Medical Specialty: ENT - Otolaryngology

Treats the ear, nose and throat/larynx in health and disease.

ENT - Otolaryngology
Adenoidectomy
Adenoidectomy procedure
Adenoidectomy - 1
Adenoidectomy. Adenoid hypertrophy. The McIvor mouth gag was placed in the oral cavity and the tongue depressor applied.
Adenoidectomy & Tonsillectomy & Lingual Frenulectomy
Adenoidectomy and tonsillectomy and lingual frenulectomy. Chronic adenotonsillitis and ankyloglossia.
Adenotonsillectomy
Adenotonsillectomy, primary, patient under age 12.
Adenotonsillectomy - 1
Adenotonsillectomy. Recurrent tonsillitis. The adenoid bed was examined and was moderately hypertrophied. Adenoid curettes were used to remove this tissue and packs placed.
Adenotonsillectomy - 2
Adenotonsillectomy. Adenotonsillitis with hypertrophy. The patient is a very nice patient with adenotonsillitis with hypertrophy and obstructive symptoms. Adenotonsillectomy is indicated.
Bilateral Myringotomies
Bilateral myringotomies, placement of ventilating tubes, nasal endoscopy, and adenoidectomy.
Bilateral Myringotomies - 1
Bilateral myringotomies with Armstrong grommet tubes, Adenoidectomy, and Tonsillectomy.
Bilateral Myringotomies - 2
Bilateral Myringotomy with placement of PE tubes
BMT - Bilateral Myringotomy Tubes
A sample note on bilateral myringotomy tubes
BMT & Adenoidectomy
Bilateral myringotomy tubes and adenoidectomy.
BMT & T&A
Bilateral myringotomy and tube placement, tonsillectomy and adenoidectomy.
Cancer of the nasopharynx
T1 N3 M0 cancer of the nasopharynx, status post radiation therapy with 2 cycles of high dose cisplatin with radiation.
Cauterization - Epistaxis
Cauterization of epistaxis, left nasal septum. Fiberoptic nasal laryngoscopy. Atrophic dry nasal mucosa. Epistaxis. Atrophic laryngeal changes secondary to inhaled steroid use.
Chronic Otitis Media
A 14-month-old with history of chronic recurrent episodes of otitis media, totalling 6 bouts, requiring antibiotics since birth.
Cleft Repair
Repair of bilateral cleft of the palate with vomer flaps.
Cleft Repair - Soft Palate
Cleft soft palate. Repair of cleft soft palate and excise accessory ear tag, right ear.
Collar Tubes
Collar Tubes technique
Consult - Enlarged Tonsils
Chronic adenotonsillitis with adenotonsillar hypertrophy. Upper respiratory tract infection with mild acute laryngitis.
Consult - Jaw Pain
Recurrent jaw pain, described as numbness and tingling along the jaw, teeth, and tongue.
Consult - Pulsatile Tinnitus
Chronic headaches and pulsatile tinnitus.
Control of Parapharyngeal Hemorrhage
Postoperative hemorrhage. Examination under anesthesia with control of right parapharyngeal space hemorrhage. The patient is a 35-year-old female with a history of a chronic pharyngitis and obstructive adenotonsillar hypertrophy.
CT Maxillofacial
CT maxillofacial for trauma. CT examination of the maxillofacial bones was performed without contrast. Coronal reconstructions were obtained for better anatomical localization.
CT Neck
Common CT Neck template.
Deviated Septum Repair - Followup
The patient is a 40-year-old female with a past medical history of repair of deviated septum with complication of a septal perforation. At this time, the patient states that her septal perforation bothers her as she feels that she has very dry air through her nose as well as occasional epistaxis.
Direct Laryngoscopy
Direct laryngoscopy and bronchoscopy.
Ear Cartilage Graft
Left ear cartilage graft, repair of nasal vestibular stenosis using an ear cartilage graft, cosmetic rhinoplasty, left inferior turbinectomy.
Ear Examination
Right ear examination under anesthesia. Right tympanic membrane perforation along with chronic otitis media.
Ear Laceration Repair
Repair of left ear laceration deformity Y-V plasty 2 cm. Repair of right ear laceration deformity, complex repair 2 cm.
Ear Pain - Drainage
Right ear pain with drainage - otitis media and otorrhea.
Ear pain - Pediatric Consult
13 years old complaining about severe ear pain - Chronic otitis media.
Endoscopic Sinus Surgery
Ethmoidectomy, antrostomy with polyp removal, turbinectomy, and septoplasty.
ENT Consult
Persistent dysphagia. Deviated nasal septum. Inferior turbinate hypertrophy. Chronic rhinitis. Conductive hearing loss. Tympanosclerosis.
ENT Consult - 1
Chronic eustachian tube dysfunction, chronic otitis media with effusion, recurrent acute otitis media, adenoid hypertrophy.
Ethmoidectomy & Nasal Polypectomy
Functional endoscopic sinus surgery, bilateral maxillary antrostomy, bilateral total ethmoidectomy, bilateral nasal polypectomy, and right middle turbinate reduction.
