Notes

The Ultimate Guide To Cheiloplasty (Lip treatment) - Dr Luis Mejia


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<img class="featurable" style="max-height:300px;max-width:400px;" itemprop="image" src="https://www.uppediatricplastics.com/uploads/1/0/1/1/101186798/edited/cleft-lip-before-and-after.png" alt="Make Cleft Lip and Palate Repair a Priority in July - AAPC Knowledge Center"><span style="display:none" itemprop="caption">PDF] Early nasal symmetry after rhinoplasty associated with cheiloplasty in children with cleft lip and palate - Semantic Scholar</span>
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<img class="featurable" style="max-height:300px;max-width:400px;" itemprop="image" src="https://media.springernature.com/lw785/springer-static/image/prt%3A978-3-642-23499-6%2F3/MediaObjects/978-3-642-23499-6_3_Part_Fig3-335_HTML.jpg" alt="Cheiloplasty Procedure: Cleft lip repair at the Richardson's Hospital"><span style="display:none" itemprop="caption">Cheiloplasty - Surgical lips' shape correction</span>
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<h1 style="clear:both" id="content-section-0">The 9-Minute Rule for Fan flaps for Cheiloplasty (lower lip reconstruction): A two year<br></h1>
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<p class="p__0">The following guidelines apply to both unilateral and bilateral cleft lip repairs - see particular webpages for details on personnel strategy for unilateral vs bilateral PREOPERATIVE PREPARATIONS Laboratory studies Hemoglobin and hematocrit must be acquired. Permitted blood loss may be approximated. gyno surgery Informed approval must be gotten specific to the treatment being carried out Much of the time myringotomy tubes will be put sometimes of cheiloplasty, particularly if the cleft lip exists in conjunction with a cleft of the palate If this is the case - consent for "Examination under anesthesia of bilateral ears with possible myringotomy and tubes" ought to be gotten General anesthesia Calculate optimal safe dosing of lidocaine NURSING factors to consider Room Setup Plenty of Reston foam ought to be available for liberal cushioning of the child - all pressure points, no lines nor anesthesia circuit ought to be allowed to rest directly on the skin Bed will be turned 90 degrees from anesthesia (anesthesia on right) Overhead cam will be installed upon the overhead light right away above the patient for functions of photography and teaching Instrumentation and Devices Microscopic lense with 250mm lens (for tubes) VT grommet or Sheehy tubes Phillipinne board Monopolar Colorado tip cautery set at 8 cut, 8 coag, mix 1 Bulldog clamps (some prefer not to utilize these) - for hemostasis of lip aspects 6-0 fast, 5-0 chromic, 4-0 vicryl, 5-0 Biosyn on P12 (similar to ethicon P2 - an 8-9mm half-round curved needle) Medications (specific to nursing) Prophylactic empiric antibiotics - Unasyn would offer appropriate oral flora coverage Injection: 0.</p>
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<p class="p__1">Methylene blue in 1cc syringe with 25 or 27g needle - for marking vital landmarks Dermabond Preparation and Drape Bed is turned 90 degrees to the door. The kid is laid supine on the Phillippine board with the head off of the edge of the Phillippine board onto the table in optimum extension.</p>
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<p class="p__2">Eyes will be covered (similar to tonsillectomy) in a lot of cases, other cases tegaderm positioned over the eyes Prep and drape entire face from lower lids to neck Drains and Dressings Dermabond only - this is used across the whole upper lip to avoid buckling of the skin with suck and babbling while healing occurs ANESTHESIA CONSIDERATIONS Oral Rae endotracheal tube, taped directly in midline to lower lip Antibiotics: Unasyn 50 mg/kg or equivalent ought to be bought for administration prior to cut.</p>
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