Transcription of 601 FIRST STAGE MICROTIA RECONSTRUCTION …
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601 FIRST STAGE MICROTIA RECONSTRUCTION …
601 first stage microtia reconstruction with COSTAL CARTILAGE GRAFT NOTE: Rib graft comes from opposite side of surgical involves 4 phases: ! Preparation of ear pocket ! Harvest of rib graft and closure of pleural leak ! Sculpting rib graft into ear framework on separate table ! Insertion of framework into pocketupdated December 17, 2011 OPERATIVE TIME: 4-5 HOURSLOCATION: MAIN ONLYICD9 MICROTIACPT CODES:69320 MICROTIA REC21230 RIB CARTILAGE GRAFT21208 SCULPTING FRAMEWORK32095 REPAIR PLEURAL LEAK14060 CREATION OF CUTANEOUS POCKETANESTHESIA NOTESG eneral, ETT, Cefazolin 25mg/kg, will rotate table 180oPATIENT POSITION | SETUPS upine on OR table, lower leg if child is small. Rolled towel undershoulder blades, large round gel doughnut. Folded towel under access Baer hugger or Upper extremity Baer. May need Foley. For girls with long hair: 4" Coban, hair bands, 2" silk tapeTABLE POSITIONTurn table 180.
601 FIRST STAGE MICROTIA RECONSTRUCTION WITH COSTAL CARTILAGE GRAFT NOTE: Rib graft comes from opposite side of surgical ear. Operation involves 4 phases: Preparation of ear pocket
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