Blepharoplasty
Cleft Pharyngeal Flap
Surgical cosmetic procedure to repair the separation of the back of the throat and the soft palate.
01 - Patient Setup
Pre-op Meds: Ancef or Clindamycin
Anesthesia: General, midline oral RAE tube
Patient position: Supine, neck roll
Bed position: 90°
DVT ppx: Compression boots on - working BEFORE 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
Anesthesia: Midline oral RAE tube
Patient position: Supine, hip roll, neck roll
02 - Case Details
Special Instruments: #9 periosteal elevator, red rubber catheter (sphincter pharyngoplasty, only-ask), cleft palate tray
Devices/Implants: Red rubber catheter
Hypodermic needles: 27 gauge needle
Syringes: 10 mL syringe
Drains: None
Suture: 4-0 chromatic RB – 1, 4-0 and possibly 3-0 vircryl on tapered needles
Anesthesia on field: 1% lidocaine 1/100 K epinephrine
Dressing: None
03 - Post-Op Information
Admission status: A.M. admission
Estimated time: 1 hr
Coding: ICD-9=749.00, 784.43; CPT=42215
Post-op wound care: None
Post-op activity restrictions: Liquid diet for 3 wks
Follow up: 3 wks