Neuroplastic surgery: Difference between revisions
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* Implantation of Functional Neural Devices <ref name=":2" /> |
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== The Society of Neuroplastic Surgery== |
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Founded and established in 2018, the overarching mission is “to advance the art, science, and technology of Reconstructive Neurosurgery.” Dr. Chad Gordon serves as the founding president of the society and as the Director of Neuroplastic & Reconstructive Surgery at Johns Hopkins. Dr. Gordon is an Associate Professor of Plastic Surgery and Neurosurgery and the fellowship director of Neuroplastic and Reconstructive Surgery for the department of Plastic-Reconstructive Surgery. Dr. Judy Huang, serves as Vice President for the society. Dr. Huang is a professor of neurosurgery and vice chair at the department of Neurosurgery at johns Hopkins. |
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Together they founded the Multidisciplinary Adult Cranioplasty Center (MACC) at the Johns Hopkins University School of Medicine. |
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The Society of Neuroplastic Surgery oversees and supports the Annual Hopkins-Harvard Meeting entitled “Selected Topics in Neuroplastic Surgery: An International Symposium of Cranioplasty and Implantable Neurotechnology. The 4th annual meeting was held in Baltimore, Maryland, in November 2018, and provided new insights and advances relative to skull reconstruction, cranial implants, and groundbreaking neurotechnologies. The symposium housed international, premier thought leaders in various specialties including neurosurgery, neuroplastic surgery, craniofacial surgery, and plastic surgery. |
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The 5th annual meeting will take place on Nov 4-5, 2019. The exact location is to be announced soon. The 2019 meeting is intended for residents, fellows and physicians in Neurosurgery, Neuroplastic and Reconstructive Surgery, Craniofacial Surgery, Plastic and Reconstructive Surgery, Otolaryngology—Head and Neck Surgery, Oral Maxillofacial Surgery and Oculoplastic Surgery. Multidisciplinary membership to the society is open to all faculty, trainees, healthcare providers, researchers, and industry leaders supporting the mission. Of note, 100 percent of dues goes towards supporting trainees attend the symposium and/or train in Neuroplastic and Reconstructive Surgery via the established fellowships at Johns Hopkins. |
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== References == |
== References == |
Revision as of 16:28, 12 November 2018
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Neuroplastic or neuroplastic and reconstructive surgery is the surgical specialty involved in reconstruction or restoration of patients who undergo surgery of the central or peripheral nervous system. The field includes a wide variety of surgical procedures that seek to restore or replace a patient’s skull, scalp, dura (the protective covering of the brain and spinal cord), the spine and/or its overlying tissues.
History of the field
Neuroplastic surgery has adapted reconstructive principles from the fields of craniofacial surgery, and plastic and reconstructive surgery and refined them in order to address challenging deformities which result from Neurosurgical Procedures. The first center for Neuroplastic and Reconstructive Surgery was started at Johns Hopkins University Hospital in Baltimore, Maryland by a formal collaboration between the Department of Plastic and Reconstructive Surgery, under the guidance of plastic surgeon Chad Gordon, and the Department of Neurosurgery under the guidance of neurosurgeon Judy Huang. Upon arrival to Johns Hopkins Hospital, Dr. Chad Gordon formed a multi-disciplinary team of physicians, scientists and engineers. The team’s unified goal was to develop techniques and devices to treat neurosurgical patients. These advances led to several publications and patents, and allowed for the establishment of the first formal fellowship training program in Neuroplastic and Reconstructive Surgery.[1][2][3][4][5][6][7][8][9][10][11] In March 2018, Dr. Gordon was appointed the Director of Neuroplastic and Reconstructive Surgery at Johns Hopkins.
