Medical Specialty:
Cosmetic / Plastic Surgery
Sample Name: Rhinoplasty
Description: Cosmetic rhinoplasty. Request for cosmetic change in the external appearance of the nose.
(Medical Transcription Sample Report)
PREOPERATIVE DIAGNOSES:
1. Nasal obstruction secondary to deviated nasal septum.
2. Bilateral turbinate hypertrophy.
PROCEDURE: Cosmetic rhinoplasty. Request for cosmetic change in the external appearance of the nose.
ANESTHESIA: General via endotracheal tube.
INDICATIONS FOR OPERATION: The patient is a 26-year-old white female with longstanding nasal obstruction. She also has concerns with regard to the external appearance of her nose and is requesting changes in the external appearance of her nose. From her functional standpoint, she has severe left-sided nasal septal deviation with compensatory inferior turbinate hypertrophy. From the aesthetic standpoint, the nose is over projected, lacks rotation, and has a large dorsal hump. First we are going to straighten the nasal septum and reduce the size of the turbinates and then we will also take down the hump, rotate the tip of the nose, and de-project the nasal tip. I explained to her the risks, benefits, alternatives, and complications for postsurgical procedure. She had her questions asked and answered and requested that we proceed with surgery as outlined above.
Keywords: cosmetic / plastic surgery, nasal obstruction, cosmetic, dorsal hump, endotracheal tube, hemitransfixion incision, hypertrophy, intercartilaginous, intercartilaginous incision, nasal septum, nasal tip, septomucoperichondrial, submucoperichondrial, subperiosteal, turbinate, vomerine, spur, nasal septal, nasal, rhinoplasty, septum,