bandage-green

Alveolar Bone Grafting and Craniofacial Distraction Osteogenesis

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, Bed turned 90 degrees
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Considerations : PONV, Throat Pack

Anesthetic Approaches

1GETT, Nasal Rae
2GETT, Oral Rae
The Surgery

Preparing the cleft site - the fistula is closed and mucoperiosteal flaps raised to create a closed pocket into which bone can be placed. Harvesting the graft - cancellous bone is taken from the...

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