I'm totally confused / stressed / anxious / depressed / dont know what to do

[Rico]

Ok but give me more info about craniofacial, names , etc - I used to think craniofacial is for upper part of face.. .max-fac for mid and lower parts.

You might be right, I'm just so used to associating them with jaw work. Can your father not advise the best way to proceed?

"Can your father not advise the best way to proceed?"  Don't understand. My father has no connection with medical world. He only has a coleague who is neurosuergeon. I talked to him. He didn't help. Generally at least he should pay for that stupid error.

btw craniofacial: http://en.wikipedia.org/wiki/Craniofacial_surgery

[Modigliani]

Is there really no one locally who can perform the decompression surgery? Is it not a standard type of procedure?

Seems to me that you need to get that addressed first, then you can concentrate on augmentation.

[Rico]

Is there really no one locally who can perform the decompression surgery? Is it not a standard type of procedure?

Seems to me that you need to get that addressed first, then you can concentrate on augmentation.

Decompression is not a big problem. Locally i found one  surgeon who can did that, also Dr Z is able to...... Problem is to move the whole bone to restore cheek prominence.
I can go with decompression only. but I will feel good when I find full solution
at the same time Doctors advice to do it all at once.

Probably If I dont find full solution till end of the year I will make only decompression.
But still I will be a little not like me

However decompression procedure looke like this:
Incision through the mouth and foramen osteotomy - the most simple thing
but there is also possibility (not big in my case) that the compression is deeper in the canal. CT doesnt show that exactly.
So If after the first stage of decompression nothing will change after for example half a year , then surgeon has to perfom second surgery and remove orbital floor which after fracture cover the nerve. That surgical approach requires accessing to orbital which is more risky...so
So when you do full osteotomy in my case you also do full decompression which give you a certainty that there is no compression for sure and if that wont help then irreversible nerve damage occured and nothing can be done more
at the same time if you do it all at once can be a little more risky.

very difficult

You know what I think.  Kinda funny is that, some not well known surgeon without any opinions [good or bad] can do that better than the most famous one. ITs just a gamble

There is too few opinions. In Poland I found one surgeon who can perfoem decompression only, and 2 who can perfom full osteotomy, but one of them is Monster like MM the second has got good opinions generally but cant find anything about opinions in such cases

[Rico]

Brussels continue negotiation with me   hmmm money extortion ??
I still give them 1% of chance. I mean fo 99% I have to cancel surgery.....but read this, strange
What do You think ?

PLEASE START TO READ FROM THE END

ME
All I need to know if he does have new solution for me [new  surgery approach]. I asked about that and no answer still. This is important


RECEPTONIST
He will discuss your surgery during the consultation.
 
If you pay the ***** euro in advance, he will do the surgery.
 

ME
Actually I know that I have to drop repositioning bone procedure, and leave only nerve decompression, because Professor hasn’t answered me if he has got another solution (surgery approach) to prevent from zygomatic nerves damaged. Hence, I understand He doesn’t have and during consultation nothing will change

 

Generally its a pity that rebooking is not possible.

 

The whole situation is strange. It would be very nice, if Professor would give me guarantee that he has got another solution for me, which will describe me on the consultation. He knows that I want to avoid the procedures where some nerves HAS to be damaged. I told him that on the first consultation. If not I have to drop one [main] of the procedure

 

RECEPTIONIST
Hello Mr. ***********
 
Today I agreed with Prof. M****** that you would have to pay 75% of the foreseen costs.
 
During the consultation before surgery, he will discuss with you what will be operated.
 
If you decide to do the whole surgery you will have to pay the rest afterwards.
But even when you drop a part of the surgery it will never be less than***** euros.
 
Can we agree on this?
 
Thanks,
********

[Modigliani]

LOL what a bunch of cowboys!

That hospital is without doubt the most unprofessional organisation I have ever had the misfortune to deal with. Ridiculous people, all of them, Mommaerts suits them well.

[geijutsu]

This whole thing looks like one big hot mess.I say drop him like a hot potato.

[Rico]

To honor of the bad experiences from Modigliani, Falcao and Plosko with Moammerts your attitude is immature.
On what you want out? Forcing the Prof. to do a new technique it's ludicrous....even if he will  you don't do surgery by him I feel it. Don't span the arch too much it can be that your attitude against him will be contraproductive for searching a future surgeon when he will be infromed from MM.
How old are you 14-16?
First thing is if you don't thrust the surgeon then it's not good for surgery because he feels it and the risk is big that he don't do the best.
Believe me every surgeon will be irritated about your childish attitude.
Your letter to him is unprofessional and you let him know that you don't trust him entitled unjustified.

