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Jaw Surgery - Maxilla

Surgical cosmetic procedure to correct alignment of upper and lower jaw.

01 - Patient Setup

Pre-op Meds: Ancef or clindamycin, 8 mg Decadron, Tranexamic acid

Anesthesia:  General, hypotensive MAP 55-60mm Hg

Patient position: Supine

Bed position: 90° surgeon away from anesthesia machine on R patient's side

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

Side Table: Xeroform strip gauze, 2-0 prolene,  scissors, tape, blue towels forceps, tegaderm, lido w epi 30cc (see image side table below)

Lights: Surgeon headlamp

Power: Rem B drill, reciprocating saw. 1 short reciprocating blade

Bovie Settings: 30-30 w/ Teflon guarded but tip

Preinjection: Inject 10 mL lidocaine 1% 1/100 K epinephrine into each side

Prep: Betadine on face, chlorhexidine in mouth

Drapes:  Jaw head wrap (see video) (4 towels around face + split sheet)

Instrument sets: Craniomax set and Mandibular osteotomy set

02 - Instrument Sets

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Instrument Set: Mandibular osteotomy set

03 - Case Details

Special Instruments: None

Devices/Implants: Stryker mandibular osteotomy set

Hypodermic needles:  27 gauge needle

Syringes: 10 mL syringe 

Drains: None

Suture: 3-0 chromic SH, 5-0 monocryl taper, 6-0 prolene taper

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

Dressing:  Jaw bra

 

04 - Post-Op Information

Admission status: A.M. admission

Estimated time: 2 hrs

Coding: Check w/ surgeon

Post-op wound care:  ___

Post-op activity restrictions:  ___

Follow up:  ___

 

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