Abstract

A 65-year-old man with a history of cleft lip repair and simultaneous cleft palate repair that failed (Figure 1a), at the age of 15 years, underwent coronary artery bypass graft surgery. Postoperatively, he adapted his incentive spirometry by squeezing his nostrils completely shut with his fingers (Figure 1b).

(a) The failed cleft palate repair. (b) Postoperatively, he adapted his incentive spirometry by squeezing his nostrils completely shut with his fingers.
Footnotes
Declaration of conflicting interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
The author(s) received no financial support for the research, authorship, and/or publication of this article.
