Case -T13-1B OPERATIVE REPORT, TYMPANOSTOMY TUBES

Case
-T13-1B OPERATIVE REPORT, TYMPANOSTOMY TUBES
LOCATION: Outpatient, Hospital
PATIENT: Maurice Nicole
ATTENDING PHYSICIAN: Jeff King, MD
PREOPERATIVE DIAGNOSES:
1. Bilateral chronic mucoid otitis media with effusion.
2. Bilateral eustachian tube dysfunction.
POSTOPERATIVE DIAGNOSES:
1. Bilateral chronic mucoid otitis media with effusion.
2. Bilateral eustachian tube dysfunction.
PROCEDURE PERFORMED: Bilateral pressure equalization tube placement
ANESTHESIA: General anesthetic by inhalation mask technique
PROCEDURE: Following informed consent from the patient's mother, he was taken to the operating room and placed supine on the operating table. The appropriate monitoring devices were placed on the patient, and general anesthetic was induced. He was maintained by inhalation mask technique. The right ear was evaluated under the operating microscope. Wax was removed. A radial incision was made at the 6 o'clock position on the right tympanic membrane. A thick effusion was suctioned from behind the right tympanic membrane. A tube was placed. Topical antibiotic drops were then applied.
The left ear was evaluated. Wax was removed. A radial incision was made at the 6 o'clock position. A very thick mucoid effusion was suctioned from behind the left tympanic membrane. A tube was then placed. Topical antibiotic drops were then applied.
The patient tolerated the procedure well and was transferred to the recovery room in good condition.
T13-1B:
SERVICE CODE(S): ___________________________________________________
ICD-10-CM DX CODE(S): ______________________________________________