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Yanık merkezindeki tıbbi fotoğrafçılık tecrübelerimiz

Year 2019, Volume: 11 Issue: 2, 161 - 166, 01.06.2019
https://doi.org/10.21601/ortadogutipdergisi.369473

Abstract

Giriş: Tıbbi fotoğrafçılığın
çok geniş bir kullanım alanı vardır. Fotoğraflar klinik dokümantasyonda, bilimsel
dergilerde araştırmaların yayımlanmasında ve öğretim alanında kullanılırlar.



Materyal ve Metod: Kartal
Dr. Lütfi Kırdar Eğitim ve Araştırma Hastanesi Yanık Merkezi’nde 2009-2017 yılları
arasında tedavi edilen yoğun bakım, servis ve poliklinik hastasının çekilen resimleri
değerlendirilmiştir.



Bulgular: Belirtilen tarihlerde toplam 11866 hastanın (841
yanık yoğun bakım hastası, 2613 yanık servis hastası ve 8405 poliklinik hastası)
tedavilerinin her basamağında çekilen resimleri toplanmıştır. Hastaların tedavilerinin
her basamağını fotoğraflandı ve dijital ortamda arşivlendi. Pansuman değişimlerinin
son halleri, idrar rengi ve yaygın olmayan hastalıklar fotoğraflandı. Cerrahi işlemler
sırasında greft uygulanan alanlar ve donör alanları; son durumları dijital olarak
kaydedildi.



Tartışma: Fotoğraflama yanık
hastalarının tedavilerinin bir parçası haline gelmiştir. Yanık yüzdelerinin hesaplanması,
ilk başvuru anında hasarların değerlendirilmesi, enfekte alanların ya da greft uygulanacak
alanların belirlenmesi fotoğraflama ile mümkündür. Ayrıca; greft kaybının nedenlerinin
tespiti, yara iyileşmesinin ve sekel oluşumunun takibi de bu fotoğraflama ile yapılabilir.
Ek olarak uygulanan tedavilere ve kullanılan materyallere kanıt oluştururlar. Ayrıca
lazer doppler görüntüleme ve fotoakustik görüntüleme gibi cihazların pahalı olarak
değerlendirildiği ülkelerde dijital fotoğrafçılığın yanık hastalarının görüntülerinin
kaydedilmesinde kolay ve ucuz bir yöntem olduğunu düşünmekteyiz.

References

  • Glasser O. The first roentgen photograph (Mrs. Roentgen’s hand.) In: Wilhelm Conrad Röntgen and the early history of the Roentgen rays, 1933, London: Bale & Danielsson, p. 130.
  • Hop MJ, Stekelenburg CM, Hiddingh J, Kuipers HC, Middelkoop E, Nieuwenhuis MK, Polinder S, van Baar ME; LDI Study Group. Cost- Effectiveness of Laser Doppler Imaging in Burn Care in The Netherlands: A Randomized Controlled Trial. Plast Reconstr Surg 2016; 137:166e-76e.
  • Menon S, Ward D, Harvey JG, Hei EL, Holland AJ. Friction burns in children: does laser Doppler imaging have a role? J Burn Care Res 2012; 33:736-40.
  • DiBernardo BE, Adams RL, Krause J, Fiorillo MA, Gheradini G. Photographic standards in plastic surgery. Plast Reconstr Surg 1998; 102(2):559–568.
  • Smoot EC 3rd, Higgs J. Photographing the patient with burns for medical documentation. J Burn Care Rehabil 1994;15:434-7.
  • Lakdawala N, Fontanella D, Grant-Kels JM. Ethical considerations in dermatologic photography. Clinics in Dermatol 2012; 30:486-91.
  • Khavkin J, Ellis DA. Standardized photography for skin surface. Anat Sci Educ 2011; 4:348-56.
  • Becker DG, Tardy ME Jr. Standardized photography in facial plastic surgery: pearls and pitfalls. Facial Plast Surg 1999; 15:93-9.
  • Persichetti P, Simone P, Langella M, Marangi GF, Carusi C. Digital photography in plastic surgery: how to achieve reasonable standardization outside a photographic studio. Aesthetic Plast Surg 2007; 28:194-200.
  • Archibald DJ, Carlson ML, Friedman O. Pitfalls of nonstandardized photography. Facial Plast Surg Clin North Am 2011; 19:241-6.
  • Boccara D, Chaouat M, Uzan C, Lachere A´, Mimoun M. Retrospective analysis of photographic evaluation of burn depth. Burns 2011; 37:69-73.
  • Shokrollahi K, Sayed M, Dickson, Potokar T. Mobile phones for the assessment of burns: we have the technology. Emerg Med J 2007; 24:753–5.
  • Hardwicke J, Kohlhardt A, Moiemen N. The Birmingham Burn Centre archive: A photographic history of post-war burn care in the United Kingdom. Burns 2015; 41: 680–8.
  • Nayler JR. Clinical Photography: A Guide for the Clinician. J Postgrad Med 2003; 49:256-62.

