surgery: left radical parotidectomy with preservation of facial nerve and reconstruction with left anterolateral thigh free fasciocutaneous flap.
definition and indication of surgery:
description of surgical procedure in detail:
potential complication of procedure with explanation:
preoperative care and nursing rationale:
clinical learning priorities/preparation:
Defination left paratidectomy is the removal of left parotid gland (salivary gland).
Indication
parotid mass
Chronic parotitis
Parotid duct stone
Malignancy
Surgical procedure
- General anaesthesia is given
- Incision. Is made near the crease of the ear or behind the tragus
- flap is made on surface of parotid gland to expose gland and the tissues to be removed
- Dissection of nerves to avoid stimulation while operating
- facial nerves are tested for correct function.
- Closing the sutures
- reconstructive surgery by using graft from thigh.
complications
- nerve dysfunction
- uncharacteristic sweating near glands known as Frey's syndrome
-Salivation from wound
--Facial asymmetry
Tumor reappearance
preoperative care
Antibiotic prophylaxis( To prevent post operative infection)
Psychological and physical preparation like shaving, panting and drapping of patient ( To prevent Stress and physical to prevent infection)
NBM status( Prevent aspiration)
Lab tests and imaging studies completed( To know the exact cause and Also guide in surgery)
surgery: left radical parotidectomy with preservation of facial nerve and reconstruction with left anterolateral thigh free...
Code the first operative report, include any CPT surgery code(s), anesthesia code(s), and any modifiers applicable. (20 points) Code the E&M code for the second office visit. 1. Description: Bilateral open Achilles lengthening with placement of short leg walking cast. PREOPERATIVE DIAGNOSIS: Idiopathic toe walker. POSTOPERATIVE DIAGNOSIS: Idiopathic toe walker. PROCEDURE: Bilateral open Achilles lengthening with placement of short leg walking cast. ANESTHESIA: Surgery performed under general anesthesia. A total of 10 mL of 0.5% Marcaine local anesthetic was used....