DATE OF OPERATION: MM/DD/YYYY
PREOPERATIVE DIAGNOSES:
1. Bilateral inferior turbinate hypertrophy.
2. Nasal obstruction.
POSTOPERATIVE DIAGNOSES:
1. Bilateral inferior turbinate hypertrophy.
2. Nasal obstruction.
OPERATION PERFORMED: Submucous resection of inferior turbinate, complete, bilateral.
SURGEON: John Doe, MD
ANESTHESIA: General endotracheal.
ESTIMATED BLOOD LOSS: Less than 10 mL.
SPECIMENS: None.
OPERATIVE FINDINGS: Bilateral turbinate hypertrophy with a right deviated nasal septum.
DESCRIPTION OF OPERATION: After consent was obtained from the patient, he was taken to the operating room and was placed in the supine position on the operating room table. General face mask anesthesia was given until a deep plane of anesthesia was obtained. At that point, an endotracheal tube was placed by the anesthesiology service without difficulty. Approximately 6 mL of 1% lidocaine with 1:100,000 epinephrine was injected in the left and right inferior turbinates. Afrin-soaked nasal pledgets were then placed into the nares bilaterally. After allowing time for decongestion, the Afrin pledgets were removed.
The right nasal cavity was visualized with the 0-degree endoscope. A Colorado Bovie was used to make a small incision into the anterior tip of the right inferior turbinate. A Straightshot microdebrider was then used to remove the submucosal tissue from the right inferior turbinate. After completion of submucosal resection, the inferior turbinate was infractured and outfractured. This provided excellent airway. An Afrin-soaked pledget was then placed in the right nasal cavity.
The left nasal cavity was then viewed with the 4 mm 0-degree endoscope. Again, a Colorado Bovie was used to make a small incision in the anterior tip of the inferior turbinate. A Cottle elevator was used to elevate the submucosal tissue off the inferior turbinate bone. A Straightshot microdebrider was then used to remove the submucosal tissue. After completion of submucosal resection, a Cottle elevator was used to infracture and outfracture the left inferior turbinate bone. This provided excellent airway. An Afrin-soaked nasal pledget was then placed in the left nasal cavity.
After the patient was awakened from general anesthesia and extubated, the Afrin-soaked nasal pledgets were removed. The patient went to the postanesthesia care unit in stable condition.
