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