Surgical Enlargement Reduction Of Lip Size Correction With Fillers Cheiloplasty - Indiabizclub

Archives of Plastic Surgery

Some Known Details About Cheiloplasty in Post-burn Deformed Lips - PMC - NCBI

The following guidelines apply to both unilateral and bilateral cleft lip repair work - see respective web pages for details on personnel technique for unilateral vs bilateral PREOPERATIVE PREPARATIONS Laboratory research studies Hemoglobin and hematocrit need to be obtained. Allowable blood loss might be approximated. facial feminization surgery Informed permission need to be acquired specific to the procedure being carried out Much of the time myringotomy tubes will be placed at time of cheiloplasty, particularly if the cleft lip exists in conjunction with a cleft of the taste buds If this is the case - authorization for "Test under anesthesia of bilateral ears with possible myringotomy and tubes" must be gotten Basic anesthesia Compute maximum safe dosing of lidocaine NURSING factors to consider Room Setup Lots of Reston foam must be readily available for liberal padding of the child - all pressure points, no lines nor anesthesia circuit need to be permitted to rest straight on the skin Bed will be turned 90 degrees from anesthesia (anesthesia on right) Overhead camera will be installed upon the overhead light right away above the client for functions of photography and mentor Instrumentation and Devices Microscope 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 prefer not to utilize these) - for hemostasis of lip components 6-0 fast, 5-0 chromic, 4-0 vicryl, 5-0 Biosyn on P12 (comparable to ethicon P2 - an 8-9mm half-round curved needle) Medications (specific to nursing) Prophylactic empiric prescription antibiotics - Unasyn would offer suitable oral flora protection Injection: 0.

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 maximal extension.

Eyes will be covered (similar to tonsillectomy) in many cases, other cases tegaderm placed over the eyes Prep and curtain entire face from lower covers to neck Drains and Dressings Dermabond just - this is applied throughout the entire upper lip to prevent buckling of the skin with suck and babbling while recovery occurs ANESTHESIA CONSIDERATIONS Oral Rae endotracheal tube, taped directly in midline to lower lip Antibiotics: Unasyn 50 mg/kg or equivalent ought to be ordered for administration prior to cut.