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Surgical Atlas

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Headwrap

Headwrap

Preoperative Considerations

Consent:

Nasal ala necrosis

Anesthesia/Positioning:

Supine

Other:

None

Armamentarium:

4x4 tape
Blue towel
Tegederms vs corneal shields
Mastisol
Curved hemostat (if using corneal shields)
Ophthalmic solution
Opthalmic lubricant (if using corneal shields)

Technique

Place ophthalmic solution

Use a curved hemostat to gently rotate corneal shield into place

Apply mastisol to nose and nasal tube

Apply surical tape to nasal dorsal and wrap around nasal tube being aware of nasal tube depth

Ensure there is no excess pressure on the nose so as to avoid the risk of alar necrosis

Wrap blue towel around head and place surgical tape half on skin and half on blue towel

Use the center of the head pillow (donut) and cut in half to use as a rest for the anesthesia tube and to avoid excess pressure on the ala

Apply surgical tape mastoid to mastoid. Tuck surgical tape behind ear after applying

Wrap balloon around nasal tube and tape to head wrap far away from surgical site

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Postoperative Considerations

Immediate:

None

Follow Up:

None

Operative Note

Coding

None

Forms

No items found.

Mari-Alina Timoshchuk, DDS MD

Dental School:

University of Washington School of Dentistry

Louisiana State University Health Sciences Center

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