Tonsillectomy

Considerations

Preparation

Procedure

 

Sample operative report

- Findings:

Sub-mucous cleft *** not present

Uvula *** normal

Adenoids ***% occluding

Tonsils ***+, ***phytic

Performed complete Bovie tonsillectomy and suction Bovie adenoidectomy

Procedure in Detail:

PARC of procedure was reviewed with the patient and family in ASU. The patient was transported to the room and laid down in a supine position. Time out was performed. GETA induced. 

Patient was draped. Patient's head extended with shoulder roll and head donut. McIvor placed to allow visualization of the pharynx. Red Robin catheter passed through the right nares to retract the soft palate. Soft palate palpated. 

The left tonsil was retracted medially with Allis-Coakley tonsil forceps. Bovie cut used to incise the mucosa. The tonsillar capsule was bluntly dissection. Bovie coagulation was used to dissect the capsule adherent to the tonsillar fossa wall. Upon tonsil enucleation, Herd retractor used to inspect the tonsillar fossa. Hemostasis ensured with Bovie. The right tonsil was removed in an identical manner. Tongue and palate rested.

A curved mirror was then used to visualize the adenoids. A suction Bovie used to remove adenoid tissue by combination of buried and shallow strokes. The choanae, torus tubarius, and eustachian tube orifices were not violated.

Tonsillar fossa were again examined; bilateral superior and inferior poles were lightly cauterized with suction Bovie. Hemostasis observed. 

The nasal cavity and oropharynx were suctioned. An OG tube was placed to suction stomach contents. The Red Robinson catheter and McIvor were removed. 

GETA discontinued. Count correct. To PACU in stable condition.

Post-op

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