Exudative Tonsillitis
Severe tonsillitis, palatal cellulitis, and inability to swallow.
Fat Harvesting
Incompetent glottis. Fat harvesting from the upper thigh, micro-laryngoscopy, fat injection thyroplasty.
Fiberoptic Nasolaryngoscopy
Fiberoptic nasolaryngoscopy. Dysphagia with no signs of piriform sinus pooling or aspiration. Right parapharyngeal lesion, likely thyroid cartilage, nonhemorrhagic.
Flexible Nasal Laryngoscopy
Flexible nasal laryngoscopy. Foreign body, left vallecula at the base of the tongue. Airway is patent and stable.
I&D - Auricular Hematoma
Incision and drainage with bolster dressing placement of right ear recurrent auricular hematoma.
Laryngectomy & Thyroid Lobectomy
Squamous cell carcinoma of the larynx. Total laryngectomy, right level 2, 3, 4 neck dissection, tracheoesophageal puncture, cricopharyngeal myotomy, right thyroid lobectomy.
Laryngoscopy
Direct laryngoscopy, rigid bronchoscopy and dilation of subglottic upper tracheal stenosis.
Laryngoscopy & Vocal Cord Biopsy
Microscopic suspension direct laryngoscopy with biopsy of left true vocal cord stripping. Hoarseness, bilateral true vocal cord lesions, and leukoplakia.
Mastoiditis - Discharge Summary
Suspected mastoiditis ruled out, right acute otitis media, and severe ear pain resolving. The patient is an 11-year-old male who was admitted from the ER after a CT scan suggested that the child had mastoiditis.
Microlaryngoscopy
Suspension microlaryngoscopy, rigid bronchoscopy, dilation of tracheal stenosis.
Microsuspension Direct Laryngoscopy & Biopsy
Microsuspension direct laryngoscopy with biopsy. Fullness in right base of the tongue and chronic right ear otalgia.
Middle Ear Exploration
Right middle ear exploration with a Goldenberg TORP reconstruction.
Myringotomy/Tube Insertion
Bilateral myringotomies, insertion of PE tubes, and pharyngeal anesthesia.
Myringotomy/Tube Insertion - 1
Bilateral myringotomies and insertion of Shepard grommet draining tubes.
Myringotomy/Tube Insertion - 2
Bilateral myringotomies with insertion of Santa Barbara T-tube.
Myringotomy/Tube Insertion - 3
Removal of the old right pressure equalizing tube. Myringotomy with placement of a left pressure equalizing tube.
Nasal Septal Reconstruction
Nasal septal reconstruction, bilateral submucous resection of the inferior turbinates, and bilateral outfracture of the inferior turbinates. Chronic nasal obstruction secondary to deviated nasal septum and inferior turbinate hypertrophy.
Nasal Septoplasty
Open reduction, nasal fracture with nasal septoplasty.
Nasal Septoplasty & Tonsillectomy
Nasal septoplasty, bilateral submucous resection of the inferior turbinates, and tonsillectomy and resection of soft palate. Nasal septal deviation with bilateral inferior turbinate hypertrophy. Tonsillitis with hypertrophy. Edema to the uvula and soft palate.
Nasolabial Fold Elevation
Left midface elevation with nasolabial fold elevation and nasolabial fold z-plasty and right symmetrization midface elevation.
Neck Dissection
Left neck dissection. Metastatic papillary cancer, left neck. The patient had thyroid cancer, papillary cell type, removed with a total thyroidectomy and then subsequently recurrent disease was removed with a paratracheal dissection.
Normal ENT Exam
Sample normal ear, nose, mouth, and throat exam.
Normal ENT Exam - 1
Sample normal ear, nose, mouth, and throat exam.
ORIF Facial Fractures - Followup
The patient is now on his third postoperative day for an open reduction and internal fixation for two facial fractures, as well as open reduction nasal fracture. He is on his eighth hospital day.
Otitis Media
A sample note on otitis media.
Otitis Media - Discharge Summary
Fever, otitis media, and possible sepsis.
Otitis Media - H&P
A 3-year-old female for evaluation of chronic ear infections bilateral - OM (otitis media), suppurative without spontaneous rupture. Adenoid hyperplasia bilateral.
Parotidectomy
Parotidectomy procedure
Postop Parathyroid Exploration & Parathyroidectomy
This patient is one-day postop open parathyroid exploration with subtotal parathyroidectomy and intraoperative PTH monitoring for parathyroid hyperplasia. She has had an uneventful postoperative night.
Progress Note - Supraglottitis
Acute supraglottitis with airway obstruction and parapharyngeal cellulitis and peritonsillar cellulitis.
Recurrent nasal obstruction
Patient with suspected nasal obstruction, possible sleep apnea.
Revision Rhinoplasty.
Revision rhinoplasty and left conchal cartilage harvest to correct nasal deformity.
Rhinectomy & Nasal Endoscopy
Nasal endoscopy and partial rhinectomy due to squamous cell carcinoma, left nasal cavity.
Rhinoplasty
Cosmetic rhinoplasty. Request for cosmetic change in the external appearance of the nose.
Sample Normal Exam - ENT
An example of normal ENT exam.
