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Cleft Palate

Surgical cosmetic procedure to repair the separation of the nose and mouth.

01 - Patient Setup

Pre-op Meds: Ancef (25-30mg/kg) or Clindamycin

Anesthesia:  General, midline oral RAE tube

Patient position: Supine, neck roll

Bed position: 90°

DVT ppx: NA induction of anesthesia

Side Table: None

Lights: Overhead lights AND headlight for surgeon

Power: None

Bovie Settings: 20-20

Preinjection: None

Prep: Betadine

Drapes:  4 towels around face + split sheet.

Instrument sets: Cleft palate tray with Dingman retractor

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Anesthesia:  Midline oral RAE  tube

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Patient position: Supine, neck roll

02 - Case Details 

Special Instruments: #9 periosteal elevator and cleft palate set with extras

Devices/Implants: None

Hypodermic needles:  27 gauge needle

Syringes: 10 mL syringe 

Drains: None

Suture: 4-0  chromatic RB – 1; 4-0 vicryl avaialable but not opened.

Anesthesia on field: 1% lidocaine 1/100 K epinephrine

Dressing:  None

 

03 - Post-Op Information

Admission status: A.M. admission

Estimated time: 1.5 hr

Coding: ICD-9=749.00, 526.89; CPT=42200, 42235

Post-op wound care:  No-nos x 3 weeks, liquid diet x 3 weeks

Post-op activity restrictions:  Liquid diet for 3 wks, no nos  for 2 wks

Follow up:  3 wks

 

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