Expeditionary Plastic Surgery: Reconstruction Pearls for the Non-plastic Surgeon Managing Injured Host Nationals

Author(s):  
Daniel C. Neubauer ◽  
Ryan T. Warner ◽  
Justin P. Fox ◽  
Jason M. Souza ◽  
Eamon B. O’Reilly
2011 ◽  
Vol 93 (10) ◽  
pp. 348-349

Per Hall, Consultant Plastic Surgeon and member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons, has for the last four years been a volunteer surgeon for Operation Smile, an international charity providing free cleft lip and cleft palate surgery in the developing world. The charity has moved on from its historical position of providing fly-in/fly-out surgical treatment and is now working hard to develop sustainable comprehensive care centres in the most needy areas of the world.


2020 ◽  
Author(s):  
Justin P Fox ◽  
Nickolay P Markov ◽  
Alexandra M Markov ◽  
Eamon O’Reilly ◽  
Kerry P Latham

Abstract Introduction The scope of military plastic surgery and location where care is provided has evolved with each major conflict. To help inform plastic surgeon utilization in future conflicts, we conducted a review of military plastic surgery-related studies to characterize plastic surgeon contributions during recent military operations. Materials and Methods Using a scoping review design, we searched electronic databases to identify articles published since September 1, 2001 related to military plastic surgery according to a defined search criterion. Next, we screened all abstracts for appropriateness based on pre-established inclusion/exclusion criteria. Finally, we reviewed the remaining full-text articles to describe the nature of care provided and the operational level at which care was delivered. Results The final sample included 55 studies with most originating in the United States (54.5%) between 2005 and 2019 and were either retrospective cohort studies (81.8%) or case series (10.9%). The breadth of care included management of significant upper/lower extremity injuries (40%), general reconstructive and wound care (36.4%), and craniofacial surgery (16.4%). Microsurgical reconstruction was a primary focus in 40.0% of published articles. When specified, most care was described at Role 3 (25.5%) or Roles 4/5 facilities (62.8%) with temporizing measures more common at Role 3 and definite reconstruction at Roles 4/5. Several lessons learned were identified that held commonality across plastic surgery domain. Conclusions Plastic surgeons continue to play a critical role in the management of wounded service members, particularly for complex extremity reconstruction, craniofacial trauma, and general expertise on wound management. Future efforts should evaluate mechanisms to maintain these skill sets among military plastic surgeons.


2020 ◽  
pp. 019459982096473
Author(s):  
Parsa P. Salehi ◽  
Brian J. F. Wong ◽  
Babak Azizzadeh

Telemedicine use among otolaryngologists–head and neck surgeons and facial plastic and reconstructive surgeons has accelerated as a result of the COVID-19 pandemic. Yet, it is unclear what impact the increased adoption of telehealth will have on the doctor-patient relationship, patients’ perceptions of individual practices, and the likelihood of patients proceeding with the next steps toward surgery. While an understanding of these complex questions is imperative for all otolaryngologists, it is extremely important for facial plastic surgeons who focus on elective procedures, particularly cosmetic/aesthetic operations. The use of telemedicine has the potential to reduce bias among patients seeking facial plastic surgery, especially cosmetic procedures. As reports of this phenomenon are anecdotal thus far, we recommend further study into the specific criteria that patients consider when selecting a facial plastic surgeon.


Sign in / Sign up

Export Citation Format

Share Document