Specialized Surgical Care

Dermatology

• Pulsed Dye Laser treatment for improvement of Erythema of Scars
• Fraxel Laser and other fractionated lasers and devices for treatment of scars
• Lasers for removal of hair from hair bearing skin flaps to non hair bearing areas and removal of irregular growing hairs in scars

Maxillofacial/Dentistry 

• Comprehensive evaluation
• Nasal stents for surgical reconstructions (keeps the orifice open)
• Facial Prosthetics including auricular prosthesis (lost due to I.E.D.'s)
• Intra oral prosthesis including mandibular resection appliances and maxillary obturators (post implant placement)

Neurology and Mild TBI Diagnostics

• Evaluation and treatment of symptoms relating to concussion
• Multidisciplinary neurological consultation in conjunction with neuropsychological screening
• Clinical reaction time testing
• Clinical balance testing
• Eye tracking screening examinations
• Multimodal clinical MRI with advanced diagnostics (when indicated)
• Video continuous EEG (when indicated)
• Neuroendocrine lab testing (when indicated)
• Rehabilitation

Neuropsychology

• Neuropsychological assessment for patients with post-acute, mild to severe TBI, mood disorders, PTSD, substance abuse, chronic pain, trauma exposure and re-adjustment, and other conditions
• 20+ board certified neuropsychologists provide detailed recommendations for referral sources, the patient and the patient’s family/caregivers
• Translate findings of objective cognitive measures into tailored recommendations focused on compensation for deficits and accentuation of strengths
• Flexible battery approach is utilized that matches assessment measures to the identified referral question and patient characteristics
• Tests selected from a wide variety of neuropsychology measures based on psychometric properties, demonstrated validity, and appropriateness of available normative data
• Interdisciplinary care is demonstrated by our monthly TBI meetings, where information about various assessments is discussed and treatments are considered based on this data

Ophthalmology and Oculoplastics

• Comprehensive Evaluation
• Visual fields tests
• Neuromuscular examination
• Humphrey visual field testing
• Orbital reconstruction to preserve eye movements and vision
• Ocular surface reconstruction including artificial cornea, grafting, burn reconstruction
• Complex eyelid reconstruction including tear drainage reconstruction

Orthopaedic Surgery

Upper and Lower Extremity

• Joint reconstruction including knee, shoulder, elbow and ankle reconstruction (AC, PCL, multi-ligament knee, rotator cuff and instability)
• Comprehensive arthroscopic procedures including knee, shoulder, elbow, ankle and hip arthroscopy
• Joint contracture release
• Specialty care in the setting of soft tissue loss or contracture
• Fracture care including malunion and nonunion
• Foot and ankle surgery

Spine Surgery

• Complex deformity surgery
• Cervical, thoracic and lumbar osteotomy for correction
• Cervical, thoracic and lumbar discectomies for nerve compression
• Fusion procedures for instability and degenerative conditions of the spine.
• Treatment of spinal infections

Otolaryngology, Head and Neck Surgery, ENT

Treatment of injuries and severe infections of the ears, nose, and throat

• Endoscopic sinus surgery
• Septoplasty
• Turbinate reduction

Treatment of traumatic injuries to the ear, temporal bone, larynx, skull base, facial nerve

• Ear exploration
• Tympanoplasty
• Mastoidectomy
• Cochlear implants
• Middle fossa surgery
• Facial nerve decompression
• Facial nerve rehabilitation (static/dynamic reanimation)
• Laryngeal reconstruction (thyroplasty, voice augmentation, larygenal transplantation)

Treatment of hearing and balance disorders, sinus/smell disorders, voice/speech/swallowing disorders

• Hearing tests
• Balance testing
• Balloon sinuplasty
• Video stroboscopy
• Transnasal esophagoscopy
• Swallow therapy

Reconstructive Plastic Surgery

Plastic Surgeons strive to re-establish form and function for defects arising from congenital anomalies, malignancies, or trauma. Doing so requires manipulation of skin, muscle and bones. Operation Mend patients have a broad spectrum of challenging defects affecting the face, torso, and extremities resulting from burn, blast, and ballistic injuries.

Specific procedures performed for Operation Mend patients include:

Local tissue rearrangements

• Scar revisions
• Contracture releases
• Z-plasties

Skin grafts

• full thickness skin grafts
• split-thickness skin grafts

Fat Transfer

Local flaps

• Fasciocutaneous flaps
• Muscle flaps
• Musculocutaneous flaps

Free tissue transfer

• Free osseous/osteocutaneous flaps
  • Mandible/oral reconstruction
• Free muscle/myocutaneous flaps
  • Facial reanimation for paralysis
• Free fasciocutaneous flaps
  • Complex burn scar reconstruction (neck and extremity)

Craniofacial Procedures

• Facial fracture repair
  • LeForte I, II, III, frontal sinus, nasal, zygomaxillary complex, mandible
• Orbital surgery
• Orthognathic surgery

Hand Surgery

• Care of the Amputated Digits & Limbs
• Reconstruction of nerve injuries
• Secondary burn care and reconstruction
• Nerve compression syndromes
• Fracture care including non-union or malunion
• Surgical care of ligament tears & joint dislocations
• Upper extremity soft tissue reconstruction
• Tendon Injuries

Urology Evaluation 

• Comprehensive Evaluation 
• Diagnostic Testing