Project Telesurgery and Teletraumatology of the Maxillo-Facial Area, Telestomatology

Transcription

1 Український журнал телемедицини та медичної телематики Том 2, 2, 2004 НДІ травматології та ортопедії Донецького державного медичного університету ім.м.горького УДК :681.3 D.K. Kalinovsky, I.N. Matros-Taranets, T.N. Khaheleva Project Telesurgery and Teletraumatology of the Donetsk State Medical University named after M.Gorky, Donetsk, Ukraine РЕЗЮМЕ, ABSTRACT The first stages of the project Telesurgery and Teletraumatology of the within the framework of the project Telemedicine in Ukraine are described. The first positive experience of rendering the consultative aid using the possibilities of this project is given when 9 teleconsultations on different questions the maxillo-facial surgery and stomatology were performed. The prospects of the further development and improvement of the project are outlined (Ukr. z. telemed. med. telemat vol.2, 2.-P ). Key words: telemedicine, the maxillo-facial surgery, stomatology Д.К. Калиновский, И.Н. Матрос-Таранец, Т.Н. Хахелева ПРОЕКТ «ТЕЛЕХИРУРГИЯ И ТЕЛЕТРАВМАТОЛОГИЯ ЧЕЛЮСТНО-ЛИЦЕВОЙ ОБЛАСТИ, ТЕЛЕСТОМАТОЛОГИЯ» Донецкий государственный медицинский университет им. М.Горького, Донецк, Украина Описаны первые этапы осуществления проекта «Телехирургия и Телетравматология челюстно-лицевой области, Телестоматология» в рамках проекта «Телемедицина в Украине». Приведен первый положительный опыт оказания консультативной помощи с использованием возможностей данного проекта при проведении 9 телеконсультаций по различным вопросам челюстно-лицевой хирургии и стоматологии. Намечены перспективы дальнейшего развития и совершенствования проекта (Укр.ж.телемед.мед.телемат Т.2, 2.-С ). Ключевые слова: телемедицина, челюстно-лицевая хирургия, стоматология Д.К. Каліновський, І.М. Матрос-Таранець, Т.Н. Хахелєва ПРОЕКТ «ТЕЛЕХІРУРГІЯ І ТЕЛЕТРАВМАТОЛОГІЯ ЩЕЛЕПНО-ЛИЦЬОВОЇ ДІЛЯНКИ, ТЕЛЕСТОМАТОЛОГІЯ» Донецький державний медичний університет ім. М.Горького, Донецьк, Україна Описані перші етапи здійснення проекту «Телехірургія і Телетравматологія щелепно-лицьової ділянки, Телестоматологія» в рамках проекту «Телемедицина в Україні». Приведений перший позитивний досвід надання консультативною допомоги з використанням можливостей даного проекту при проведенні 9 телеконсультацій з різних питань щелепно-лицьової хірургії і стоматології. Намічені перспективи подальшого розвитку і вдосконалення проекту (Укр.ж.телемед.мед.телемат Т.2, 2.-С ). Ключoві слова: телемедицина, щелепно-лицьова хірургія, стоматологія Nowadays the new branch of medicine is introduced to the practical activity of physicians of different specialities. It is telemedicine that gives the opportunity to use the new integrated informative and telecommunicative technologies in combination with physicians experience for rendering highly qualified aid to patients in distant regions [1]. In most developed countries of Europe, the USA and Russia the centers of telemedicine have been founded and function successfully [2-4]. The telemedical systems have been introduced in Ukraine for 10 years [5]. At the same time it should be noted that information as for usage of the telemedical procedures in the maxillo-facial 211

