What is the repair technique for a cleft palate?
The repair of a cleft palate requires careful repositioning of tissue and muscles to close the cleft and rebuild the roof of the mouth. Incisions are made on either side of the cleft and specialized flap techniques are used to reposition the tissues of the hard and soft palate.
What is Tennison Randall triangular flap?
The Tennison-Randall technique involves a back-cut that extends from the cleft Cupid’s bow peak toward the center of the philtrum that is filled by a laterally based triangular flap whose width is the measured deficiency in lip height.
What tool is used for Gastroduodenostomy?
In terms of blood supply and tension between the reconstructing digestive tract, hemi-double stapling technique with circular stapler is the best procedure for gastroduodenostomy.
What is cleft lip surgery called?
Cleft lip repair, also called cheiloplasty, includes reconstruction of the lip to create a more normal appearance, namely: Closure of the cleft resulting in a scar located within or near the typical features of the upper lip.
How many surgery are required for cleft lip?
A minimum of one surgery is required to repair a cleft palate. The requirement for further surgeries depends on the patient’s progress. A separate surgery will be used to repair the lip; additional surgeries may be needed to make the lip appear normal or improve speech.
What is Simonart’s band?
This band is a tissue originating from a supplementary growth center of the maxillary process, called maxillary prime, which grows to form a bridge between the premaxilla and the lateral nasal prominence. 2. The prevalence of Simonart’s band in patients with unilateral cleft lip and palate is approximately 20%.
What is a NAM for cleft palate?
Nasoalveolar molding (NAM) is a presurgical therapy used to reduce the size of the cleft or palate deformity of the lip, gum and nose before surgical repair. The goal of NAM is to reduce the size of the cleft deformity of the lip, gum and nose (oronasal deformity) before surgical repair.
What is a gastroduodenostomy procedure?
A gastroduodenostomy is a surgical procedure that involves the creation of a new connection between the stomach and the duodenum, the first section of the human small intestine. This section is the smallest, but it is where chemical digestion—a step vital to the digestive and metabolic process—occurs.
Why gastroduodenostomy is done?
Gastrojejunostomy is a surgical procedure in which an anastomosis is created between the stomach and the proximal loop of the jejunum. This is usually done either for the purpose of draining the contents of the stomach or to provide a bypass for the gastric contents.
How many surgeries are there for a cleft lip?
The cleft lip can be repaired in a single step or in two procedures, depending on factors such as the width and extent of the cleft. The surgeon may try to provide some additional support for the nose. Reconstruction of the nose is usually accomplished at the time of cleft lip repair.
What is the difference between cleft lip and cleft palate?
Cleft lip is a birth defect in which a baby’s upper lip doesn’t form completely and has an opening in it. Cleft palate is a birth defect in which a baby’s palate (roof of the mouth) doesn’t form completely and has an opening in it. These birth defects are called oral clefts or orofacial clefts.
Is there evidence-based surgery for cesarean delivery?
Evidence-based surgery for cesarean delivery: an updated systematic review. Am J Obstet Gynecol2013;209(4):294–306. doi:10.1016/j.ajog.2013.02.043
What is a cesarean section delivery?
Cesarean section delivery is one of the most commonly performed surgical procedures worldwide.
Is cesarean section safe in all cases?
Cesarean section is a lifesaving and cost-effective intervention when performed safely using evidence-based practices, but in certain settings may result in substantial maternal and neonatal morbidity and mortality. Cesarean section can also confer significant maternal and neonatal risks in subsequent pregnancies.
How can we improve the utilization of cesarean sections?
Consider task-shifting through education of associate clinicians to perform safe cesarean section in regions where it is underutilized (cesarean section rate <10%), as this may help increase appropriate utilization. Avoid scheduled cesarean section prior to 39 weeks’ gestational age unless medically indicated.