Blepharoplasty
Mandible Fracture
Surgical procedure to expose, reposition, and stabilize the mandible after trauma.
01 - Patient Setup
Pre-op Meds: Ancef or clindamycin, 8 mg Decadron, Tranexamic acid
Anesthesia: General, hypotensive (MAP 55-60 mHg)
Patient position: Supine
Bed position: 90° surgeon away from anesthesia machine on patient's R side
DVT ppx: Compression boots on - working BEFORE induction of anesthesia
Side Table: Xeroform strip gauze, 2-0 prolene, scissors, forceps, local anesthesia, alcohol wipe, large gloves, 4x4s
Lights: Surgeon headlamp
Power: Drill
Bovie Settings: 30-30 w/ Teflon guarded blunt 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 and 4 towels around face + split sheet (see jaw head wrap video)
Instrument sets: Stryker Mandible Set, Stryker SmartLock MMF, and elastics (24G wire, 26G wire in room but not opened: scrub tech please pre-stretch the wires)
Head drape above
Nasal ETT sutured below
02 - Instrument Sets
Side table to suture ETT
Special Instruments: Stryker Mandible Set, Stryker Smart Lock Hybrid MMF set
03 - Case Details
Special Instruments: Clear plastic self-retaining lip retractor
Devices/Implants: Stryker Mandible Set, Stryker Smart Lock Hybrid MMF set
Hypodermic needles: 27 gauge needle
Syringes: 10 mL syringe
Drains: None
Suture: 3-0 chromic SH
Anesthesia on field: None
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: 1 wk