2 surgery and stomatology is described rarely [6,7]. As a result of the given circumstances and being influenced by necessity of improvement of interaction between the separate links of the medical institutions of stomatological profile of different levels conditioned by the results of analysis of reasons of development of complications during traumatic injury and lethality during suppurative-inflammatory diseases of the maxillo-facial area which has been performed in the Clinic of the maxillo-facial surgery of the Donetsk State Medical University (DSMU) named after M.Gorky for years [8,9], realization of the project Telesurgery and Teletraumatology of the within the framework of the project Telemedicine in Ukraine has been started since September of 2004 year. The first step of realization of this project has been creation and successful usage of the multifunctional digital computer complex for receiving, processing, storage, transmission and visualization of information for 3 years on the basis of which the basic work station (BWS) functions [10]. The second step is the test control of this equipment, in particular- the notebook and mobile telephones with photo and video cameras, when the trial teleconsultations are performed during departure to the medical institutions of town for rendering consultative and medical aid with the help of the line of the Center of emergency medical aid. The third and basic step is creation of the specialized polythematic official site ( of the chair of the surgical stomatology with the clinic of the maxillo-facial surgery DSMU in Internet in two versions- Russian (fig.1) and English (fig.2). The site is dedicated to the questions of the maxillo-facial surgery and stomatology. Information about the history of the chair of surgical stomatology with the clinic of the maxillo-facial surgery DSMU, its collaborators, achievements and success is presented in the parts of the site. The volume of the consultative and medical aid rendered in the chair and in the clinic, the new original elaborations and the scientific researches are presented. Students have the possibilities to get the necessary information for preparation to classes and examinations. One of the directions of the site is publication of the materials on the actual questions of the maxillo-facial surgery and stomatology, acquaintance of our colleagues with the new methods of patients treatment with different pathology of the maxillo-facial area. The references on the interesting sites dedicated to the questions of medicine and contiguous with it domains of human activity are presented separately. The separate part of the site dedicated to teleconsultation - direct realization of the project Telesurgery and Teletraumatology of the (fig.3). Figure 1. The main page of the Russian version of the authors site Figure 2. The main page of the English version of the authors site 212

3 Figure 3. The page of the site the Project Telesurgery and Teletraumatology of the Maxillo-Facial Area, Telestomatology This project presupposes performing of the following telemedical procedures asynchronic and synchronic teleconsultation, telenursing, teledispensary system and distant studying. Information for physicians (fig.4) and patients (fig.5) is presented separately. The form of free consultation (second opinion) of the specialists of the chair and the clinic (fig.6) has been elaborated for patients and placed in the site, the form of the inquirer (adviser, coordinator) (fig.7) and the form of physician s inquiry for teleconsultation (fig.8) have been created for physicians. The indicated forms give the opportunity to draw up and send the inquiry for teleconsultation quickly and easy placing in the margins the information necessary for an adviser. If an inquirer can t use these forms because of any reasons the inquiry Figure 4. The page of the site where the information about possibilities of taking part in the project and performing teleconsultations for doctors is presented for teleconsultation can be sent to the e- mail. The necessary demands for drawing up the inquiry and enclosed text and graphic files (fig.9) are presented in the site for such cases. The collaborators of our clinic in cooperation with the collaborators of the department of informatics and telemedicine of the Scientific Research Institute of Traumatology and Orthopedics of the Donetsk State Medical University named after M.Gorky and also the Donbass Institute of Technology and Management of the International Technical University (DITMITU) (Kramatorsk) take part in realization of the project Telerehabilitation (Teleconsultation + Distant Education) (fig.10) that presupposes telenursing of invalids with different diseases who take the cycle of distant studying in DITMITU. Figure 5. The page of the site where the information about possibilities of performing teleconsultations for patients is presented Figure 6. The page of the site where the form for free consultations through Internet for patients is presented 213

