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[Answered]: POSTOPERATIVE DIAGNOSIS: History of staged…

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POSTOPERATIVE DIAGNOSIS: History of staged reconstruction of bilateral cleft lip and palate. Velopharyngeal insufficiency, Bilateral deft nasal deformity, short columella. NAME OF PROCEDURE: Altachmem of pharyzgeal flap. Columellar lengthening. Bilateral bipedide local flap advancement. ANESTHESLA: General anesthesia. CLINCAL NOTE The patient presents for the above procedure. The atom and dad understood the polential risks atd complications, including, bot not limited to. The risks of anesthesia, bleeding, infection, wond healing problems, unfurorable scarritiz, and potential for secondary surgery, as well as possible over or under coerection of his VFI, and the airway complication. asseciated with this flap, and desired to proceed. PROCEDURE IN DETAIL: The patient was placed on the operating table in upine position. General anestheria was inductel. The head was exiended, the face was perped and draped in the weal sterile fashien. A mouth gag was introduced. The puluti and pharyngeal times were infilmated with

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