ENT Procedures 14 drainage of frontal sinus

Drainage of the infected frontal sinus.

Position

Supine.

Anesthesia

General.

Procedure

1.  Incision along the inferior margin of the eyebrow.

2.  The periosteum is reflected.

3.  Ethmoid sinus entered.

4.  The frontal sinus is entered after bone is rongeured.

5.  Removing the floor of the sinus.

6.  Diseased mucous membrane is excised using curettes, periosteal elevators and pituitary forceps.

7.  A nasofrontal passage is made by removing a portion of the middle turbinate.

8.  External wound is closed and dressed.

Instruments

•   Nasal set

•   Minor procedure set

•   Weitlaner self-retaining retractor

•   Power saw (e.g. Stryker), with oscillating blade and cord

•   Basin set

•   Suction tubing

•   Blades (2) No. 15

•   Bulb syringe

•   Drain

•   Nasal packing.

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archive for accessand reiew
Thosewho follow may post contributions to the site,please writo tp address above.

To create consumer/provider enagement visit www.surginstruatlas.blogspot.com

www.drmmkapur.blogspot.com                 www.surgseminar.blogspot.com
Also available now on android & smartphones same internet address

ENT PROCEDURE 13 polypectomy

Nasal Polypectomy

Objective

In cases of nasal polyps

•   Excision of hypertrophied nasal mucosa.

Position

Supine.

Anesthesia

Local.

Procedure

1.  Polyps are individually encircled with a wire of a nasal polyp snare.

2.  Grasped with forceps, and amputated.

3.  Nasal cavity is packed with a vaseline gauze.

Instruments

•   Nasal set

•   Minor procedure set

•   Metal tongue depressor

•   Poly forceps

•   Nasal snare with wires

•   Basin set

•   Blades (1) No. 15

•   Cotton tipped applicators (long)

•           Nasal packing vaseline gauze

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archive for accessand reiew
Thosewho follow may post contributions to the site,please writo tp address above.

To create consumer/provider enagement visit www.surginstruatlas.blogspot.com

www.drmmkapur.blogspot.com                 www.surgseminar.blogspot.com
Also available now on android & smartphones same internet address

ENT PROCEDURES 12 intranasal anterostomy

Intranasal Antrostomy

Objective

In cases of chronic purulent antral sinusitis

•   An opening into the maxillary sinus though the lateral nasal wall beneath the inferior turbinate.

Position

Supine.

Anesthesia

General or local.

Procedure

1.  Mucosal incision is made over the inferior turbinate, which is then elevated superiorly with a periosteal elevator.

2.  Nasoantral wall and the inferior turbinate rongeured.

3.  The inferior meatus of the nasal wall is removed down to the level of the floor of the nasal cavity.

4.  Diseased mucosa are excised .

5.  Intranasal packing is required for hemostasis.

6.  Dressing is placed under the nose.

Instruments

•   Nasal set

•   Minor procedure set

•   Metal tongue depressor

•   Poly forceps

•   Nasal snare with wires

•   Basin set

•   Blades (2) No. 15

•   Needle magnet or counter

•   Bulb syringe

•   Bayonet bipolar electrocoagulating forceps

•   Nasal packing for example 1/2"

•   Iodoform gauze or vaseline gauze (for bleeding).

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archive for accessand reiew
Thosewho follow may post contributions to the site,please writo tp address above.

To create consumer/provider enagement visit www.surginstruatlas.blogspot.com

www.drmmkapur.blogspot.com                 www.surgseminar.blogspot.com
Also available now on android & smartphones same internet address

ENT PROCEDURE 11 tympanoplasty

Tympanoplasty

Objective

In cases of conductive hearing loss:

•   Reconstructive procedures of the tympanic membranes and middle ear structures.

Position

Supine.

Anesthesia

General or local.

Procedure

1.  The tympanic membrane is incised and reflected.

2.  The pathology within is assessed.

3.  Mastoidectomy may be required.

4.  Diseased tissues including atrophic epithelium, fibrotic tissue and damaged ossicles are excised.

5.  The ossicular conduction system is reconstructed using artificial materials, homograft, ossicular bone or fragments of the ossicles.

6.  Myringoplasty is performed utilizing temporalis fascia.

7.  Skin flaps, if employed, may be sutured.

8.  A protective dressing is applied.

Instruments

•   Basic ear set

•   Drill (e.g. microm, stryker), burrs, and cord

•   Basin set

•   Blades (3) No. 15

•   Needle magnet or counter

•   Suction tubing

•   Gelfoam (cut 1 × 1 mm)

•   Control syringes (2) 5 ml

•   Local anesthetic with epinephrine

•   Needles 27 gauge (1 1/2"), 25 gauge (1")

•   Sterile, drape

•   Bulb syringe.

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archive for accessand reiew
Thosewho follow may post contributions to the site,please writo tp address above.

To create consumer/provider enagement visit www.surginstruatlas.blogspot.com

www.drmmkapur.blogspot.com                 www.surgseminar.blogspot.com
Also available now on android & smartphones same address