BOAS Surgical Option 2. Stenotic Nares

Question 1

Definition

Answer 1

Stenotic nares is the narrowing of the nares which compromises respiration

Question 2

What is the surgical procedure called?

Answer 2

Wedge Resection Procedure

Question 3

How is the wedge resection procedure performed?

Answer 3

1. Surgeon will pack the oropharynx with swabs to prevent blood draining into the larynx.
2. A wedge is removed from the lateral aspect of the ALAR FOLD using a scalpel
3. The opening is then sutured back into place using simple interrupted suture pattern

Question 4

What do you need to remember pre operatively

Answer 4

1. Pre oxygenation - Flow by
2. Low Stress handling
3. Swift induction
4. Intubated and tied behind ears or below jaw.

Question 5

Describe the patient positioning

Answer 5

1. Sternal recumbancy
2. Support bag or towel under the chin for easy visual
3. Blanket covering patient - warmth
4. Place at end of the table

Question 6

Patient Preperation

Answer 6

Normal surgical site preparation

Question 7

Instruments / Materials

Answer 7

General surgical kit
Absorbable monofilament suture
towel clamps
cotton swabs 
Scalpel blade
Scalpel holder
Olsen hagar needle holders
4 quarter drape
Debakey forceps