EFEKTIVITAS KAMERA TERMAL PADA SMARTPHONE DIBANDINGKAMERA DIGITAL SMARTPHONE DAN OBSERVASI LANGSUNG DALAM MONITORING VIABILITAS FLAP

Abstract

Background: Flap is a surgical method for defect closure. Post operation observation is very important for detecting and preventing flap failure. As a gold standard, direct observation is quite challenging since there is competency difference among observers. recently, the using of smartphone thermal camera for detecting pedicle flap of the skin is emerging as a new innovation. This research will use smartphone thermal camera as a device for flap observation by comparing with direct conventional observation and smartphone digital camera imaging. Methods: This research is using observational post test only control group design with 58 hours follow up (n=8 divided in 3 groups). Observing with smartphone thermal camera effectiveness will be compared with direct observation and smartphone digital camera. The data will be tabulated and be compared. The flaps that are included in this research are random flaps > 10 cm in width, axial flaps, and free flaps. Result: median time for non viable flap finding at direct and smartphone digital camera smartphone is 66h or viable until observation is ended. median time for non viable flap finding at smartphone thermal camera is 2h. smartphone thermal camera detect non viable flap earlier than two others, but statistically not superior. (χ2(2)= 10, p=0,007). 76,7% direct observation has same interpretation with smartphone thermal camera interpretation. (κ=0,574, Syg. 0,051) 76,7% digital smartphone interpretation has same interpretation with smartphone thermal camera interpretation. (κ=0,572, Syg. 0,051) Conclusion: Smartphone thermal camera has yet clinically proven for flap observation. Smartphone thermal camera could be alternative for flap observation.

The authors' abstract, as published at the source., 2019 · DOI ↗