Jump to content

Neuroplastic surgery

From Wikipedia, the free encyclopedia

This is an old revision of this page, as edited by Hargolsagol (talk | contribs) at 21:52, 25 April 2018 (Updating training). The present address (URL) is a permanent link to this revision, which may differ significantly from the current revision.

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 it’s 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, Chad Gordon formed a multi-disciplinary team of physicians, scientists and engineers, namely the pioneers Dr.Gabriel Santiago (the first Neuroplastic Surgery Fellow) and Dr. Amir Wolff ( the first Neuroplastic Research Fellow). 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]

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 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 Surgery was Gabriel Santiago who completed ENT surgery residency in the US Navy prior to starting the fellowship.  

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]

References

  1. ^ Gordon CR, Huang J, Brem H. Neuroplastic Surgery. J Craniofac Surg. 2018 Jan;29(1):4-5. doi: 10.1097/SCS.0000000000004063. PubMed PMID: 29077688.
  2. ^ Gordon CR. Understanding Cranioplasty. J Craniofac Surg. 2016 Jan;27(1):5.doi: 10.1097/SCS.0000000000002312. PubMed PMID: 26716553.
  3. ^ 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. PubMed PMID: 26163837.
  4. ^ 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. PubMed PMID: 26080144.
  5. ^ 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. PubMed PMID: 26737393.
  6. ^ 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. PubMed PMID: 28005747.
  7. ^ 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. PubMed PMID: 25710104
  8. ^ a b Gordon CR, Yaremchuk MJ. Temporal augmentation with methyl methacrylate. Aesthet Surg J. 2011 Sep;31(7):827-33. doi: 10.1177/1090820X11417425. PubMed PMID: 21908815.
  9. ^ 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. PubMed PMID: 26703051.
  10. ^ 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] PubMed PMID: 29029236.
  11. ^ 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. PubMed PMID: 24448187; PubMed Central PMCID: PMC4703091.
  12. ^ 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. PubMed PMID: 29283959.
  13. ^ "Neuroplastic and Reconstructive Surgery Fellowship". Retrieved February 21, 2018.
Retrieved from "https://en.wikipedia.org/enwiki/w/index.php?title=Neuroplastic_surgery&oldid=838254995"