84. The following documentation is from the health record of a six-year-old female patient. Preoperative Diagnosis: Unilateral incomplete cleft of lip Postoperative Diagnosis: Unilateral incomplete cleft of lip Operation: Secondary correction with complete take-down of unilateral cleft lip Description of Procedure: After the proper operative consent was obtained from the parents, the patient was brought to the operating room. She was comfortably placed on the operating room table and induced with general endotracheal anesthesia. The patient’s oral facial region was then prepped with Betadine and draped sterilely. Normal anatomical landmarks were then carefully marked out on the patient’s lip. This was tattooed with methylene blue. 2 percent Xylocaine with
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