Cheiloplasty - SpringerLink

Septal anchoring suture: a key suture to improve the nasolabial symmetry in  unilateral cheiloplasty - International Journal of Oral and Maxillofacial  Surgery

Excitement About CAD/CAM silicone simulator for teaching cheiloplasty

The following standards use to both unilateral and bilateral cleft lip repair work - see particular webpages for details on personnel strategy for unilateral vs bilateral  PREOPERATIVE PREPARATIONS Laboratory research studies Hemoglobin and hematocrit must be obtained. Allowed  gyno surgery  may be estimated. Permission Informed approval ought to be obtained specific to the procedure being carried out Much of the time myringotomy tubes will be put sometimes of cheiloplasty, specifically if the cleft lip exists in conjunction with a cleft of the taste buds If this is the case - permission for "Test under anesthesia of bilateral ears with possible myringotomy and tubes" must be gotten Basic anesthesia Determine maximum safe dosing of lidocaine NURSING CONSIDERATIONS Room Setup Lots of Reston foam need to be available for liberal cushioning of the baby - all pressure points, no lines nor anesthesia circuit should be permitted to rest directly on the skin Bed will be turned 90 degrees from anesthesia (anesthesia on right) Overhead cam will be set up upon the overhead light right away above the patient for functions of photography and mentor Instrumentation and Devices Microscopic lense with 250mm lens (for tubes) VT grommet or Sheehy tubes Phillipinne board Monopolar Colorado idea cautery set at 8 cut, 8 coag, mix 1 Bulldog clamps (some choose 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 prescription antibiotics - Unasyn would provide suitable oral plants protection Injection: 0.

Methylene blue in 1cc syringe with 25 or 27g needle - for marking crucial landmarks Dermabond Preparation and Curtain 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 maximal extension.

Eyes will be covered (similar to tonsillectomy) most of the times, other cases tegaderm placed over the eyes Prep and drape whole face from lower covers to neck Drains and Dressings Dermabond just - this is used throughout the entire upper lip to avoid buckling of the skin with suck and babbling while recovery takes place ANESTHESIA CONSIDERATIONS Oral Rae endotracheal tube, taped straight in midline to lower lip Prescription antibiotics: Unasyn 50 mg/kg or equivalent should be bought for administration prior to incision.