She is the first contact with the patient, she will inform with honesty, but with hope to the parents about the multidisciplinary management and the possibilities of success and recovery of the patient and will inform about the protocol of each case and will follow up so that the patient receives a complete treatment. It is important to have audiovisual material that allows parents to have real expectations about the future of their child, another important task of the nurse coordinator is the process of teaching and accompanying the breastfeeding process with the use of orthopedic pacifiers.
Make an appointment
It has a fundamental role in the management of the patient and the family, being the first consultation for the parents to whom it must give support and turn off the guilt is very important for the acceptance and reinforcement of the commitment of the parents with the patient, the worst possible scenario would be a cracked child abandoned by the parents. The role of psychology here is critical, psychologists are involved in supportive therapies in the preschool stage, school, the passage to secondary school, and the choice of a future career. We are developing projects with them to raise their self-esteem through the development of competencies in the social, academic and artistic areas, through games, walks, contests and collective activities for groups of patients. We cannot yet measure the impact of these activities, but we know that it is definitely positive.
Make an appointment
The role of the plastic surgeon is very varied, ranging from organizing the team and processes, coordinating the operation of the program and verifying compliance with the protocols and of course executing the surgical procedures required by the patient at each stage. Here we will see the care role of the plastic surgeon immediately after the consultation with the nurse coordinator, the patient will have an initial evaluation whose main objective is to reinforce the message of realistic hope for the parents and the detailed description that each patient requires, as well as the transfer to different specialists for the evaluations of the case.
Make an appointment
They have a very important role in the team by providing adequate information to parents about the risks of familial recurrence, highly valuable information especially for the mother. It is also very important their support in the diagnosis and prognosis of syndromic patients, which helps us in making surgical decisions according to the potential of recoverability of each specific step. In general, genetics evaluates the patient at admission and then at one year of age, since many syndromes will appear late.
Make an appointment
It is a fundamental area for cleft palate patients. Although they start their activity before the patient speaks by performing babbling exercises, their main role is between 2 and 4 years old, diagnosing the competences in the articulation of explosive phonemes p, t, k, hypernasality (due to air loss) and compensations (glottal stop as a replacement of explosive phonemes) as a result of the altered emission of phonemes due to an insufficient palate.
Make an appointment
The role of the pediatrician is to perform a comprehensive evaluation of the patient and ensure adequate growth and development, as well as to determine the health conditions of these patients prior to surgery. They should treat any intercurrent that may affect the patient, such as anemia, respiratory infections, urinary tract infections, associated heart disease, digestive infections, etc.
Make an appointment
Currently its participation starts from the first week of life with the implementation of pre-surgical orthopedics through the NAM (Nasoalveolar Mold) that even allows modifying the bony malformation both at the level of the lip, palate and nasal deformation, so that the edges of the cleft lip and palate are approximated making easier its surgical resolution and improve the patient's prognosis. It is important to know that if this procedure is started after the second month of life the modifications will be limited to the soft tissues. This is one of the most important changes in the management of patients, before we used to send them home until three months after the lip was operated, today maxillary orthopedics starts NAM in all cases of cleft lip and cleft palate between 10 and 15 days approximately with very successful results.
Make an appointment
Their role is very important to evaluate and treat serous otitis media in patients with cleft palate who are very vulnerable to it by the anatomical malformation of the insertion of the tensor palatine muscle, if not properly controlled, it will infect and perforate the eardrum causing hearing loss, currently they support us in the diagnosis of velopharyngeal insufficiency through nasofibroscopy, This test allows us to adequately evaluate the closure of the velopharyngeal sphincter and determine according to the type of closure what type of surgical technique will be the most advisable for each case depending on whether it is sagittal, coronal or circular closure, without this procedure we would be working blindly, and the results could not be predictive.
Make an appointmentWe can help you!!
Hours for information
Monday to Saturday
10am a 8pm
Appointment times
Tuesday to Thursday
4pm a 9pm
Lima, Perú
Jirón los Mogaburos 148, Jesús María
901 886 058
contacto@perupaisquesonrie.com
