Craniofacial discharge

Your child has recently had craniofacial surgery. We are happy that your child has now recovered from their operation and is ready to go home.This page from Great Ormond Street Hospital (GOSH) is designed to give you the advice and support you need when you take your child home. 

After care

Swelling and bruising is normal after this type of operation, particularly around the face and eyes. It can sometimes appear worse in the morning or after your child has been lying down. It can take a few weeks for all the swelling to go down. During this time, try to stop your child rubbing their eyes, as it can cause soreness or risk infection.

If the wound starts to look swollen or red, or begins to ooze, contact your nurse for advice. 

The stitches your child has are dissolvable and can take several weeks to go. You may find that they will begin to fall out when you wash or brush your child's hair. You should wash your child's hair every other day with a mild baby shampoo (do not use conditioner). Gently rub over the wound with a clean flannel. 

Avoid scratching the wound and brush the hair gently.

Sometimes you may notice scabs forming along the scar-line. This is normal. You can prevent them from becoming too big by gently rubbing Vaseline® onto the scab after you have washed the hair. 

You should avoid allowing the scar to become sun burnt. If the weather is sunny, use a good sun block and keep your child's head covered with a hat. 

Some children may still be sore for a few days after discharge, this should gradually ease off. Paracetamol/Ibuprofen should control the pain. Follow the manufacturer's instructions on the box. Do not exceed the recommended dose for your child's age. If the pain does not go away, or increases, and you are concerned, please contact your nurse for advice. 

Getting back to normal

Knocks and bumps are a normal part of childhood life. It is not necessary to be too protective; a simple fall will not be too harmful. However, rough-and-tumble play should be avoided. If your child has a severe fall or bang, then take them to your local health services just as you would for any other child.

Nursery/school 

Depending on your child's operation, they may need time off from school or playgroup. Sometimes this may be for up to a few weeks. You should discuss this with the nurse before you go home. 

When your child returns to school or nursery, you may need to ease them back in gently. Start with a few mornings, then begin to increase the time as they recover their energy. 

If your child attends a nursery/mother and toddlers group, it is best not to attend for about a week, to prevent them coming into contact with infections. 

School age children should avoid contact sports or bi riding until reviewed by their doctor in clinic.Swimming should be avoided for a month after the operation, or until the wound has healed and all the stitches are gone. 

Immunisations

If your child is due any immunisations around the time of surgery, you should just check with your nurse to ensure it is OK to carry on with them.

Flying 

It is OK to fly. If you are planning a holiday, please let your doctor know prior to booking or making reservations. 

A follow-up appointment will be made before your child is discharged. If this is not convenient, please let us know in advance. It is important that we monitor your child's progress, so please make sure you and your child attend the appointment.

Compiled by: 
The National Paediatric Nurses Benchmarking Craniofacial Group in collaboration with the Children and Family Information Group
Last review date: 
May 2012
Ref: 
2012F0819

Disclaimer

Please note this is a generic GOSH information sheet. If you have specific questions about how this relates to your child, please ask your doctor. Please note this information may not necessarily reflect treatment at other hospitals.