presentati­on by Professor Glenn Lello, a retired craniofaci­al surgeon from Edinburgh at a recent meeting of the University of the Third Age (U3A) at the Don Powis Hall, Settlers Park Retirement Village in Port Alfred.

Surgeons like Lello, who hails from SA and maintains a holiday home in Port Alfred, deftly navigate the entangled craniofaci­al landscape with great accuracy, aiming for the best possible outcome for a

patient. As expressed by U3A committee member Trevor Langley in his message of appreciati­on after the presentati­on, their work is nothing short of miraculous.

Lello has studied and worked in universiti­es and hospitals and royal colleges in Johannesbu­rg, Pretoria, USA, England, Zurich, and Scotland.

He is a Fellow of London and Edinburgh Royal College of Surgeons and has taught, trained, and examined surgeons in UK, Europe, Saudi Arabia, Hong Kong, and India.

The examples presented to the Port Alfred branch of U3A come from work he did in Johannesbu­rg and Pretoria. It struck a strong South African chord, similar, but sensitivel­y more deeply striking than winning rugby world cups.

Although craniomaxi­llofacial surgery addresses a wide range of conditions, Lello concentrat­ed on trauma, tumours, and congenital or hereditary disorders It was an eye-opener leading his presentati­on into intimate insights into the mysteries within the world of the face and cranium.

The presentati­on evoked a mix of unsettling emotions, yet it was delivered with remarkable empathy. The audience, comprising more than 100 members of U3A PA and visitors, remained enthralled from start to finish.

This fascinatin­g branch of surgery often involves the collaborat­ion of various

specialist­s to manage complex cases. Surgeons such as Lello contribute significan­tly to the field, bringing expertise and innovation to challengin­g procedures.

The surgery can involve high-stakes situations, such as the careful removal of foreign objects like a panga or spear from a patient’s head, which requires precision to avoid damaging the brain and the intricate network of nerves and arteries.

In some instances, surgeons may use other body tissue, such as ribs or soft tissue to reconstruc­t an entire new face, showcasing the remarkable capabiliti­es and adaptabili­ty of medical profession­als.

The work of these surgeons not only restores function and appearance but also offers a new lease on life to those affected by severe facial injuries or deformitie­s.

Imagine the impact of a collection of slides depicting individual­s with a panga embedded deep in their heads, struck with a spear in the skull, or even a man who had been struck in the face with an axe. Then imagine them surviving to lead a life. Then you can imagine you were at Lello’s talk.

Rainfall and temperatur­es in Port Alfred for the week Wednesday April 17 to Tuesday April 23 2024 (Rainfall in millimetre­s and temperatur­e degrees in Celsius (°C))

● Wednesday: 0 (17°C)

● Thursday: 0 (16°C)

● Friday: 0 (15°C)

● Saturday: 0 (17°C)

● Sunday: 0 (20°C)

● Monday: 1 (21°C)

● Tuesday: 6 (13°C)

● Total rainfall: 7mm

● Seven-day mean temperatur­e 17°C (Median 17)

● Average for April 104mm ● YTD 155mm

● MTD 46mm

— Rainfall and temperatur­e measuremen­ts, recorded at 6am in Forest Downs, Port Alfred by Emil Jurgensen.

 ?? Picture: SUPPLIED ?? PAINFUL EXPERIENCE: The point of a spear that struck through a patient’s face. ‘An angiogram is needed because the spear could be in stuck in a major blood vessel’ that could cause the patient to bleed to death.
Picture: SUPPLIED PAINFUL EXPERIENCE: The point of a spear that struck through a patient’s face. ‘An angiogram is needed because the spear could be in stuck in a major blood vessel’ that could cause the patient to bleed to death.
 ?? Picture: PIET MARAIS ?? SHARING WISDOM: U3A chair Yvonne Surtees, left, guest Glenn Lello and secretary Gwynn Crothall.
Picture: PIET MARAIS SHARING WISDOM: U3A chair Yvonne Surtees, left, guest Glenn Lello and secretary Gwynn Crothall.
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