PLASTIC SURGERY
Cleft Lip
Objective
In cases of harelip:
• Repair of a congenital deformity of the lips.
Position
Supine with head extended by a pillow under the shoulders and a ring under the head.
Anesthesia
General, use flexometallic or oxford type endotracheal tube secured in the middle of the lower lip.
Procedure
1. A local anesthetic containing epinephrine is infiltrated to aid in hemostasis.
2. Any of several flaps are isolated and advanced.
3. Proper restoration the philtrum and shape of the bow of the lip is required.
4. Secondary repairs are performed according to individual situations even months or years later.
5. Palatal and alveolar deformities are repaired in due time to commensurate with the patient’s feeding requirements and tissue growth.
6. The incision is protected with antibiotic ointment.
7. The cheeks are splinted with a Logan’s bow (to counter the effects of crying).
8. Mark landmarks and incisions.
9. Incise and develop flaps.
10. Secure hemostasis.
11. Close in layers.
Instruments
• Plastic surgery set
• Scalpel handle with No. 11 blade (BP).
Sutures
• 6 ‘0’ Prolene on curved cutting needle
• 5 ‘0’ Monocryl on curved cutting needle
• 5 ‘0’ Catgut on curved cutting needle
• 5 ‘0’ Vicryl on round body needle.
Any questions be sent to drmmkapur@gmail.com
Also available now on android & smartphones same internet address
Any questions be sent to drmmkapur@gmail.com
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