The first peer reviewed journal to recognize neuroplastic and reconstructive surgery as its own field was the Journal of Craniofacial Surgery which dedicated its January 2018 issue to introducing the new field of neuroplastic surgery to its readership. In that issue,the editor-in-chief, Mutaz Habal, published an editorial on neuroplastic surgery where he stated: "Based on the desire to present the fact that neuroplastic surgery is there, we have a dedicated this issue of the Journal of Craniofacial Surgery. This presentation mostly involves surgical procedures that will be termed ‘‘neuroplastic’’ in the years to come."[12]
Training
Training in neuroplastic surgery requires completion of a neuroplastic and reconstructive surgery fellowship which lasts 1–2 years. Such fellowships are available to individuals who have completed a residency in Plastic and Reconstructive Surgery, ENT Surgery, Neurosurgery or Oral and Maxillofacial surgery. As of today, the only formal fellowship training program in neuroplastic and reconstructive surgery is located at the Johns Hopkins School of Medicine and Johns Hopkins Hospital.[13] The fellowship is co-sponsored by both Departments of Plastic Surgery and Neurosurgery. The first surgeon formally trained in "Neuroplastic and Reconstructive Surgery" was Dr. Gabriel Santiago [2016-18], who completed ENT surgery residency in the US Navy prior to starting the fellowship.[citation needed] The first Neuroplastic Surgery Research Fellow was Dr. Amir Wolff [2017-18], an attending oral-maxillofacial surgeon from Rambam Medical Center in Haifa, Israel.[citation needed]
Neuroplastic surgery procedures
- Cranioplasty (or skull reconstruction)
- Temporal Hollowing Repair [7][8]
- Removal of Neurofibroma Tumors in Neurofibromatosis
- Complex Scalp Reconstruction
- Craniofacial Approaches to brain tumors
- Removal of skull and craniofacial tumors
- Complex Approaches to the spine and spinal cord
- Complex closures of the back following spine surgery
- Ventricular Shunt Revision
- Repair of Cerebrospinal Fluid (CSF) leaks
- Dural Reconstruction
- Implantation of Functional Neural Devices [10]
The Society of Neuroplastic Surgery
Founded and established in 2018, the overarching mission is “to advance the art, science, and technology of Reconstructive Neurosurgery.” Dr. Chad Gordon serves as the founding president of the society and as the Director of Neuroplastic & Reconstructive Surgery at Johns Hopkins. Dr. Gordon is an Associate Professor of Plastic Surgery and Neurosurgery and the fellowship director of Neuroplastic and Reconstructive Surgery for the department of Plastic-Reconstructive Surgery. Dr. Judy Huang, serves as Vice President for the society. Dr. Huang is a professor of neurosurgery and vice chair at the department of Neurosurgery at johns Hopkins. Together they founded the Multidisciplinary Adult Cranioplasty Center (MACC) at the Johns Hopkins University School of Medicine.
The Society of Neuroplastic Surgery oversees and supports the Annual Hopkins-Harvard Meeting entitled “Selected Topics in Neuroplastic Surgery: An International Symposium of Cranioplasty and Implantable Neurotechnology. The 4th annual meeting was held in Baltimore, Maryland, in November 2018, and provided new insights and advances relative to skull reconstruction, cranial implants, and groundbreaking neurotechnologies. The symposium housed international, premier thought leaders in various specialties including neurosurgery, neuroplastic surgery, craniofacial surgery, and plastic surgery.
The 5th annual meeting will take place on Nov 4-5, 2019. The exact location is to be announced soon. The 2019 meeting is intended for residents, fellows and physicians in Neurosurgery, Neuroplastic and Reconstructive Surgery, Craniofacial Surgery, Plastic and Reconstructive Surgery, Otolaryngology—Head and Neck Surgery, Oral Maxillofacial Surgery and Oculoplastic Surgery. Multidisciplinary membership to the society is open to all faculty, trainees, healthcare providers, researchers, and industry leaders supporting the mission. Of note, 100 percent of dues goes towards supporting trainees attend the symposium and/or train in Neuroplastic and Reconstructive Surgery via the established fellowships at Johns Hopkins.
References
- ^ Gordon CR, Huang J, Brem H. Neuroplastic Surgery. J Craniofac Surg. 2018 Jan;29(1):4-5. doi: 10.1097/SCS.0000000000004063. PMID 29077688.
