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Making the Rounds with Founding Dean Dr. Barbara Atkinson
 Issue 137 - March 20, 2018
The recent decision by the Englestad Family Foundation to offer an additional $1.7 million dollars in a matching gift challenge for additional student scholarships is certainly one of the feel good moments of the past week. It sends a message that the Englestad Family truly believes in the UNLV School of Medicine and our mission to train the next generation of doctors in Nevada. Many of the students who receive these scholarships will come from economically disadvantaged families and a good percentage of them are first generation college students. These are young people who show a resiliency and an ability to overcome setbacks it’s something we all can admire and appreciate. I like to think the UNLV School of Medicine has a similar tenacity of spirit. It’s a quality that will serve us well on the road to becoming a world class center of medical education - where we are developing physicians of excellence like Dr. John Menezes, the subject of today’s newsletter. 
Barbara signature, first name only
I'VE ALWAYS WANTED TO MAKE A DIFFERENCE
John Menezes MD Division of Plastic Surgery Department of Surgery
John Menezes, MD
Moebius syndrome a rare congenital condition that can paralyze the entire face and affect muscles that control back-and-forth eye movement.

To unlock Moebius paralysis it affects something we take for granted, the ability to smile is something that Dr. John Menezes, an associate professor of plastic surgery with the UNLV School of Medicine, has been trained to do.

“To be able to change a child’s life, change a family’s life for the better, is rewarding, “says Menezes, the only fellowship trained ( Johns Hopkins University School of Medicine ) craniofacial surgeon in Las Vegas. “I’ve always wanted to make a difference.”

In April 2017 readers of the Las Vegas Review-Journal learned that 8-year-old Abraham Chavez, who’s known as AB, was born with Moebius syndrome. While his condition was not full blown his eyes were not affected the paralysis he suffered made it impossible for him to smile. Readers also learned that Menezes spent nine hours performing a transplant that would give the little boy a chance to be like other children.

“I just want to be able to smile like other kids,” AB said prior to the procedure at University Medical Center .

What Menezes did was transplant the expendable, thin gracilis muscle and its associated nerve from AB’s thigh several other muscles do its same function to AB’s cheek, to help him smile.

It is painstaking surgery. The nerves and blood vessels involved are no more than 2 millimeters in size. Stitches are finer than a human hair. Dissection of the tissues and connection of the artery, vein and nerve takes six to eight hours.

At first, Menezes created a face-lift kind of incision in front of AB’s ear and extended it below the angle of his jaw. Then, much like a face-lift, the skin and fat were lifted from the cheek, creating a pocket to accept the muscle transplant.

According to Menezes, biting down is initially required to produce a smile, but later a child can adapt and learn to smile in an almost spontaneous manner.

Today, AB can smile. That makes AB’s mother and Menezes smile.

“We need to continue to turn lives around,” says the physician who regularly deals with cleft lip and palate repair, ear reconstruction, microsurgery, adult and pediatric facial trauma and the correction of skull birth defects. “Teaching medical students and residents in this field is most important. Keep in mind cleft and palate happens in one in a thousand births. So if there are 40,000 new babies born a year in Nevada, there are 40 infants who need cleft surgery each year. That’s just for the primary reconstruction, and then there are secondary surgeries in early childhood and final reconstructions in the teenage years…”

Menezes, who also does elective plastic surgery, is about to once again embark on a pediatric plastic surgery path that took him to the Philippines to repair cleft palates.

“I want to take medical students with me,” he says. “I stopped for a few years while I was growing my own family (he now has two children of his own) , but now it’s about time to start that work again.”

MEDICINE BY THE NUMBERS - 6,800
According to the American Board of Plastic Surgery, there are approximately 6,800 board certified plastic surgeons actively practicing in the U.S.

Source: American Board of Plastic Surgery | https://www.abplasticsurgery.org
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