30 VISIBLE WITH LIP ARE COVERED GENEROUSLY WITH AN ANTIBI SUTURE LINES OINTMENT OTIC CARE POSTOPERATIVE LOGAN BOW THEN INWARD ON TENSION WILLIAM LOGAN GEON AND DEAN OF CHEEKS THE SOFTSPOKEN SONINLAW OF TRUMAN BROPHY AND PRINCIPLE OF THE SUTURED PROTECTION WITH PIECE SPIKED CLEFT ENDORSED 12 THIS IS SONINLAWS HIS IN ON THE LIP IN BUT AT THE SAME TIME BE KEPT ABSOLUTELY THE TIME SUTURE SCARS THE IT CLEFT LIP ALLOWS TERIOUS EFFECTS AFFORDING 377 THE AND LIP ENJOYED PALATE BROPHY CURVED METAL COULD TAPE IN POPULARITY 1923 WILLIAM BROPHY AND PERSUA USUAL DOGMATIC AND MAY BE INCREASED WITH ACCOM THE ACCESS TO THE SUTURES FROM THREE TO FIVE THE OF CRYING BETTER INSURANCE IT IS NOT OPEN TO THE SLIGHTEST OR DIMINISHED WITH ANY OTHER ALL SURFACES SO ITS AND AT WILL METHOD WITHOUT PRESSURE AGAINST AND THE PROCESS UNTIL TO RELAX THE POSTOPERATIVE CENTURY IN INVENTION WHILE THE APPLIANCE HELPS HAS HIS THE THAT IT NOT VESSELS THEY MAY OF REPAIR MAY BE WATCHED FROM ARE DAYS REMOVED THE AFTER HORSEHAIR OPERATION THUS SUTURES AVOIDING REMAINS ALTHOUGH TODAY SOME SURGEONS FEEL TO THE HE DESIGNED DEVICE STATE OF QUIET CLEAN OF OPERATION MAY BE REMOVED PARTS THAT HAS NOT BEEN POSSIBLE ONLY HOLDS WAS ALSO HE WROTE LOGANS FEATURE IS 1921 BOW IN BOOK HIS DR OBJECTION TENSION THIS IN SUR SENSE DIRECTED OVER HALF CLINICS ILLUSTRATIONS PANYING CLEFT PLASTIC DIPLOMATIC ON EACH END THROUGH WHICH LOOPS SURGERY MANNER SIVE LIP IN OF AND SECURED THIS BE PASSED MANY CONTROL SUTURED ACROSS THE PLACED LOYOLA SCHOOL OF DENTISTRY THE OF METAL IS OPERATIVE SNEER AT THE SITE AND LAUGHING LOGAN BOW AND COUNTERACT ON THE STILL THE DELE WOUND EDGES THUS TOWARD IDEAL HEALING AT THE SAME TIME LOGAN IT WOUND EXPOSED THE METAL WARN TO SHIP BOW STANDS OF THE SURGERY WITH OINTMENT OBVIOUS CLEFT THAT TANT THAT THE THOSE ATTENDING CONSTANT TO PEROXIDE INFANT NOT REMOVE WOUND IS THEREFORE EROUSLY WITH AN ANTIBIOTIC OINTMENT AFTER DAILY FROM THE CONTAMINATION AND KEEPS CRUSTING REMOVAL UNTIL SUTURE OTHER EARLY POSTOPERATIVE ORDERED FOR EXCESSIVE ON THE HEALING THE PREVENT INADVERTENTLY STRAINT IS FTOM GETTING SEPARATING BAND WITH TIE ELBOW AT THE INFANTS STRAPS THE END OF SHOULDER TO PREVENT SLIPPAGE V1 THE FOURTH ARE TAKEN SEDATION CAUSE UNDESIRABLE TAPE HIS SLATTED SIDE OR FITTING IS TENSION MOUTH AND ELBOW RE BE BY SIDE THEM INTO WRAPPED AROUND AND PINNED TO THE PAJAMA ELBOW CASTS PLASTER OF PARIS IS ELBOWS TO TO THE INTO STRAITJACKET SURGERY ONE DAY ARE SEALED TONGUE BLADES THIS ON PREVENTS CONTINUED IS FINGERS ADHESIVE STITCH DISCHARGE ARE APPLIED HIS NURSE HOLES NEW WOUND THE OF 4INCH LAYERS WILL RESTRAINTS MADE BY SANDWICHING TWEEN TWO CLOTH ARM LIP INFANT AS THIS GEN THE THE PROTECTS PRECAUTIONS CRYING LINE THREE HOLES STITCH THE OF THE OINTMENT OINTMENT THE IRRITATES SURGERY OF CONSTANT NASAL ANTIBIOTIC HYDROGEN SUTURE THE SUTURES SOFT FOR EASY REMOVAL DAY THE POSTOPERATIVE AFTER THE OINTMENT MEALS AFTER PREVIOUSLY WITH THE DOWN FACE LIE AND THE CAN KEEP THE SUTURES COVERED BY APPLICATION TIMES IMPOR LINE COVER AFTER EXTREMELY WOUND PAINFUL ON FLAG NOT BE HIM LIP SUTURE THIS CRUSTS IS LET CLEFT OF THE CLEANSING AND THE STITCHES THE LINE MAY IT LINE GONE IT NURSING CARE OF THE STANDARD ENTAILED SUTURE BEEN AND HAS THE LEAVING DONE BECAUSE HAS BEEN THE OVER AS AN IDENTIFICATION LIKE WHAT NURSES OF THE WELL AS TREATMENT OF THE SUTURE LOCAL