Charlotte’s surgery yesterday went well. Thank you to those who kept her in your prayers. In a surgery that lasted approximately an hour, Dr. Chaiyasate successfully reinserted what will be her septum into her nose and cleaned up the infection which had developed. Charlotte stayed overnight to ensure that the infection was cleared up and returned home this afternoon. They placed a plastic stint into her nostrils to hold the septum in place as it heals.
Her next surgery will take place in about 4 weeks. She will go to Royal Oak weekly to have the doctor check on the healing progress and ensure no further infections develop. With Tim (Charlotte’s father) returning to work next week, we still haven’t determined whether he will be able to take the time off to travel with her. He has been on short term disability for about six months recovering from corrective surgery for torn shoulder ligaments. He has never missed a surgery thus far, and we’re hoping he can work it out to be there.
Here is an excerpt from an email by Dr. Chiayasate detailing Charlotte’s remaining procedures:
As far as her nose is concerned, she will require at least three more surgeries. The forehead flap and the rib grafting will be performed in the next stage which is approximately 4 weeks from now. The third stage includes thinning of the forehead flap (giving the nose definition). The last stage will be to get rid of the attachment which will be connecting the forehead to the nose.
She definitely will require more minor surgeries as she grows and that is difficult to predict.
The lip will require a two stage operation. The first stage will be a lip switch operation or Abbe’ flap. Two weeks later I will bring her back and divide the attachment from the lower lip. I plan to integrate this reconstruction between the third and fourth stage of the nasal reconstruction.
The ear reconstruction should require a 2 or 3 stage operation. It depends on which technique I decide on. This is a rather complex surgery requiring micro surgery. I may use a Medpore ear implant buried under the microvascular flap. I will bring her back to lift the ear up creating ear projection. As your aware, plastic surgery is a science which requires imagination and creativity so this plan may vary as necessary when the time comes.
Kongkrit Chaiyasate, M.D.
Cleft and Craniofacial Surgery
Pediatric Plastic Surgery
Reconstruction Microsurgery/ Microvascular Breast Reconstruction
Assistant Professor of Plastic and Reconstructive Surgery
Oakland University William Beaumont School of Medicine
William Beaumont and Beaumont Children Hospital