Latest update from our client, Dr. Zaydon: Unrecognized Injuries In A Plastic Surgery Medical Legal Practice

Physicians are often called upon to evaluate and manage a wide scope of soft tissue injuries.   Damage to adjacent structures or organs are sometimes overlooked, even after thorough evaluation by the initial practitioner.   The prudent practitioner will consider a plastic surgical evaluation, but fully evaluating certain types of trauma.

Neck trauma is sometimes associated with injury to the maxillofacial skeleton. Early diagnosis and treatment is key to an optimal patient outcome. Injury to the facial bones should be considered when a neck injury is secondary to the facial impact, such as airbag deployment.   Although radiographs are of benefit in the initial triage of facial fractures, a CT scan or MRI may be needed to fully evaluate the injury. Sometimes a nasal fracture is not well visualized and early evaluation by a plastic surgeon benefits the patient and assists in the overall care. Since radiographs may fail to reveal a nasal fracture, early evaluation by a plastic surgeon can detect clinical conditions, such as a septal hematoma, laceration of the nasal mucosa, or other findings, which may clinically support the diagnosis of a nasal fracture.

Any impact to the mandible may disrupt the mechanics of the temporomandibular joint. Prompt and thorough evaluation by a colleague familiar with the mandible and its relation to the remainder of the facial skeleton is key. It provides an optimal patient outcome. Early clinical findings will assist the patient in ascertaining the sequelae of the facial injury.  Approximately 4-10% of American women have had breast implants. If trauma to the chest is significant, the breast prostheses may be affected. Early evaluation by a plastic surgeon can help establish that diagnosis. Iti s especially helpful the patient be evaluated by a physician who is familiar with the patient’s pre-traumatic anatomy.

If this is not possible, then early evaluation would be of benefit to document external contusions, bruises, or subcutaneous fluid collections. Clinical examination, along with an MRI of the breasts, can assist in the understanding of whether the underlying breast implant(s) has been disrupted or ruptured after trauma.   Airbag deployment can result in abrasions of the skin. This is the result of the release of noxious chemicals and mechanical disruption of the protective layers of the skin. This may result in compromise of the protective functions of the skin.   Due to the reasons mentioned above, it can be helpful to request the services of a plastic surgery expert witness in order to get an objective opinion.

About Dr. Thomas Zaydon - Plastic Surgery Expert Witness

Expert witness plastic surgeon - Dr. Zaydon is certified by the American Board of Plastic Surgery.  He is a member of the American Society of Plastic Surgeons. He is also a fellow of the American College of Surgeons.   Dr. Zaydon serves as an expert witness on liability cases around the country. He has reviewed many cases and has served as an expert witness for both the plaintiff and defense. He is sought as an expert witness in these cases because of his experience and fairness. Many of these cases involve breast augmentation and breast reduction, as well as facial plastic surgery, facelift, liposuction, abdominoplasty, eyelid surgery, and body contouring.   Read more about Dr. Zaydon and his role as a plastic surgery expert witness.



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