Videoscope-Assisted Cleft Palate Surgery: Rationale, Experience, and Technical Implementation.

Abstract:

:Limited visibility characteristic of cleft palate repair presents both ergonomic and educational challenges to cleft surgeons. Despite widespread recognition and reporting, posture-related spine disorders continue to represent a significant and potentially career-limiting problem for cleft/craniofacial surgeons. In addition, education and participation during palate repairs is difficult because of visual field constraints. At the authors' institution, a novel videoscope system was designed and implemented to (1) provide visualization for all surgical team members during palate operations, (2) facilitate active resident education, and (3) improve surgeon ergonomics. The authors' prior report demonstrated proof of concept for this method, which is now used in all cleft palate operations at their center. The purpose of this report is to share the detailed methodology to facilitate implementation by others and a retrospective review of the authors' experience before and after implementation. Video demonstration of the videoscope setup and a representative, recorded case are provided. The use of the videoscope was feasible in palatoplasties regardless of palatal phenotype and repair technique and did not have an effect on operative time. Subjectively, the authors report reduced procedure time in cervical flexion and subjectively improved musculoskeletal strain associated with videoscope use. Importantly, use of this system also provided complete visualization for all operating room team members and enabled enhanced resident autonomy during palate operations. Finally, it has facilitated the creation and archive of high-definition educational videos with unparalleled perspective. The equipment required to implement the system is likely already available in many medical centers. Adoption of this system may provide an opportunity to improve posture and teaching capabilities for cleft surgeons. CLINICAL QUESTION/LEVEL OF EVIDENCE:: Therapeutic, III.

journal_name

Plast Reconstr Surg

authors

Levites HA,Sergesketter AR,Sharif-Askary B,Hollenbeck ST,Allori AC,Marcus JR

doi

10.1097/PRS.0000000000007291

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

1129-1132

issue

5

eissn

0032-1052

issn

1529-4242

pii

00006534-202011000-00039

journal_volume

146

pub_type

杂志文章
  • Molecular and cellular characterization of mouse calvarial osteoblasts derived from neural crest and paraxial mesoderm.

    abstract:BACKGROUND:Cranial skeletogenic mesenchyme is derived from two distinct embryonic sources: mesoderm and cranial neural crest. Previous studies have focused on molecular and cellular differences of juvenile and adult osteoblasts. METHODS:To further understand the features of mouse-derived juvenile osteoblasts, the auth...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000279491.48283.51

    authors: Xu Y,Malladi P,Zhou D,Longaker MT

    更新日期:2007-12-01 00:00:00

  • The Caudal Septum Columellar Strut Graft: An Alternative for Tip Support.

    abstract:UNLABELLED:The authors describe a convenient option for obtaining a columellar strut graft without the need for harvesting septal or auricular cartilage. Its utility has been shown by use in almost 10 percent of 569 patients in the senior author's (D.A.H.) series. CLINICAL QUESTION/LEVEL OF EVIDENCE:Therapeutic, V. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001457

    authors: Hidalgo DA,Doft MA

    更新日期:2015-09-01 00:00:00

  • Negative-Pressure Wound Therapy With Instillation: A Tool in the Multidisciplinary Approach to Limb Function Preservation.

    abstract:SUMMARY:The multidisciplinary approach to lower extremity function preservation is well established and is globally considered the standard of care. Every member of the team contributes their unique skills and knowledge to patient care. The effective integration of negative-pressure wound therapy with instillation (NPW...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000007608

    authors: Kim PJ,Attinger CE

    更新日期:2021-01-01 00:00:00

  • Bleed of and biologic response to triglyceride filler used in radiolucent breast implants.

    abstract::Radiolucent breast implants filled with triglyceride oil have recently entered limited clinical trials. To investigate the questions of oil bleed and the fate of triglycerides that might escape from ruptured breast implants, experiments reported here used peanut oil labeled with radioisotopes so that it could be trace...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199605000-00012

    authors: Young VL,Lund H,Ueda K,Pidgeon L,Schorr MW,Kreeger J

    更新日期:1996-05-01 00:00:00

  • Orbicularis oculi myocutaneous advancement flap for upper eyelid reconstruction.

