#Harvesting #arduous #palate #graft
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Beneath is a written transcript of this video:
That is Richard Allen on the College of Iowa. This video demonstrates the harvesting of arduous palate for use within the correction of decrease lid retraction. Lidocaine with epinephrine is injected into the realm of the arduous palate. This can be a bilateral process. A 15 blade is then used to make an incision by the mucosa of the arduous palate to the underlying fats layer. The incision extends from the junction of the arduous and taste bud posteriorly to the rugae anteriorly. The incision is lateral to the light sloping from the molars. Medially, it’s lateral to the midline. The 15 blade is then used to reap the palate. The layer used is the place you simply see the underlying fats layer. That is carried out alongside the size of the palate to the realm of the junction of the arduous and taste bud. A proper angled blade is then used to finish the harvesting. Hemostasis is obtained with the unipolar cautery. Surgicel is then positioned to help in hemostasis. Consideration is then directed to the other aspect the place the harvest is carried out in the identical method. One of many grafts can be saved within the tissue financial institution, because the affected person’s eyelid can be positioned on stretch with a Frost suture post-operatively and subsequently the eyelid portion of the process can be unilateral. Once more, hemostasis is obtained with monopolar cautery adopted by Surgicel. A splint/protector for the palate is positioned. That is very helpful to maintain the affected person snug post-operatively in order that they’ll eat with out important ache. It’s normally eliminated after per week.
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