Septoplasty
Revision septoplasty, repair of internal nasal valve collapse using auricular cartilage, repair of bilateral external nasal valve collapse using auricular cartilage, harvest of right auricular cartilage.
Septoplasty & Turbinectomy
Septoplasty with partial inferior middle turbinectomy with KTP laser, sinus endoscopy with maxillary antrostomies, removal of tissue, with septoplasty and partial ethmoidectomy bilaterally.
Septorhinoplasty
Open septorhinoplasty with placement of bilateral spreader grafts. Bilateral lateral osteotomies.
Sinus Fractures Repairs
Open reduction and internal plate and screw fixation of depressed anterior table right frontal sinus, transconjunctival exploration of orbital floor, open reduction of nasal septum and nasal pyramid fracture with osteotomy.
Sinus problems - Consult
Patient with postnasal drainage, sore throat, facial pain, coughing, headaches, congestion, snoring, nasal burning and teeth pain.
Sinus Surgery - Endoscopic
Functional endoscopic sinus surgery, excision of nasopharyngeal mass via endoscopic technique, and excision of right upper lid skin lesion 1 cm in diameter with adjacent tissue transfer closure.
SOM - Serous Otitis Media
A sample note on serous otitis media
Stapedectomy - Argon Lasor Assisted
Right argon laser assisted stapedectomy. Bilateral conductive hearing losses with right stapedial fixation secondary to otosclerosis.
Status Post T&A
Underwent tonsillectomy and adenoidectomy two weeks ago.
Status Post Tympanoplasty
The patient had tympanoplasty surgery for a traumatic perforation of the right ear about six weeks ago.
Thoracoscopy/Thoracotomy
Left thoracoscopy and left thoracotomy with declaudication and drainage of lung abscesses, and multiple biopsies of pleura and lung.
Tonsillectomy
Tonsillectomy. Tonsillitis. McIvor mouth gag was placed in the oral cavity and a tongue depressor applied.
Tonsillectomy - 1
Tonsillectomy. Chronic tonsillitis.
Tonsillectomy & Adenoidectomy
Tonsillectomy, adenoidectomy, and removal of foreign body (rock) from right ear.
Tonsillectomy & Adenoidectomy - 1
Tonsillectomy and adenoidectomy. McIvor mouth gag was placed in the oral cavity, and a tongue depressor applied.
Tonsillectomy & Adenoidectomy - 2
Tonsillectomy & adenoidectomy. Chronic tonsillitis with symptomatic tonsil and adenoid hypertrophy.
Tonsillectomy & Adenoidectomy - 3
Tonsillectomy and adenoidectomy. Obstructive adenotonsillar hypertrophy with chronic recurrent pharyngitis.
Tonsillectomy & Adenoidectomy - 4
Tonsillectomy and adenoidectomy and Left superficial nasal cauterization. Recurrent tonsillitis. Deeply cryptic hypertrophic tonsils with numerous tonsillolith. Residual adenoid hypertrophy and recurrent epistaxis.
Tonsillectomy & Adenoidectomy - 5
Tonsillectomy and adenoidectomy. Chronic adenotonsillitis. The patient is a 9-year-old Caucasian male with history of recurrent episodes of adenotonsillitis that has been refractory to outpatient antibiotic therapy.
Tonsillectomy and Septoplasty
Tonsillectomy, uvulopalatopharyngoplasty, and septoplasty for obstructive sleep apnea syndrome with hypertrophy of tonsils and of uvula and soft palate with deviation of nasal septum
Tracheostomy & Thyroid Isthmusectomy
Tracheostomy and thyroid isthmusectomy. Ventilator-dependent respiratory failure and multiple strokes.
Tympanomastoidectomy
Left canal wall down tympanomastoidectomy with ossicular chain reconstruction, microdissection, NIM facial nerve monitoring for three hours.
Tympanostomy
Adenotonsillar hypertrophy and chronic otitis media. Tympanostomy and tube placement and adenoidectomy.
Tympanostomy & Myringotomy Tube Placement
Bilateral tympanostomy with myringotomy tube placement. The patient is a 1-year-old male with a history of chronic otitis media with effusion and conductive hearing loss refractory to outpatient medical therapy.
URI & Eustachian Congestion
Viral upper respiratory infection (URI) with sinus and eustachian congestion. Patient is a 14-year-old white female who presents with her mother complaining of a four-day history of cold symptoms consisting of nasal congestion and left ear pain.
Uvulopalatopharyngoplasty & Tonsillectomy
Uvulopalatopharyngoplasty and tonsillectomy. The patient with a history of obstructive sleep apnea who has been using CPAP, however, he was not tolerating used of the machine and requested a surgical procedure for correction of his apnea.
Vertigo Consult
The patient's main complaint is vertigo. The patient is having recurrent attacks of vertigo and imbalance over the last few years with periods of free symptoms and no concurrent tinnitus or hearing impairment.
Vertigo Consult - 1
The patient is having recurrent attacks of imbalance rather than true vertigo following the history of head trauma and loss of consciousness. Symptoms are not accompanied by tinnitus or deafness.