    abstract:BACKGROUND:Reconstruction of large full-thickness defects of the upper eyelids is challenging because of their complex anatomy and specialized functions. The authors present and discuss a new, simple surgical technique for upper eyelid reconstruction. This is a single-stage procedure and has produced satisfactory to ex...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000297649.71049.ae

    authors: Demir Z,Yüce S,Karamürsel S,Çelebioğlu S

    更新日期:2008-02-01 00:00:00

  • Gender Disparities in Preoperative Resource Use for Wrist Arthroscopy.

    abstract:BACKGROUND:Although national efforts to minimize gender biases exist, gender differences in surgery persist. This study aims to investigate gender differences in preoperative resource use of patients undergoing wrist arthroscopy for nontraumatic wrist pain. METHODS:Patients who underwent a wrist arthroscopy for nontra...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000004840

    authors: Billig JI,Sterbenz JM,Zhong L,Chung KC

    更新日期:2018-11-01 00:00:00

  • HLA typing in women with breast implants.

    abstract::Since the 1970s, anecdotal reports have described a relatively small number of women who received silicone gel breast implants and later developed either a recognized rheumatologic disease or unexplained symptoms suggestive of an autoimmune disorder. The study reported here examined whether there is any association be...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Young VL,Nemecek JR,Schwartz BD,Phelan DL,Schorr MW

    更新日期:1995-12-01 00:00:00

  • Island fasciocutaneous flap based on the proximal perforators of the radial artery for resurfacing of burned cubital fossa.

    abstract::In the vast majority of burned patients, the injury is limited to the skin and superficial subcutaneous tissue, and the vasculature of the deeper fascia is spared. This fact encouraged me to design a flap in which the burned scar tissue is employed. The island fasciocutaneous flap is based only on the proximal septocu...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199709001-00014

    authors: el-Khatib HA

    更新日期:1997-09-01 00:00:00

  • Altered mitochondrial cytochrome b gene expression during the regression of hemangioma.

    abstract::Hemangioma is a primary tumor of microvasculature. Its development typically exhibits a proliferative phase followed by an involuting phase that continues into the involuted phase. Although apoptosis has been reported, the mechanisms regulating the spontaneous regression of hemangioma are largely unknown. The authors ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200111000-00001

    authors: Hasan Q,Tan ST,Gush J,Davis PF

    更新日期:2001-11-01 00:00:00

  • Pioneers in Modern Craniofacial Surgery: Assessing the Academic Impact of Drs. Joseph Gruss and Paul Manson.

    abstract:BACKGROUND:The authors conducted this study to assess the impact that Drs. Joseph Gruss and Paul Manson have had on craniofacial surgery through their individual contributions and through their trainees. METHODS:This was a retrospective analysis of fellows trained by either Dr. Gruss or Dr. Manson. Demographic and bib...

    journal_title:Plastic and reconstructive surgery

    pub_type: 历史文章,杂志文章

    doi:10.1097/PRS.0000000000006647

    authors: Chandawarkar A,Birgfeld CB,Yaremchuk MJ,Tufaro AP,Hopper RA,Susarla SM

    更新日期:2020-04-01 00:00:00

  • A Growing Epidemic: Plastic Surgeons and Burnout-A Literature Review.

    abstract:BACKGROUND:The prevalence of burnout is increasing among all physicians, including plastic surgeons. Burnout is not simply synonymous with being overworked. It is a complex physical, intellectual, and psychological entity that arises when the expectation and reality of the job do not match. In this article, the authors...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000005875

    authors: Khansa I,Janis JE

    更新日期:2019-08-01 00:00:00

  • Prospective photographic measurement study of 196 cases of breast augmentation, mastopexy, augmentation/mastopexy, and breast reduction.

    abstract:BACKGROUND:Our understanding of breast shape and size changes after surgery is limited by a lack of measurement studies that evaluate and compare changes in breast dimensions after cosmetic breast procedures. This study was undertaken to remedy this deficiency. METHODS:Women undergoing primary vertical mastopexy, augm...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/PRS.0b013e3182865e20

    authors: Swanson E

    更新日期:2013-05-01 00:00:00

  • The effects of temporalis muscle manipulation on skull growth: an experimental study.

    abstract::Craniofacial reconstructive procedures are frequently associated with some dissection or transposition of the temporalis muscle. During active growth, such muscle manipulations may influence craniofacial development. The purpose of this study was to determine the effects of surgical manipulation of the temporalis musc...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199601000-00002

    authors: Brennan M,Antonyshyn O

    更新日期:1996-01-01 00:00:00

  • Modified mattress suture technique to correct anterior septal deviation.

