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 |

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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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