Genioplasty

Surgical cosmetic procedure involving the reshaping or repositioning of the chin to enhance improve facial harmony. 

01 - Patient Setup

02 - Instrument Sets

Pre-op Meds: Ancef or Clindamycin, Tranexemic acid

Anesthesia:  Nasal ETT, General. Suture ETT to septum (see video how to suture ETT)

Patient position: Supine

Bed position: 90°

DVT ppx:  Compression boots on - working BEFORE induction of anesthesia

Side Table: See below to suture nasal ETT

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Side table set up to suture nasal ETT prior to prep/drape

Head drape similar to jaw surgery (see video jaw head drape)

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Lights: Surgical headlamp for surgeon

Power: Yes, Rem B w/ reciprocating saw  + drill

Bovie Settings: Teflon guarded, setting 30/30

Preinjection: 10 mL lidocaine 1/100 K epinephrine

Prep:  Betadine on skin, chlorhexidine in mouth

Drapes:  4 towels w/ split sheet

Instrument sets:   Genioplasty set

03 - Case Details 

Special Instruments:None

Devices/Implants: Stryker genioplasty plates 

Hypodermic needles:  27gauge

Syringes:    10 mL

Drains: none

Suture: 2-0 monocryl, 4-0  chromic

Anesthesia on field: 10 mL 1% lidocaine 1-100 K epinephrine

Dressing:  Ask about elastoplast dressing w/ benzoin

04 - Post-Op Information

Admission status: SDS

Estimated time: 45 min

Coding:  21121, v50.1

Post-op wound care:  Full liquid diet 2 wks

Post-op activity restrictions:  No strenuous activity for 2 wks

Follow up:  1 wk