- ^ Gordon CR. Understanding Cranioplasty. J Craniofac Surg. 2016 Jan;27(1):5.doi: 10.1097/SCS.0000000000002312. PMID 26716553.
- ^ Berli JU, Thomaier L, Zhong S, Huang J, Quinones A, Lim M, Weingart J, Brem H,Gordon CR. Immediate Single-Stage Cranioplasty Following Calvarial Resection for Benign and Malignant Skull Neoplasms Using Customized Craniofacial Implants. J Craniofac Surg. 2015 Jul;26(5):1456-62. doi: 10.1097/SCS.0000000000001816. PMID 26163837.
- ^ Gordon CR, Murphy RJ, Grant G, Armand M. Commentary on "A Multicenter Experience With Image-Guided Surgical Navigation: Broadening Clinical Indications in Complex Craniomaxillofacial Surgery". J Craniofac Surg. 2015 Jun;26(4):1140-2.doi: 10.1097/SCS.0000000000001673. PMID 26080144.
- ^ Murphy RJ, Wolfe KC, Liacouras PC, Grant GT, Gordon CR, Armand M.Computer-assisted single-stage cranioplasty. Conf Proc IEEE Eng Med Biol Soc.2015 Aug;2015:4910-3. doi: 10.1109/EMBC.2015.7319493. PMID 26737393.
- ^ Murphy RJ, Liacouras PC, Grant GT, Wolfe KC, Armand M, Gordon CR. A Craniomaxillofacial Surgical Assistance Workstation for Enhanced Single-Stage Reconstruction Using Patient-Specific Implants. J Craniofac Surg. 2016 Nov;27(8):2025-2030. doi: 10.1097/SCS.0000000000003106. PMID 28005747.
- ^ a b Zhong S, Huang GJ, Susarla SM, Swanson EW, Huang J, Gordon CR. Quantitative analysis of dual-purpose, patient-specific craniofacial implants for correction of temporal deformity. Neurosurgery. 2015 Jun;11 Suppl 2:220-9; discussion 229. doi: 10.1227/NEU.0000000000000679. PMID 25710104
- ^ a b Gordon CR, Yaremchuk MJ. Temporal augmentation with methyl methacrylate. Aesthet Surg J. 2011 Sep;31(7):827-33. doi: 10.1177/1090820X11417425. PMID 21908815.
- ^ Ibrahim Z, Santiago GF, Huang J, Manson PN, Gordon CR. Algorithmic Approach to Overcome Scalp Deficiency in the Setting of Secondary Cranial Reconstruction. J Craniofac Surg. 2016 Jan;27(1):229-33. doi: 10.1097/SCS.0000000000002289. PMID 26703051.
- ^ a b Gordon CR, Santiago GF, Huang J, Bergey GK, Liu S, Armand M, Brem H, Anderson WS. First In-Human Experience With Complete Integration of Neuromodulation Device Within a Customized Cranial Implant. Oper Neurosurg (Hagerstown). 2017 Oct 6. doi: 10.1093/ons/opx210. [Epub ahead of print] PMID 29029236.
- ^ Gordon CR, Fisher M, Liauw J, Lina I, Puvanesarajah V, Susarla S, Coon A, Lim M, Quinones-Hinojosa A, Weingart J, Colby G, Olivi A, Huang J. Multidisciplinary approach for improved outcomes in secondary cranial reconstruction: introducing the pericranial-onlay cranioplasty technique. Neurosurgery. 2014 Jun;10 Suppl 2:179-89; discussion 189-90. doi: 10.1227/NEU.0000000000000296. PMID 24448187; PMC 4703091.
- ^ Habal MB. Neuroplastic Surgery: The New Innovation in the Educational Process of Craniofacial Surgery. J Craniofac Surg. 2018 Jan;29(1):1-3. doi: 10.1097/SCS.0000000000004342. PMID 29283959.
- ^ "Neuroplastic and Reconstructive Surgery Fellowship". Retrieved February 21, 2018.