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Tongue flap for a HUGE palatial fistula ::
1) pre op
2) after dissection
3) after nasal layer closure
4) after seating the tongue flap
History : Patient was born with cleft palate, had surgery in a nearby city 5 years ago and had this horrendous result.
What needs to be done next : Division of the flap after 3 weeks.
Tongue flap ( anterior based ) in this case is a very versatile and robust flap that can be used in all kinds of maxillofacial reconstruction.
Thank you Dr Khosla.
www.facesurgeon.in
www.drsunilrichardson.com
+919443182860
drsunilrichardson@Hotmail.com
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