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Table of Contents
Dr. Khechoyan Introduction
- Idaho State University, Bachelor of Science, Biochemistry - Summa Cum Laude: August 1997 - June 2001
- University of Washington School of Medicine, Doctor of Medicine with Honors: August 2001 - June 2005
- Residency - Plastic and Reconstructive Surgery - University of Washington Department of Surgery: July 2005 - June 2011
- Fellowship - Pediatric Craniomaxillofacial Surgery, The Hospital for Sick Children, Toronto, ON - July 2011-June 2012
Specialty: Pediatric Craniomaxillofacial Surgery and Plastic & Reconstructive Surgery
Khechoyan’s Orthognathic Pathway
(this is preliminary and may change, but at least gives you an overview)
MEDICATIONS:
IV unasyn while in house; augmentin (high-dose, 875 mg) po BID for 2 weeks; substitute clindamycin if penicillin allergic.
Peridex mouthwash four times a day for 6 weeks.
Oxycodone for pain on discharge.
DIET:
Clear liquid diet for 48 hours in the hospital.
Then, blenderized (full liquid diet) for 2 weeks thereafter; nutrition consult in hospital.
Soft (no chew) diet after 2 weeks until 8 weeks post-op (6 weeks total). Diet restriction for a full 8 weeks.
IMAGING:
On discharge, patients will go from main hospital to Dental Center for Panorex, lateral cephalogram and PA cephalogram xrays. Maureen and Tracy/Alma will need to communicate close to day of discharge to coordinate/arrange this.
ELASTICS:
Elastics will be initiated in hospital on POD#1 based on recommendations by Dr. Lowe. Maureen will teach patients on elastics application/wear in hospital.
DENTAL HYGIENE and ORAL/LIPS CARE:
Peridex QID Full glass of water after every meal. Peridex after every meal, swish and spit. Vaseline to upper and lower lips QID. Hydrocortisone 1% cream to upper and lower lip BID while in hospital. May brush teeth with soft pediatric tooth brush twice a day starting on POD#2. Avoid brushing close to gingiva or sutures.
ACTIVITIES & RESTRICTIONS:
No sports or exercise or strenuous activity for 8 weeks post-operatively. Sleep with head of bed elevated at 45 degrees for 2 weeks post-operatively. Ice packs to face for first 72 hours: 30 minutes on/30 minutes off.
FOLLOW-UP VISITS:
1 week post-op with Dr. Lowe for dental hygiene/irrigation with dental assistant and check on healing and initiation of elastics. Weekly or every 2 weeks follow-ups with Dr. Lowe at her discretion to continue post-operative elastics care.
1 week post-op with Maureen for check on healing, oral hygiene, etc. 2-3 week post-op visit with me AND Maureen together (or sooner if there are concerns re healing or occlusion). 6-8 week follow-up visit with me AND Maureen together