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Clinical Services

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Clinical Services

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Operation Mend Co-Directors: Dr. Christopher Crisera and Dr. Kodi Azari

Operation Mend is managed and supported by a team representing a multitude of UCLA Health clinical and administrative areas, including physicians and practitioners from the following clinical areas:

  • Addiction Intervention
  • Advanced Imaging and Diagnostics
  • Anesthesia/Pain Management
  • Dermatology
  • Face Transplantation
  • FOCUS
  • Maxillofacial/Dentistry and Prosthetics
  • Medical Tattooing
  • Mental Health Services specializing in PTSD and traumatic brain injury
  • Neurology and Mild TBI Diagnostics
  • Neuropsychology
  • Ophthalmology and Oculoplastics
  • Orthopaedics
  • Otolaryngology/ENT
  • Radiation Oncology
  • Reconstructive Plastic Surgery
  • Seizure Disorder Care
  • Social Work
  • Upper Extremity Transplantation
  • Urology and Uro-genital Reconstruction

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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 and Prosthetics

  • 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)


Medical Tattooing

  • Scar blending: custom blend flesh colored pigments to match the patient's skin and gently implant the pigment into the facial scars so that these scars become less visible
  • Hair follicle replication: tattoo tiny dots of pigment into the scars on scalp wounds so that the scar is less visible
  • Permanent make up to enhance lost or compromised facial features: (ie. lip, eyebrow and/or eyelash area) Adding lip colored pigment into a scar on a lip helps to camouflage the scar and diminish its presence. This also is the case in the eyebrow or eye area of the face.


Mental Health Services specializing in PTSD

  • Embedded family centered psychological health care
  • Evaluation, consultation, prevention and evidence-based treatment services
  • Real time psychological health screening
  • TeleMental Health services
  • Families OverComing Under Stress (FOCUS) Resiliency Training Program
  • Psychiatric evaluation (when indicated)


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


Orthopaedics

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
  • Physical medicine and rehabilitation
  • 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

Vascular Composite Allotransplantation

  • Hand Transplantation
  • Face Transplantation


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


Seizure Disorder Care

  • Comprehensive care for seizures and epilepsy
  • Subspecialty outpatient and inpatient assessments with EEG, video-EEG monitoring, epilepsy protocol brain MRI, brain FDG-PET, and neuropsychological testing. The diagnostic testing leads to a multidisciplinary case conference with consideration of all treatment options, including neurosurgical treatment for medication resistant seizure


Urology and Uro-genital Reconstruction

  • Penile Prosthetics
  • Testicular prosthetics
  • Microscopic reconstruction of the vasa deferentia
  • Hypospadias repair
  • Urethral reconstruction

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