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resident:brooke_french

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Dr. French Introduction

  • 1995-1999: Undergraduate - University of Illinois, BS Biology
  • 1999-2000: Graduate School: Southern Illinois University, Molecular Biology, Microbiology and Biochemistry
  • 2000-2004: Medical School: Southern Illinois University
  • 2004-2010: Integrated Residency: Southern Illinois University, Plastic and Reconstructive Surgery
  • 2010-2011: Fellowship: Hospital for Sick Children, University of Toronto, Pediatric Craniomaxillofacial

Dr. French Publications

Operations

Female to Male Chest

Patient was marked in standing position in pre op and then taken to OR for GETA. After SCD boots placed and antibiotics given, 60 cc of tumescence fluid injected into proposed areas of liposuction and excision. Prepped and draped in sterile fashion. 3.7 mm cannula used with SAL to tail of breast bilaterally for total of 50 cc lipoaspirate. Thereafter, a 10 blade scalpel used to excise a bilenticular area from the lateral aspects of the breasts and chest wall to improve contour. Bovie used to complete the excision and then undermining was undertaken superiorly and inferiorly. Care was taken to stay superficial to underlying nerves. Irrigation undertaken and hemostasis achieved. Wounds closed in layers with 3-0 vicryl for deep dermal sutures and then 4-0 monocryl for running subcuticular suture. Dermabond and op site dressings applied. An abdominal binder was placed.

Female Feminization

Dr. French's Facial Feminization Discharge Instructions:

Apply ice to jaw 2 hours on and 2 hours off while awake Use peridex mouth was 4 times daily Okay to gently brush top teeth. NO BRUSHING BOTTOM TEETH. Limit your diet to pureed food only. Take Augmentin for 14 days.

Breast Reduction

“Dressing: Dermabond over NAC Steris over vertical and horizontal incisions (hides ugly staple marks)”

Cleft Physician Preference

Facial fem.
N. Pain meds
HEENT. peridex qid. No brushing bottom teeth.
Ice 2 hours on 2 hours off.
Betamethasone to lips prn
GI. POD#0. CLD. After blenderized diet
HEME. SCDs. No chemical ppx.
ID. Unasyn while in house. Augmentin 14 day on discharge.

Okay to remove dressing and shower in 48 hours.

Cleft Lip

Antibiotics NO (intraop x 1)
Bottle yes
Restraints Yes
Spoon Feeding Yes
Pain Medications
Tylenol Yes
Motrin Yes
Oxycodone Yes
Length of Stay 1 day typical
Incision site care
Glue Sometimes
Stiches Sometimes
Tape NO
Nutritional Consult As needed
Follow up 1 week/then 1 month

Cleft Palate

Antibiotics intraop
Bottle NO
Restraints yes
Spoon Feeding yes; sideways
Type of feeding blenderized x 3 wks.
Pain Medications
Tylenol yes
Motrin NO
Oxycodone Yes
Lortab Yes
Length of Stay 1-2 days, depends on PO
Incision site care
Dissolvable sutures Yes

Nutritional Consult Yes
Oxycodone Yes
Lortab yes
Length of Stay 1-2 days, depends on PO
Nutritional Consult pre discharge yes
When they can go back to ST 4 weeks
Follow up 1 wk; 1 month

Ear Tubes

Follow up 1 month/combo w plas
Antibiotics
Drops/Duration
Swimming/Ear submersion
Drainage
Automatic renewal of Drops with Drainage
Follow up audio

Pharyngeal Flap

Antibiotics intraop
OTC medications
Tylenol Yes
Motrin NO
Oxycodone yes
Lortab yes
Diet Restrictions blenderized 3 weeks
Follow up 3-4 weeks
When to resume speech 1 month
Activity Restricitons restricted x 1 month
? Automatic referral to VPI NO
Length of stay 1-2 nights, depends on PO/pain

Alveolar Bone Graft

BMP secondary choice
Iliac Crest preferred
Pre-op Panos/Peri apical Yes
Post-op Panos/Peri apical yes at 3 months
Cone Beam
Follow up 1 wk & 1 month
Diet restrictions Pourable for 4-6 weeks
OTC medications
Tylenol yes
Motrin yes
Oxycodone Yes
Lortab Yes
Mouth rinse (peridex) yes x 6 weeks
tooth brushing Not to 4-6 weeks at surgical Site
Activity restrictions No contact sports x 6 weeks
nutrition consult/teaching prior to d/c Yes

?restraints for 2 or 3 weeks
Dr D prefers no motrin x 7 days
*will discuss when has more pts in this age range

Updated: 1/17/19 MSA

resident/brooke_french.1573170891.txt.gz · Last modified: 2019/11/07 18:54 by melissa

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