4 Figure 7. The page of the site where the form of the inquirer (adviser, coordinator) is presented At this moment the project Teledispensary system is at the stage of elaboration that presupposes the regular medical check-up of patients with different diseases of the maxillo-facial area as in the stages of preoperative preparation so during postoperative regimen management of patients in the outpatient setting using the standardized card of the regular medical check-up and telecommunicative technologies. We have performed 9 teleconsultations during the first 3 months since realization of the project Telesurgery and Teletraumatology of the. 3 of them are in the interregional Figure 8. The page of the site where the form for teleconsultation for doctors is presented level; one is in the state one and 5 of them in the international level (Russia, Lebanon). 6 teleconsultations have been performed with usage of , 3 of them - with usage of means of mobile communication (SMS, MMS). 4 teleconsultations have been performed to confirm a diagnosis and policy of treatment of the inflammatory diseases of the maxillo-facial area, 3 - the combined traumas with injury of bones and the soft tissues of face, 1- tumors of the parotid gland, 1-planning of the plastic operation. The performed teleconsultations gave the possibility to confirm the diagnosis and define policy of treatment of patients urgently. Figure 9. The page of the site where the demands for drawing up of the inquiry and enclosed files are presented Figure 10. The page of the project Telemedicine in Ukraine dedicated to the questions of telerehabilitation ( The small quantity of consultations testifies that telemedicine in the maxillo-facial surgery in Ukraine makes its first steps (the fact that 5 from 9 consultations on the inquiries are from abroad is confirmation o it), there are all the grounds for the further development of this branch of medicine and introduction of it into practice of the medical prophylactic institutions of stomatological profile of all the levels. It is absolutely natural this problem can t be decided only at the expense of activity of collaborators of our 214

5 clinic, that s why the quickest introduction and development of telemedicine in the maxillo-facial surgery and stomatology is seen in cooperation with the other leading maxillo-facial and stomatological clinics and also with the Centers of telemedicine in different regions of Ukraine, in the other foreign countries. References and webliography 1. Казаков В.Н., Климовицкий В.Г., Владзимирский А.В. Телемедицина. Донецк: Типография ООО «Норд», с. 2. «Международный Центр телемедицины». Монотематический специализированный сайт. Last checked Плинк М.Ю., Нестеренко А.В. Балтийский центр телемедицины // Український журнал телемедицини та медичної телематики Т.1, 1. С The American Telemedicine Association. - Last checked Казаков В.М., Климовицький В.Г., Владзимирський А.В., Лях Ю.Є. Стан і перспективи розвитку телемедицини в Україні // Український журнал телемедицини та медичної телематики Т.1, 1. С Brownrigg P., Lowry J.C., Edmondson M.J., Langton S.G. Telemedicine in oral surgery and maxillofacial trauma: a descriptive account // Telemed. J. E. Health Vol.10, 1. P Jacobs M.J., Edmondson M.J., Lowry J.C. Accuracy of diagnosis of fractures by maxillofacial and accident and emergency doctors using plain radiography compared with a telemedicine system: a prospective study // Br. J. Oral Maxillofac. Surg Vol.40, 2.- P Матрос-Таранец И.Н., Слободяник О.Л. Шубмессер И.А. Анализ летальности больных острыми одонтогенными воспалительными заболеваниями челюстно-лицевой области // Архив клинической и экспериментальной медицины Т.12, 1. С Профилактика и лечение осложнений травматических повреждений челюстно-лицевой области / Матрос-Таранец И.Н., Калиновский Д.К., Дзюба М.В., Хахелева Т.Н., Мартыненко Е.А., Дуфаш И.Х., Никаноров Ю.А., Абед Этер А.Р., Альавамлех А.И. // Вестник неотложной и восстановительной медицины С Калиновский Д.К., Матрос-Таранец И.Н., Хахелева Т.Н. Перспективы применения цифровых компьютерных технологий и телемедицины в челюстно-лицевой хирургии // Український журнал телемедицини та медичної телематики Т.2, 1.-С Надійшла до редакції: D.K. Kalinovsky, I.N. Matros-Taranets, T.N. Khaheleva Кореспонденція: Каліновський Д.К., вул.прожекторна, 11/ , Донецьк, Україна dmitry.kalinovsky@dsmu.edu.ua 215