OPERATIVE REPORT
Patient Name: _________________________________________ Acct ______________
|FIBEROPTIC LARYNGOSCOPY Indications |
|( Airway obstruction |( H&N mass no primary |( OSA severe snoring |
|( Aspiration, chronic |( Hemoptysis |( Otalgia |
|( Cough, chronic |( History of tobacco use |( Stridor |
|( Dysphagia |( Hoarseness, chronic |( Throat Pain |
|( Dyspnea |( Laryngeal trauma |( Thyroid disorders |
|( Foreign body |( Neoplasm, suspected | |
| | | |
|OTHER: | | |
| | | |
|Tongue base |WNL |Vallecula | | |
| | |Lingual Tonsils | | |
|Pharyngeal Wall |WNL |Edema | | |
| | |Cobblestoning | | |
|Epiglottis |WNL |Erythema, Edema | | |
|Aryepiglottic Folds| |Ulceration | | |
|Pyriform Sinuses |WNL |Pooling | | |
| | |Blunting | | |
|Vocal Cords |WNL |Edema, erythema | | |
| | |Mobility, Polyp, nodule| | |
|Arytenoids |WNL |Erythema, edema | | |
| | |Interarytenoid erythema| | |
|Mueller’s Maneuver | | | | |
| | | | | |
|POST OP DX: | | | | |
|Patient tolerated the procedure well and without complications. Post operative condition is stable |
-----------------------
[pic]
Procedure While seated, the patient’s nasal cavity was anesthetized with topical 4% xylocaine and 1% neosynephrine. After adequate anesthesia was obtained, the scope was passed and the hypopharynx and larynx were examined. Findings were:
Date:______________________
__________________________
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