| Post Operative |
 |
Many years of working on such complicated cases
where prior surgeries were done , the
surgeons are not known , the operative details
are exactly unknown and the results are not good
taught me it is best to deal with the patient
more of less as a "new" patient.
Based on the above, this patient has Rt.
XT, the 2 MR are possibly
recessed.
These cases require decisions be made in the
operating room depending on what is found and on the
operative scinario.
I found the Rt MR is recessed 5 mm from the
insertion, in such cases with minimal
consecuitive XT ( 25 PD ), advancement of the
previously recessed ms is almost sufficient
to manage the problem.
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