TO FACILITATE ARCH BLOW AN UNEXPECTED AGAINST PROTECTS ARE ALSO EFFECTIVE TAKING OUT THE SUTURE REMOVAL CARE OPERATIVE ANESTHESIA STITCHES 71 IS MANY TO KEEP BEFORE ONE OF THE THE STITCHES MOST SURGEONS IN BABY QUIET DESPERATION II POST RESORT TO GENERAL LONG ENOUGH TO REMOVE THE HEAD JERK PULLS OPEN THE FRESHLY HEALED OTHERS SEDATE THE BABY THEN WAKE HIM 378 PROCEDURES IN DIFFICULT UP TO STRAP WOUND HIM ON THE TREATMENT ROOM TABLE AND WITH AND VISE BRIGHT AM TO TAKE ANY WILLING WORKED OUT BY FED AND HOUR LATER GIVEN SEDATION IS STIRS GOOD EYE REMOVED WITH AND AFTER LIP AFTER IN HAS MUCH AS THE LIP ARE APPROXIMATED LIP IMMOBILIZATION BE EXERTED WILL METHOD BY IT BEEN IS IN THE CROOK OF THE ON IF THE NEW LIP CLEFT FLUIDS LIP IS PAST THE THE THE HIS TO THE OF WOUND THIS GOOD HEALING BABY IS NIPPLE BEST FED MOVEMENTTHAT SUCKING BABYS IS HEAD IN HAND HER LEFT END OF HEALING HELD UPRIGHT 50 CC ASEPTO LIP AND OVER THE CAN BE INTRODUCED BY THE SQUEEZE OF THE BULB LIQUID OF DIET CAN TOLERATE EASILY ORDERED BY THE SURGEON FOR THE POSTOPERATIV CALLED CLEFT PALATE DIET THIS CONSISTS USUALLY OF CLEAR ONLY FOR 24 HOURS THEN HALFSTRENGTH FORMULA FOR 24 HOURS TO BE FOLLOWED BY NORMAL FORMULA HABIT THIS CLEAR LIQUIDS DIET IS MONTH AFTER LIKE OUTMODED AS SOON AND ARE SAFE AFTER 12 REGULAR FORMULA CANNOT BE STARTED 379 TO GIVE SCAR WHATEVER SPEED AND AMOUNT THE BABY TYPE HAND ALLOWED TO SUCK IS NURSES ARM WITH CAN BE SLIPPED THE BABY MUSCLES THE TO ENCOURAGE THE BABY RUBBER CATHETER ATTACHED AT TINY BUT THEN SO DOES USED BEFORE SURGERY THE BABY SAME ROUTINE THE TONGUE THE STEADY AND CLOSED IMPORTANT THAT DOES NOT REQUIRE IS SYRINGE THE SURGERY AS POSSIBLE THE LOGAN BOW IS AN AID PULL AND NURSING FEEDING CLEFT GREAT CARE OF BABIES LOVE ONE OF THE SIDE FORCEPS TAKES THE BABY ORDER THE SMOOTH FINE THAT HAS DAY PREOPERATIVE PROCEDURE THIS GREAT PATIENCE THE TO THE AND WITH THE DURING WIRCH BEVERLY SUTURES METHOD WAS SO FOURTH POSTOPERATIVE EQUAL THE SUTURES ARE OF PEDIATRIC THE PAINFULLY THE TO PLACE BE FOUND SOUND ASLEEP THE BABY WILL SCISSORS SELDOM ALL SUTURES THEM AND KUSZAJ ON THE DOWN QUIETLY LET SHARP THE AMOUNT OF TIME NURSES JANET PROVED VERY SUCCESSFUL IS HAND HEAD IN LITTLE EYES EXTRACT BUT NOT ONE SECOND TO REMOVE EXACTLY BED HIS SOFT ONE ONE BY IS IN LIGHT HIS SURGERY IS MOST AS ORDERS THAT THE HOURS THERE BABY NO BECOME REACTS FULLY REASON WHY RETURN TO BOTTLE FEEDINGS ONE ALLOWED UNLESS THERE IS IS ALSO CLEFT OF THE IN PALATE THIS CASE THE SOME TIME UNTIL ANTIBIOTICS AFTER PALATE SURGERY CAN BE INSTITUTED THEY THAT CANNOT BE EXPLAINED SPIKING OF ANTIBIOTICS THE PATIENT ALLOWED TO GO IS DAY WITH THE LOGAN BOW AND BE REMOVED WILL RESTRAINTS CHARGE THE MOTHER IF THE OR IF WOUND SHOWS LIP THERE IS TEMPERATURE SHORT COURSE BY DEHYDRATION ORDER IN IS SHOULD BE CONTINUED TECHNIQUE NOT USED ROUTINELY ARE INFLAMMATION ASEPTO IS HOME ON AND ELBOW RETAUGHT THE FIFTH TWO WEEKS AFTER POSTOPERATIVE PLACE THE IN RESTRAINTS PRIOR BOW DIS TO TO FEED HER BABY WITH THE ASEPTO AND TO FEEDER IT IS IMPORTANT THAT THE LIP AFTER II IF 380 IT IS IS AT PARENTS BE PALATE DONE SOFT AND WHEN AT SURGERY PEDIATRICIAN AND CONTRACTING FIRM ONE YEAR USUALLY FOR FURTHER RED WILL USUALLY INVISIBLE NECESSARY TIME THAT SCAR SURGERY ALMOST FOR BOTH SIX PALE AT MINOR MONTHS SIX LIP AT ONE REALIZE MONTH MONTHS AND CORRECTION OR POSTPONED IS UNTIL