Our experiences in medical photography at the burn center

Year 2019, Volume: 11 Issue: 2, 161 - 166, 01.06.2019
https://doi.org/10.21601/ortadogutipdergisi.369473

Abstract

Introduction: Medical photography has a wide range of uses. Photographs
are used in clinical documentation, in publishing research in scientific journals,
and in teaching.



Material and Method: We evaluated the pictures of patients treated with
2009-2017 in intensive care unit, service and outpatient departments of the Burn
Center of Kartal Dr. Lutfi Kirdar Education and Research Hospital.



Findings: At the dates mentioned, the photographs of a total of 13150
patients (1162 burn intensive care patients, 3583 burn patients in regular service
and 8405 outpatients) were taken. Each step of the patient’s treatments was photographed
and archived digitally. We pictured the latest changes in dressing, urine color,
and non-common diseases. We recorded the areas and donor sites where grafts are
applied during surgical procedures and the most recent statuses digitally.



Discussion: Photography has become part of the treatment of burn patients.
Calculation of burn fractions, evaluation of damage at the time of first application,
identification of areas to be infected or grafting is possible by photographing.
Also; detection of causes of graft loss wound healing and sequelae formation can
also be done with this photograph. Also, they provide evidence of applied treatments
and materials used. We believe that digital imaging is an easy and inexpensive method
of recording burned patients’ images in countries where laser Doppler imaging and
psychoacoustical imaging are expensive.

References

  • Glasser O. The first roentgen photograph (Mrs. Roentgen’s hand.) In: Wilhelm Conrad Röntgen and the early history of the Roentgen rays, 1933, London: Bale & Danielsson, p. 130.
  • Hop MJ, Stekelenburg CM, Hiddingh J, Kuipers HC, Middelkoop E, Nieuwenhuis MK, Polinder S, van Baar ME; LDI Study Group. Cost- Effectiveness of Laser Doppler Imaging in Burn Care in The Netherlands: A Randomized Controlled Trial. Plast Reconstr Surg 2016; 137:166e-76e.
  • Menon S, Ward D, Harvey JG, Hei EL, Holland AJ. Friction burns in children: does laser Doppler imaging have a role? J Burn Care Res 2012; 33:736-40.
  • DiBernardo BE, Adams RL, Krause J, Fiorillo MA, Gheradini G. Photographic standards in plastic surgery. Plast Reconstr Surg 1998; 102(2):559–568.
  • Smoot EC 3rd, Higgs J. Photographing the patient with burns for medical documentation. J Burn Care Rehabil 1994;15:434-7.
  • Lakdawala N, Fontanella D, Grant-Kels JM. Ethical considerations in dermatologic photography. Clinics in Dermatol 2012; 30:486-91.
  • Khavkin J, Ellis DA. Standardized photography for skin surface. Anat Sci Educ 2011; 4:348-56.
  • Becker DG, Tardy ME Jr. Standardized photography in facial plastic surgery: pearls and pitfalls. Facial Plast Surg 1999; 15:93-9.
  • Persichetti P, Simone P, Langella M, Marangi GF, Carusi C. Digital photography in plastic surgery: how to achieve reasonable standardization outside a photographic studio. Aesthetic Plast Surg 2007; 28:194-200.
  • Archibald DJ, Carlson ML, Friedman O. Pitfalls of nonstandardized photography. Facial Plast Surg Clin North Am 2011; 19:241-6.
  • Boccara D, Chaouat M, Uzan C, Lachere A´, Mimoun M. Retrospective analysis of photographic evaluation of burn depth. Burns 2011; 37:69-73.
  • Shokrollahi K, Sayed M, Dickson, Potokar T. Mobile phones for the assessment of burns: we have the technology. Emerg Med J 2007; 24:753–5.
  • Hardwicke J, Kohlhardt A, Moiemen N. The Birmingham Burn Centre archive: A photographic history of post-war burn care in the United Kingdom. Burns 2015; 41: 680–8.
  • Nayler JR. Clinical Photography: A Guide for the Clinician. J Postgrad Med 2003; 49:256-62.
There are 14 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Original article
Authors

Yucel Yuce 0000-0003-0396-1248

Kutlu Hakan Erkal 0000-0001-7439-5322

Oguzhan Kılavuz This is me 0000-0002-2515-4204

Publication Date June 1, 2019
Published in Issue Year 2019 Volume: 11 Issue: 2

Cite

Vancouver Yuce Y, Erkal KH, Kılavuz O. Yanık merkezindeki tıbbi fotoğrafçılık tecrübelerimiz. otd. 2019;11(2):161-6.

e-ISSN: 2548-0251

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