Dr.

Supreet Singh Nayyar, AFMC

2012

Computer Aided Facial Assessment
(for more topics & presentations in ENT, visit www.nayyarENT.com) Software requirements  Must be compatible with present & future programs & computers  Newer softwares web based capabilities o Track patient relationships  First telephone call to all appointment calls  Pre operative assessment & patient counselling details  Surgery details  Postoperative management  Track even skin care product use and sales  Track in-office inventory  Track financial details  Software should easily customize materials (such as forms) for the patient  Should decrease the need for the patient to ask questions before and after surgery  Should simplify the tasks of the office staff Digital Photography, Computer Imaging, And Photoarchiving  Photographic images in facial plastic surgery play a critical role in o Photodocumentation o Patient education o Preoperative planning o Teaching purposes  Consistent, uniform, high-quality photography allows the best opportunity for critical selfassessment and self-education by surgeons  Uniform photographs are essential for legal documentation of surgical events and outcomes.  Furthermore an increasingly sophisticated patient population often asks to see photographic examples of a surgeon’s work  Equipment, lighting and background, film selection, and a standardized photographic technique are critical aspects of achieving satisfactory images  Digital cameras  Photographic storage more cost-effective and efficient Patient counselling based on pre op images  Patients seeking cosmetic surgery now often expect preoperative imaging  This can facilitate doctor-patient communication and has the potential to help provide realistic patient expectations  Typically, a patient presenting to the plastic surgeon will undergo preoperative photography  Either at the time of the initial visit (or at a later visit), the plastic surgeon or a staff member will review the proposed changes in the patient’s physical appearance on the patient’s computerized image  It must be carefully explained to the patient that this exercise is nothing more than another form of communication  In this way, digital photography helps ensure that both the surgeon and the patient share similar surgical goals
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www.nayyarENT.com

Dr. Supreet Singh Nayyar, AFMC

2012

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Indeed, computer imaging, when accompanied by appropriate explanation, provides the opportunity for improved patient-doctor communication The surgeon or staff member should explain to the patient that computer based morphing cannot take into account certain unpredictable factors that are a part of the practice of surgery Patient is ‘‘analog’’ and not ‘‘digital;’’ so the results of an actual surgery can in no way be predicted or represented in advance by a computer ‘‘simulation.’’ The imaging is simply a way for both the patient and doctor to share an image of the surgical goal Incorporate provisions that address this disclosure into a consent form

Help & guidance to surgeon  Various ‘‘expert system modules,’’ such as the Gunter Rhinoplasty Module (Mirror Imaging Systems), may aid the surgeon in selecting an effective technique for a particular deformity  These algorithms reflect a database that summarizes the approach of a particular expert or the consensus approach of a panel of experts in a variety of clinical situations  These systems may be most useful for resident surgeons and novice surgeons 3-Dimensional Imaging Device in Facial Aesthetic & Reconstructive Surgery  Using conventional methods, the assessment of facial aesthetic outcomes is largely based upon subjective observation in contrast to objectively measured data  It is not possible to quantify 3-dimensional change on a 2-dimensional surface, such as a photograph  Attempting to make measurements based on photographs, for many years the state of the art, is inherently inaccurate as the facial structure is 3-dimensional  One of the most challenging issues of imaging is producing a reliable and consistent method of obtaining 3 dimensional images of a patient, both preoperatively and postoperatively over time  Newer technologies  multiple images taken to create a 3 dimensional image (e.g. Minolta Vivid 300)  Has a high degree of precision for depicting the surface topography in facial reconstructive and aesthetic patients  Use of these 3-dimensional devices  accurately capture the finest details of a human face over different time points  Collating each time point study the imagery to quantify topographical changes of the patient’s face over time  This type of 3-dimensional imagery can serve as an improved objective guide to assess changes in facial surface topography, both in the immediate and long-term post-operative period  Provides better & a more reliable, objective, and consistent method than conventional photography

(for more topics & presentations in ENT, visit www.nayyarENT.com)
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