ENT - Otolaryngology
Sample Name: Tympanostomy
Description: Adenotonsillar hypertrophy and chronic otitis media. Tympanostomy and tube placement and adenoidectomy.
(Medical Transcription Sample Report)
PREOPERATIVE DIAGNOSIS: Adenotonsillar hypertrophy and chronic otitis media.
POSTOPERATIVE DIAGNOSIS: Adenotonsillar hypertrophy and chronic otitis media.
1. Tympanostomy and tube placement.
ANESTHESIA: General endotracheal.
Attention was directed to the nasopharynx. With the Bovie set at 50 coag and the suction Bovie tip on the suction hose, the adenoid bed was fulgurated by beginning at the posterosuperior aspect of the nasopharynx at the apex of the choana placing the tip of the suction cautery deep at the root of the adenoids next to the roof of the nasopharynx and then in a linear fashion making serial passages through the base of the adenoid fossa in parallel lines until the entire nasopharynx and adenoid bed had been fulgurated moving from posterior to anterior. The McIvor was relaxed and attention was then directed to the ears.
The left external auditory canal was examined under the operating microscope and cleaned of ceruminous debris.
An anteroinferior quadrant tympanostomy incision was made. Fluid was suctioned from the middle ear space, and a tympanostomy tube was placed at the level of the incision and pushed into position with the Rosen needle. Cortisporin ear drops were instilled into the canal, and a cotton ball was placed in the external meatus.
By a similar procedure, the opposite tympanostomy and tube placement were accomplished.
Keywords: ent - otolaryngology, robinson catheters, palate, tongue, tympanostomy, adenoidectomy, chronic otitis media, oral cavity, adenotonsillar hypertrophy, tube placement, hypertrophy, nasopharynx, adenotonsillar,