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PLASTIC SURGERY ASSOCIATES
321 Newone Lane. Somewhere, FL 32811.407-555-9897
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PATIENT: RHINIER, ELBERT
ACCOUNT/EHR #: RHINELO01
DATE: 10/15/18
Surgeon: Wayne Fleeter, MD
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This patient is a 14-year-old male needing reconstructive rhinoplasty.
References
The patient was playing basketball when another player hit him across the bridge of the nose with his elbow, causing a
comminuted fracture. Due to the swelling and bleeding, his parents took him to the emergency department. The ED physician
notes periorbital ecchymoses and nasal displacement. Intranasal packing and an external splint were used to shape the nose.
Patient is brought into the surgical suite and given conscious sedation lasting 28 minutes. Using photographs provided by the
parents, a reconstructive rhinoplasty is performed. An incision is made in the upper lateral cartilage and continued as an
osteotomy of the medial aspect of the nasal bones. The spreader graft is placed to widen the nasal vestibule to assure that the
airway is not constricted. Lateral nasal wall reconstruction is successful.
Patient withstands the procedure well and is brought into recovery.
Wayne Fleeter, MD
WF/byt D: 10/15/18 11:47:39 T: 10/16/18 09:55:18
Mc
Graw
Hill
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