PMC10219829_01
PMC10219829_02
A) cleft upper lip (arrow) and widely spaced eyes; B) postoperative correction of cleft lip and epicanthus in the right eye; C) incomplete correction of cleft palate (arrow)
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F1
A surgical scar was observed on the soft palate midline during the oral examination due to the incomplete cleft palate operation, in addition to another scar on the upper lip related to a previous operation (Figure 1).
A) preoperative photo showing penoscrotal hypospadias; B) preoperative photo showing the meatal opening (arrow); C) post-operative appearance after hypospadias repair and chordee correction (yellow arrow: meatal opening, green arrow: the skin covered with the pineal midshaft buttonhole); D) the one-month postoperative appearance of the penis
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F2
Furthermore, a hooded foreskin with rich foreskin in the dorsal aspect of the penis, absent on the ventral surface of the penis, and a penile opening in the penoscrotal area was noticed (Figure 2). The hypospadias was corrected in the third year by tabularized incised plate urethroplasty technique and testicular tunica vaginalis flap (TVF) for neourethra coverage (Figure 2).
A) preoperative photo of penile appearance; B) postoperative photo showing the location of the meatal opening (arrow)
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F3
In the second stage, the remanent hypospadias was corrected by tabularized incised plate urethroplasty technique, and the meatal opening reached its normal location in the fourth year (Figure 3).