I know a very good surgeon in italy who is specialised in orbital cheek zygoma reconstruction he is a cranio and a maxfac. I have seen very good results from disfugerd people after accident etc. This man will 100 percent know how your malar complex can be moved more forward without destroying nerves etc. or at least he can say you if the MM techique ist justified or not. He has many patient from russia, ucraina, poland because he is one of the best in europe he made this november a meeting with Arnet and other maxfacs.
He is also friend of H. Obwegeser the first that has done le fort surgery. And that's will say something because Obwegeser are not friend with many swiss maxfac.
But I don't say you the name because you must first demonstrate that you are a upright person.
Or stay in Poland and wait till the bone breed is established what's an old hat Sailer do this since many years for the zygoma cheeks and it will cost you a fraction of what you believe to pay to other swiss surgeons. If you don't clearly explain the surgeon what you will no one can say you the tarifs. And of course I give you a recommandation.

\
You don't understand. There is standard to cut zygomatic arch from the temple / behind hair to avoid destroying zygomatic nerves. You are not in topic.  Many aproaches doesnt mean new techniques.  MM just told me one option. You don't know whole case

How can You be sure that e has very good plan ?  tell that for the people who are victim of his errors ...

To put bone after accident in right please is very simple.
Problem is to cut it again after healed improperly
Doesnt matter

Can't You just write the name of that surgeon from Italy ? I will contact with him

[Rico]

Of course I understand. There is a basic why nobody cuts in the zygomatic arch. You proved it again that you are ungratful and cheeky. You want information about somebody that don't understand????Good luck!!!

Yes I agree with everything. You are right
Just please give me a name of that surgeon I would be thankful.
By the way: " There is a basic why nobody cuts in the zygomatic arch" - please tell me more

"you can possibly gain a new technique trough my case"

i never said that. It was not me. Read again - but doesnt matter
I need help. If you know such good surgeon juest please tell me the name, etc more info

IS IT Sandro Pelo ?

You also wrote here about Professor Obwegesser ? Which clinic?  Europe ?

Its important for me

[Rico]

OK. THX Do You know where Obwegeser works?  cant find in Google

[Rico]

Triaca ? I didnt discuss anything about surgery with his secretaries. She told me that Triaca cant help me. Die she lie ?

I would like to have a consultation with Triaca, Obwegeser, italian one...etc

[Rico]

Are you shure that she discuss your case with him????And when yes if she explained him the problem correctly??
Secretaries are not interested to ask doctors problem about unsure future patients did you understand that?

xdon82 I try to help you like other in this forum. You are mistrustful and thats why it will be very difficult to a surgeon to make the decision to make surgery on you.
I explained you that Dr. Clauser has experience in this field and I have seen amazing results but you don't believe me. So
make me a favour. Visit one of this doctors and tell us when you are convinced to do surgery everything else is waste of time. Good luck

For God Sake. Two sentences in mail is nothing complicated. Receptionist are not so stupid, especially If I rang to them 2 times, just to be sure if Doctor Triaca has seen description of my case.

I would like to have consultation with all Doctors you mentioned, including Dr Clause

and I believe you
Pleasne answer my mew PMs and tell me. how do you get info about these surgeons ?

[Rico]

forget Triaca for 10'000 he would cut you only the hair

And you are dazed and confused without plan intimidated from MM plan. And in search of the Supersurgeon who tells you that MM is wrong but can't do surgery for you so it will  come out if you don't finally give you U-turn in your strategy.
It's not the quantitiy of consultations but the quality of it. If you explain to the surgeon in that way you explain it here nobody will understand you. And one consultation to Obwegeser or Clauser is absolutely enough but a consultation with sightseeing spot not an emailexchange so he can make a picture of it.
You are unable to recognize that you are on free-wheel... bashing MM by your consultation will not fruits wear. You must be rational.

Little missunderstanding. No surgeon told me, that MM is wrong....rather some of users here. Generally MM seems OK, but not enough good / safe in my case. I want to save my all nerves.. he can't do that
Dont forget about his failed surgeries... What do you think about users here who has very bad outcome with MM ?

BTW what do U think about Dr Swenen and Dr Noorman ?

can't find where Obwegeser works. Was looking in Google and nothing, I will try again....perhaps you can help

[Rico]

Thank You I wrote also to Obwegeser.

MM has almost good plan. If he could save my zygomatic nerves during his procedure, I would have accepted surgery.

At the same time, I wonder Why almost every european country has god famous maxillo-facial surgeon, but not Poland hmmmmm

[Rico]

there are many access. today I had consultation with one polish surgeon, and he never cut zygomatic arch from mouth, only from the temple...so as you see I can find
but he think that this surgery is too hard...


Chopin and Polansky haha
Where are you from ?

[Modigliani]

How is my favourite Phantom getting on in his quest?