palatoplasty with pharygeal wall augmentation

hallansmom

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I am hoping someone can help me. Is the Posterior Pharyngeal Wall Augmentation included in the Palatoplasty procedure?

"The patient was placed in the Rose position and the palate was injected with 4 cc of 1% lidocaine with 1:100,00 epinephrine. After approximately 10 minutes and putting the patient back in the Rose position, an initial incision was made along the hard and soft palate on the left side through the oral mucosa and musculature, but leaving the nasal mucosa intact. At this time, the incision continued along the midline out to and including the tip of the.....on the left. The oral mucosa and mucosal flap were then elevated on the left side preserving the tensor tympani tendon as well as the palatine artery. It was dissected off the nasal mucosa.

We then proceeded to make the incision on the right side, raising a muscular mucosal flap on the right from the nasal mucosa. Once this was completed down to and including the ....., the flaps were then rotated approximately 90 degrees clockwise on the right and counterclockwise on the left and suturing the muscular bellies together in the rotation using 4-0 vicryl in an interrupted suture fashon. Once this was done, the oral mucosa was closed with interrupted 5-0 vicry. Prolaryn was then used to inject in the paraspinous musculature. The patient was awakened from anesthesia and taken to the recovery room in satisfactory condition
 

tiaralady6466

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Palm Beach
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I am hoping someone can help me. Is the Posterior Pharyngeal Wall Augmentation included in the Palatoplasty procedure?

"The patient was placed in the Rose position and the palate was injected with 4 cc of 1% lidocaine with 1:100,00 epinephrine. After approximately 10 minutes and putting the patient back in the Rose position, an initial incision was made along the hard and soft palate on the left side through the oral mucosa and musculature, but leaving the nasal mucosa intact. At this time, the incision continued along the midline out to and including the tip of the.....on the left. The oral mucosa and mucosal flap were then elevated on the left side preserving the tensor tympani tendon as well as the palatine artery. It was dissected off the nasal mucosa.

We then proceeded to make the incision on the right side, raising a muscular mucosal flap on the right from the nasal mucosa. Once this was completed down to and including the ....., the flaps were then rotated approximately 90 degrees clockwise on the right and counterclockwise on the left and suturing the muscular bellies together in the rotation using 4-0 vicryl in an interrupted suture fashon. Once this was done, the oral mucosa was closed with interrupted 5-0 vicry. Prolaryn was then used to inject in the paraspinous musculature. The patient was awakened from anesthesia and taken to the recovery room in satisfactory condition
maybe 42892 ?
 

b.cobuzzi

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Without seeing the full op note, why this is being performed and everything performed in the detail, I have to go with Tiaralady6466’s suggestion, 42892, Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls
 
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