Department of Physical Medicine & Rehabilitation, SUNY Upstate Medical University, Syracuse, NY.
Division of Plastic Surgery, Jacobi Medical Center, 1400 Pelham Parkway South, Bronx, NY 10461; Department of Physical Medicine and Rehabilitation, Montefiore Medical Center, Bronx, NY.
PM R. 2018 Jun;10(6):671-674. doi: 10.1016/j.pmrj.2017.11.005. Epub 2017 Dec 30.
Traumatic injury and subsequent residual cosmetic deformity are subject of intense scrutiny for their effects on objective health measures assessing patient morbidity and mortality. Although these remain principal concerns of all members of the treatment team, of less immediate yet lasting importance to the patient are the social costs of such disfigurement. Subjective feelings of unease and embarrassment can hinder social reintegration and encourage deteriorating psychosocial health. The following presents a case of one such individual who sustained traumatic brain injury and associated pneumocephalus and osteomyelitis requiring surgical debridement with bifrontal craniectomy and lobotomy. Postoperative management was cosmetically improved by the application of a custom-fabricated, 3-dimensionally printed helmet used in place of generic over-the-counter hardware, and the associated improvement reported in patient satisfaction is reported.
V.
创伤性损伤及其随后的残余美容畸形是客观健康指标评估患者发病率和死亡率的关注焦点。尽管这些仍然是治疗团队所有成员的主要关注点，但对患者来说，这种畸形的社会成本更为重要，但并不那么紧迫。这种不安和尴尬的主观感觉会阻碍社会重新融入，并导致心理社会健康状况恶化。以下介绍了这样一个个体的病例，他因创伤性脑损伤和相关的气颅和骨髓炎而需要接受手术清创，采用双侧额骨切除术和脑叶切除术。术后应用定制的三维打印头盔代替通用的非处方硬件来改善美容效果，并报告了患者满意度的相关改善。
V。
