If Extraoral
Surgeon(s): ***
Assistant Surgeon(s): ***
Preoperative Diagnosis: ***
Postoperative Diagnosis: Same
Procedure(s): ***
Anesthesia: General
Implants: None
Specimen:***
Drains: None
Fluids: See anesthesia record
EBL: Minimal
Complications: None
Counts: Correct x2
Indications: ***
Findings: As expected
Procedure in Detail:
The patient was seen in the preoperative holding area with a H&P was updated, consents were verified, surgical site marked, and all questions and concerns related to the proposed procedure were discussed in detail. The patient was transferred to the operating room by the anesthesia team. The patient underwent general anesthesia with endotracheal intubation. Tegaderms were placed over the eyes. The patient was prepped and draped in the standard fashion for maxillofacial procedures. A time-out was performed and the procedure began.
The fractured segments were grossly aligned and mandibular arch bars were applied. A #15 blade was used to make a vestibular incision. Dissection was carried through the mentalis to the mandible. Dissection was carried in a subperiosteal plane until both fractured segments were identified. The mental nerve was identified and protected. The patient was then placed into maxillomandibular fixation. A fissure bur was used to make monocortical holes on either side of the fracture and bone reduction forcep was applied and the fracture was reduced. A 6-hole reconstruction plate was adapted and fixated All sites were irrigated copiously with NS. The maxillomandibular fixation was released and the occclusion was noted to be stable and reproducible bilaterally. The mentalis was resuspended and mucosal incisions were closed with 3-0 chromic gut.
The patient's face was then cleaned and the posterior pharynx was suctioned. An OG tube was used to suction out the contents of the stomach. Guiding elastics were placed. Tegaderms were removed from the eyes. Dressings were placed. The patient was then transferred back to the care of the anesthesia team for extubation and recovery.
