Prosthetic Reconstruction, Rehabilitation & Surgical Planning —
Training activity: 23

Details

Investigate complex craniofacial deformity treatment using simple single vector distraction

Exploring the device options and present the definitive treatment plan to the multidisciplinary team

Type

Developmental training activity (DTA)

Evidence requirements

Evidence the activity has been undertaken by the trainee​.

Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.

An action plan to implement learning and/or to address skills or knowledge gaps identified.

Reflective practice guidance

The guidance below is provided to support reflection at different time points, providing you with questions to aid you to reflect for this training activity. They are provided for guidance and should not be considered as a mandatory checklist. Trainees should not be expected to provide answers to each of the guidance questions listed.

Before action

• What are the principles of craniofacial distraction osteogenesis?
• What are the different device options for single vector distraction?
• What will you learn about the application of distraction osteogenesis for complex craniofacial deformities?
• How will you evaluate different distraction device options based on the specific deformity?
• What are the key elements of a comprehensive treatment plan to present to the multidisciplinary team?
• Have you researched different types of craniofacial deformities and their treatment using distraction osteogenesis?
• Have you reviewed the mechanisms and applications of various single vector distraction devices?
• Have you discussed the case and the potential treatment strategies with experienced colleagues and the surgical team?

In action

• As you investigate treatment options and formulate the definitive plan, are you consciously considering the principles of distraction osteogenesis and the limitations and advantages of single vector distraction?
• What immediate decisions are you making regarding device selection and the proposed distraction protocol?
• When preparing to present to the multidisciplinary team, are you focusing on clearly communicating the rationale for your chosen plan?
• Are you finding your investigation of device options to be informative in understanding the potential for single vector distraction in this complex case?
• Are you encountering any challenges in determining the optimal distraction parameters or device placement?
• What immediate learning is occurring as you apply the principles of distraction osteogenesis to a specific craniofacial deformity?
• If your initial assessment of single vector distraction suggests limitations or potential complications, what alternative distraction techniques or treatment approaches are you considering?
• Do you need to seek input from experienced craniofacial surgeons or review literature on managing this specific type of deformity?
• Are you ensuring that your proposed treatment plan is evidence-based, feasible, and in the best interest of the patient?

On action

• Describe the process of investigating complex craniofacial deformity treatment using simple single vector distraction. What were the different device options you explored? What were their advantages and disadvantages? How did you formulate the definitive treatment plan? Describe your presentation of the treatment plan to the multidisciplinary team. How was it received?
• What specific skills or knowledge did you develop or improve in investigating distraction osteogenesis techniques for craniofacial deformities and presenting treatment plans? What did you learn about the principles and applications of single vector distraction? Were there any unexpected challenges or insights during your investigation or the presentation? What did you learn from these? How did the multidisciplinary team’s feedback influence your understanding of the treatment plan?
• What aspects of investigating craniofacial distraction techniques and multidisciplinary communication will you focus on developing further? How can you apply the knowledge gained to future cases involving craniofacial deformities and distraction osteogenesis? What resources or support might you need to further develop in this area, such as understanding different distraction devices or surgical protocols?

Beyond action

• Have you revisited experiences of investigating distraction osteogenesis for craniofacial deformities? How has your understanding of this surgical technique and its prosthetic implications developed?
• How have these experiences impacted upon your current practice in considering different surgical approaches and their impact on prosthetic rehabilitation? Are you more aware of the long-term effects of surgical interventions?
• How might these experiences contribute towards your future practice in managing rare craniofacial conditions or collaborating with surgeons on complex treatment strategies? What did you learn about bone growth and the timing of device interventions?

Relevant learning outcomes

#	Outcome
# 1	Outcome Deliver quality patient centred care with the best interests of patients in all elements of practice.
# 2	Outcome Practice in accordance with local and national health and safety policies, regulatory requirements and overall service governance.
# 3	Outcome Communicate effectively with patients, relatives, healthcare professionals and other stakeholders.
# 4	Outcome Identify patients who need further specialist support and refer to the appropriate healthcare specialist.
# 5	Outcome Analyse and interpret patient investigations, multimodal imaging and information.
# 6	Outcome Perform clinical investigations, formulate treatment plans and manufacture medical devices to a safe clinical standard.
# 7	Outcome Prepare surgical treatment plans for complex head and neck surgery.
# 8	Outcome Select appropriate biomedical materials and components/instrumentation used in the treatment of patients and the manufacture of custom-made medical devices.
# 9	Outcome Practice in partnership with other clinical specialisms as part of a multidisciplinary team and understand their roles and their impact on patient care and pathway.
# 10	Outcome Apply the principals of a quality management system to their professional practice.
# 12	Outcome Assess and interpret patients’ needs to provide customised treatment dependent on medical, physical, social and psychological requirements.