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Surgical Atlas

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IMF Screws
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Thermoplastic Nasal Splint
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Bone Marrow Aspirate Concentrate (BMAC)
Extraoral Particulate Bone Graft
Pectoralis Major Flap
Radial Forearm Free Flap
Rib Graft
Submental Island Flap
Supraclavicular Flap
Bicoronal Flap
Mandibular Anterior Vestibular Approach
Subplatysmal Flap
TMJ Replacement

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Documentation

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  1. Armamentarium by Procedure
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  1. Clinic Note: General
  2. Consult Note: Deep Neck Infection
  3. Consult Note: Mandible Fracture
  4. Discharge Summary
  5. Follow-Up Note: ORIF Mandible
  6. History & Physical
  7. Operative Note: Sliding Genioplasty
  8. View All

Coding & Billing

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Subplatysmal Flap

Subplatysmal Flap

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Preoperative
Technique
Postoperative
Operative Note
Coding
Forms

Preoperative Considerations

Consent:

  • Discuss neck incision/expected scarring
  • Numbness in great auricular distribution
  • Marginal mandibular/cervical weakness 

Anesthesia/Positioning:

  • Supine
  • Shoulder roll for neck extension
  • Paralytics are OK 

Other:

  • None

Armamentarium:

  • Local anesthesia
  • Monopolar/Bipolar Electrocautery
  • #15/10 blade
  • Double prong skin hooks
  • Debakey
  • Vascular Clips (S/M)
  • Tonsil
  • Fish hooks/ Lone star self retaining retractor
  • 3-0 Vicryl
  • Skin sutures

Technique

A person with lines on his neckDescription automatically generated
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The flap should encompass skin, subcutaneous tissue, platysma
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  • Hemostasis should be ensured prior to closure
  • Can apply a hemostatic agent as pictured
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Postoperative Considerations

Immediate:

  • Q4 drain output PRN
  • Bacitracin to wound

Follow Up:

  • None

Operative Note

Coding

Forms

No items found.

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