    abstract::The purpose of this study was to evaluate the efficacy of a modified mattress suture technique in septal anterior deviation correction and to compare it with the Hinderer technique. This was a randomized, controlled, single-blind clinical trial. Fifty patients with anterior septal deviation were assigned to one of two...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.prs.0000138816.48312.ad

    authors: Calderón-Cuéllar LT,Trujillo-Hernández B,Vásquez C,Padilla-Acero J,Cisneros-Preciado H

    更新日期:2004-11-01 00:00:00

  • Patient satisfaction in postmastectomy breast reconstruction: a comparative evaluation of DIEP, TRAM, latissimus flap, and implant techniques.

    abstract:BACKGROUND:Despite a growing literature on patient satisfaction in breast reconstruction, few studies have compared perforator flaps with the more commonly practiced methods. The authors compared four reconstructive techniques and identified factors influencing patient satisfaction. METHODS:All patients undergoing pos...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181cb6351

    authors: Yueh JH,Slavin SA,Adesiyun T,Nyame TT,Gautam S,Morris DJ,Tobias AM,Lee BT

    更新日期:2010-06-01 00:00:00

  • Reconstruction of the hypopharynx with the anterolateral thigh flap: defect classification, method, tips, and outcomes.

    abstract:BACKGROUND:The authors retrospectively reviewed their experience over the past 5 years with reconstructions of hypopharyngeal defects using anterolateral thigh flaps. The purpose of the study was to present a modified classification of defects, the method and tips used, and outcomes and morbidities. METHODS:From 2002 ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181f95997

    authors: Spyropoulou GC,Lin PY,Chien CY,Kuo YR,Jeng SF

    更新日期:2011-01-01 00:00:00

  • Improving reemployment rates after limb salvage of acute severe tibial fractures by microvascular soft-tissue reconstruction.

    abstract::Patients with severe open tibial fractures may have a low rate of reemployment after reconstruction. Sixty-five limb-salvage patients were followed for at least 2 years to determine the factors that influence future employment. The preinjury conditions found to influence reemployment included age less than 40, higher ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199404001-00019

    authors: Francel TJ

    更新日期:1994-04-01 00:00:00

  • Generating ears from cultured autologous auricular chondrocytes by using two-stage implantation in treatment of microtia.

    abstract:BACKGROUND:Microtia is a congenital ear hypoplasia associated with auricular defects. Conventional treatment involves implanted costal cartilage. The impact of surgical invasion and donor-site morbidity can be particularly severe in pediatric patients, and the collectable volume of autologous cartilage is limited. The ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181b17c0e

    authors: Yanaga H,Imai K,Fujimoto T,Yanaga K

    更新日期:2009-09-01 00:00:00

  • Electrical burns causing a urinary bladder fistula. Case report.

    abstract::We present a patient with electrical burns which resulted in loss of the right upper arm and a urinary bladder fistula. A jump flap was used to cover the repaired bladder, and also to cover the stump of the amputated right arm. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197803000-00026

    authors: Chari PS,Bapna BC,Balakrishnan C

    更新日期:1978-03-01 00:00:00

  • Application of the "see one, do one, teach one" concept in surgical training.

    abstract:BACKGROUND:The traditional method of teaching in surgery is known as "see one, do one, teach one." However, many have argued that this method is no longer applicable, mainly because of concerns for patient safety. The purpose of this article is to show that the basis of the traditional teaching method is still valid in...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0b013e318287a0b3

    authors: Kotsis SV,Chung KC

    更新日期:2013-05-01 00:00:00

  • Von Willebrand's disease--a potential bleeding problem in plastic surgery.

    abstract::Von Willebrand's disease, a common hereditary bleeding disorder, may be responsible for undue or unanticipated intraoperative or postoperative hemorrhage. The diagnosis may be difficult to establish, although it may be suspected clinically and can usually be confirmed by adequate laboratory investigation. Patients wit...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197609000-00018

    authors: Ship AG

    更新日期:1976-09-01 00:00:00

  • Delayed primary reconstruction of subtotal nail bed loss using a split-thickness nail bed graft on decorticated bone.

