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Wiki Removal of voice prosthesis

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kajalgaonkar16

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Procedure(s) Performed: Debulking Granulation ball and removal of indwelling voice prosthesis

Diagnosis: airway obstruction due to granulation tissue mass and indwelling voice prostheses partial extrusion

Description of Procedure(s):
Pt to OR - Positioned and draped - time outs performed - Pt s/p laryngectomy stomal airway 85% obstructed with extruding prostheses and granuloma ball - With trach collar an iv sedation and lidocaine in airway - the granulation ball and prosthesis was removed. Excess granuloma tissue was debrided - minimal bleeding noted but esophageal gullet secretions were coming through with Valsalva / cough. A 8 cuffed trach was placed into stoma and balloon raised to prevent aspiration into airway. Pt to PACU comfortable for re-insertion of new prostheses at a later date.

Specimens Removed: Prostheses and granulation tissue - granulation tissue to pathology for review

Kindly help me in coding this procedure.
 
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Hi there, can you ask your surgeon if they feel this was more of a stoma revision? Knowing where the granuloma tissue location would be helpful. Was it down in the stoma or more external around the edges?
 
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