Dr Paws’ Post

🌠Double-Layer Mucoperiosteal Flap Technique🌠 ☄️The most useful technique for clefts involves less than 1/3 of the width of the hard palate. 🚨Traumatic clefted palates considered as emergency due to the risk of aspiration fluids and food particles which threaten the animal life. ☄️The nasal cavity should be flushed with saline to remove purulent exudate and foreign bodies then swabbing the oral cavity with diluted chlorhexidine solution. ☄️In a dorsal recumbency, head is placed on a soft pad, with ET-tube secured and fixed to the mandible, taping with the lower jaw and tongue. ☄️Surgical technique: -Create bilateral flaps based on the edges of the cleft with preservation of the palatine artery which supply the flaps. -The mucoperiosteum is elevated from the hard palate by a periosteal elevator with the major palatine artery. -The nasal mucosa and mucoperiosteum are apposed in two layers over the hard palate defect. -Appose the nasal mucosal edges at the margin of the defect with buried interrupted sutures. -Roll the flaps over the cleft to create epithelium-lined closure. -Suturing the two flaps together at midline with tension free interrupted pattern using 910 polyglactin suture material. ☄️Post-operative care: -Feeding soft blended food for 1 week using feeding tube, continue on soft palatable diet for a month. -Spray the oral cavity with mouth wash QID. -Broad spectrum antibiotic for the purulent discharge for 5-7 days. -Chew toys, hard objects or dry food should be withheld for a minimum of month to avoid the suture dehiscence which's the main complication encountered in cleft palate repair. Our patient is doing so well now Elhamdullah, We ought to send flying thanks to our cooperative team-working, there're unlimited hidden huge efforts behind the senses unfortunately it couldn't be captured.. Thanks for all these huge efforts which shapen this final result, I always have to say this and I always will.♥️ By: Dr. ahmad tarek Barakat

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Dr ..what the purpose of bilateral flaps ? And how will they heal ?

Insightful

Samah Mashaly

Owner and CEO at House of pets veterinary clinic

1mo

Very informative, thanks 🙏🏻

Nabin Bhandari

Veterinary Assistant at Sanam Veterinary Care

2w

Very informative

Ahmed Mohamed ABD ELHAFIZ ABDALLAH

ASSISTANT LECTURER of Surgery, Radiology, and Anaesthesiology

3w

on fire bro ahmad tarek Barakat 👏

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