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17:27
Preparation of Aplysia Sensory-motor Neuronal Cell Cultures
Published on: June 8, 2009
How Prepared is Prepared Enough?
Porter-Levy1, Macleod, Rickert
1Pediatric Psychologist, Advanced Surgical Institute, Center for Children at Medical City Dallas, 7777 Forest Lane, Dallas, TX 75230, USA.
Adolescent Medicine (Philadelphia, Pa.)
|October 1, 1996
Summary
This case highlights the importance of thorough preoperative preparation for patients undergoing cleft lip and palate surgery. Enhanced patient and family involvement in care planning led to a successful recovery and improved future protocols.
Area of Science:
- Craniofacial Surgery
- Pediatric Plastic Surgery
- Orthodontics
Background:
- A 17-year-old female with right unilateral cleft lip and palate (UCLP) completed preparatory orthodontics.
- She had a history of multiple prior surgical interventions for UCLP.
Purpose of the Study:
- To describe a case of LeFort I maxillary advancement in a UCLP patient.
- To analyze the impact of inadequate preoperative preparation on patient and family psychological response.
- To propose improvements in preoperative and postoperative care protocols.
Main Methods:
- The patient underwent a LeFort I maxillary advancement following orthodontic preparation.
- Postoperative care was initially challenged by patient and parental psychological distress.
- Hospital staff intervention and adaptive care strategies were employed.
Main Results:
- The surgical procedure was successful, leading to a positive outcome.
- Initial postoperative recovery was complicated by patient and family anxiety, impacting fluid intake, oral hygiene, analgesia, and mobilization.
- Persistent staff support facilitated the patient's eventual full recovery.
Conclusions:
- Psychological preparation and family involvement are critical for managing patient expectations and anxiety in complex craniofacial surgeries.
- This case underscores the need for revised preoperative protocols and enhanced patient/family engagement in postoperative care planning, including meal selection and preparation.
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