    abstract::Split-thickness nail bed grafting is the accepted method of treatment for injuries involving loss of nail bed tissue. The nail bed of the great toe may be used without donor-site morbidity, and nail bed grafting may be combined with other procedures for fingertip reconstruction. A case of fingertip avulsion injury wit...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198803000-00023

    authors: Matsuba HM,Spear SL

    更新日期:1988-03-01 00:00:00

  • A simple technique for closure of a palatal fistula using a conchal cartilage graft.

    abstract::A simple technique for closure of a palatal fistula using a conchal cartilage graft as a substitute for nasal lining flaps is reported. This graft simplifies the repair of the palatal fistula and protects the suture line of the oral covering flaps from recurrence. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199108000-00029

    authors: Matsuo K,Kiyono M,Hirose T

    更新日期:1991-08-01 00:00:00

  • Comparison of elongations provided by subcutaneous pedicle rhomboid flap and Z-plasty in rat inguinal skin.

    abstract:BACKGROUND:The most commonly used technique in the treatment of contracture bands is Z-plasty. The subcutaneous pedicle rhomboid flap is a relatively new flap whose efficiency in the treatment of wide or linear contractures with two or more contracture bands has been demonstrated. This experimental study was planned to...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000197212.84348.db

    authors: Ertaş NM,Küçükçelebi A,Erbaş O,Bozdoğan N,Celebioğlu S

    更新日期:2006-02-01 00:00:00

  • Surgical Treatment and Visual Outcomes of Adult Orbital Roof Fractures.

    abstract:BACKGROUND:Fractures of the orbital roof require high-energy trauma and have been linked to high rates of neurologic and ocular complications. However, there is a paucity of literature exploring the association between injury, management, and visual prognosis. METHODS:The authors performed a 3-year retrospective revie...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000007436

    authors: Gebran SG,Lopez J,Wasicek PJ,Elegbede A,Rasko YM,Liang F,Nam AJ,Manson PN,Grant MP

    更新日期:2021-01-01 00:00:00

  • Toe-to-hand transfer.

    abstract::Toe-to-hand transfer was performed in 28 patients, involving 33 fingers, using microvascular technique. Of this number, 26 patients (31 fingers) had experienced trauma, and the remaining 2 patients (2 fingers) had a congenital deformity. The toew used for grafting were the great toe (1), the second tow (30), and thir...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198007000-00015

    authors: Yoshimura M

    更新日期:1980-07-01 00:00:00

  • Basal cell carcinoma in the groin of a black patient with femoral vessel invasion and a second primary malignancy.

    abstract::We have presented an unusual case of basal cell carcinoma that presented in a 76-year-old black woman. This is an atypical case in that it occurred in a black patient, and the incidence of basal cell carcinoma is low in black people. The lesion was located in the groin, which is an uncommon location for basal cell car...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199610000-00022

    authors: Beckenstein MS,Windle BH

    更新日期:1996-10-01 00:00:00

  • Trigonocephaly-associated hypotelorism: is treatment necessary?

    abstract::This study was designed to examine whether hypotelorism associated with trigonocephaly might be self-correcting. Only patients who required surgical treatment and had undergone preoperative and postoperative anthropometric measurements were included. In no case was any attempt made to correct the hypotelorism surgical...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199603000-00001

    authors: Fearon JA,Kolar JC,Munro IR

    更新日期:1996-03-01 00:00:00

  • The Future of Plastic Surgery Resident Education.

    abstract::The challenge of the current graduate medical education environment requires in plastic surgery acceptance of those contemporary pressures that cannot be substantially modified and address of those that can be successfully met. To do so implies an examination of conference didactics, intraoperative teaching, and a val...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.prs.0000479982.67922.8a

    authors: Luce EA

    更新日期:2016-03-01 00:00:00

  • Benign and premalignant skin lesions.

    abstract:LEARNING OBJECTIVES:After reading this article, the participant should be able to: 1. Clinically describe various cutaneous neoplasms. 2. Identify the corresponding histopathologic findings. 3. Discuss the optimal treatment approach for each entity. SUMMARY:Cutaneous neoplasms are broadly viewed as benign, premalignan...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0b013e3181d6e89a

    authors: Lee EH,Nehal KS,Disa JJ

    更新日期:2010-05-01 00:00:00