Pre- and immediately post-operative images of a very severe cleft palate.
A standard unilateral reflection technique with preserved dorsal palatine artery would have been insufficient to close the deficit, and a bilateral sliding procedure would also have fallen short of creating closure.
Therefore, reflective flaps were created bilaterally and sutured in the midline.
If anybody can fix this dog Penmellyn vets can. Always excellent!
The large oblique cranial fragment presents a challenge
International Women’s Day today…here’s anaesthetic nurse Sarah….
Early onset elbow arthritis meant he was becoming limited in his movement