Trying to figure this out, if anyone can help please.. going back and forth .. new to nasal procedures
11646
12053
31238
or
30118
PREOPERATIVE DIAGNOSIS: Nasal adenoid cystic carcinoma
POSTOPERATIVE DIAGNOSIS: Same
PROCEDURE/SURGERY: Debulking of external nasal adenoid cystic carcinoma and intermediate layered closure, nasal endoscopy and control of bilateral epistaxis.
SURGEON: xxxx
ANESTHESIOLOGIST: xxxxx
ANESTHESIA TYPE: general anesthesia
ESTIMATED BLOOD LOSS: 30 mL
COMPLICATIONS: None
FINDINGS: 3 cm firm subcutaneous pale mass
SPECIMENS: nasal tumor
INDICATIONS FOR SURGERY: bulky tumor causing distortion of the external nose
SUMMARY OF PROCEDURE: - Under general anesthesia in the supine position after injecting local anesthesia to the nasal bridge, a 3 cm horizontal incision was created. The subcutaneous tissue and muscle was incised with electrocoagulation. A mushy, loosely aggregated tumor was identified. The tissue is friable and mildly bloody. It is debulked. A 3 x 2.5 cm portion of tumor was removed piecemeal. The dissection kept inferior to the medial canthus to avoid manipulating the skull base. Bleeding was self-limited. The subcutaneous tissue was closed with 4-0 chromic for the subcutaneous layer and 4-0 chromic subcuticular suture.
Applied topical oxymetazoline on cottonoids for 5 minutes. Using a zero degree nasal endoscope, the nasal cavities were inspected. There is mild-moderate superior nasal cavity tumors with dilated vessels. The tumors and vessels were electrocoagulated with bipolar forceps at 10 Watts. The procedure was the same for both sides.
11646
12053
31238
or
30118
PREOPERATIVE DIAGNOSIS: Nasal adenoid cystic carcinoma
POSTOPERATIVE DIAGNOSIS: Same
PROCEDURE/SURGERY: Debulking of external nasal adenoid cystic carcinoma and intermediate layered closure, nasal endoscopy and control of bilateral epistaxis.
SURGEON: xxxx
ANESTHESIOLOGIST: xxxxx
ANESTHESIA TYPE: general anesthesia
ESTIMATED BLOOD LOSS: 30 mL
COMPLICATIONS: None
FINDINGS: 3 cm firm subcutaneous pale mass
SPECIMENS: nasal tumor
INDICATIONS FOR SURGERY: bulky tumor causing distortion of the external nose
SUMMARY OF PROCEDURE: - Under general anesthesia in the supine position after injecting local anesthesia to the nasal bridge, a 3 cm horizontal incision was created. The subcutaneous tissue and muscle was incised with electrocoagulation. A mushy, loosely aggregated tumor was identified. The tissue is friable and mildly bloody. It is debulked. A 3 x 2.5 cm portion of tumor was removed piecemeal. The dissection kept inferior to the medial canthus to avoid manipulating the skull base. Bleeding was self-limited. The subcutaneous tissue was closed with 4-0 chromic for the subcutaneous layer and 4-0 chromic subcuticular suture.
Applied topical oxymetazoline on cottonoids for 5 minutes. Using a zero degree nasal endoscope, the nasal cavities were inspected. There is mild-moderate superior nasal cavity tumors with dilated vessels. The tumors and vessels were electrocoagulated with bipolar forceps at 10 Watts. The procedure was the same for both sides.