Office-Based Surgery in Otolaryngology

Author: Andrew Blitzer
Published: February 1998
ISBN: 086577739X
Hardcover Book
Number of Pages: 478

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Attempting to provide a comprehensive review of the subject, this text begins with an introduction to the basics of office surgery, including how to design the office, best utilize nurses and staff, conform to OSHA guidelines, handle legal issues, and other matters. Sections addressing regional surgical considerations follow and include otology, laryngology, facial plastic surgery, rhinology, the oral cavity, the throat, and the neck. . Blitzer, Andrew, MD, DDS (Columbia Univ Coll of Physicians and Surgeons); Pillsbury, Harold C., MD (Univ of North Carolina at Chapel Hill); Jahn, Anthony F., MD (Columbia Univ Coll of Physicians and Surgeons); Binder, William J., MD, FACS (UCLA Medical School)

Table of Contents
1 Office and Surgical Suite Location, Design, and Operation 1
2 OSHA and Otolaryngology Practice 15
3 Insurance and Legal Issues 23
4 Nursing, Staffing, Inventory and Supplies 27
5 Reimbursement and Credentialing Issues in Office-Based Surgery 33
6 Sedation, Anesthesia, and Recovery 39
7 Pediatric Otolaryngology Procedures 43
8 Surgery of the External Ear 49
9 Office Myringotomy and Ventilation Tube Placement 57
10 Testing of the Facial Nerve 61
11 Evaluation of Vertigo 71
12 Treatment of Benign Paroxysmal Positional Vertigo 79
13 Middle Ear Endoscopy 83
14 Office Management of the Chronic Mastoid Cavity 89
15 Management of Traumatic Perforations of the Tympanic Membrane 95
16 Simplified "Knife-less" Myringotomy 101
17 Office Tympanoplasty/Myringoplasty 103
18 Laser-Assisted Tympanostomy 109
19 Intratympanic Gentamicin for Peripheral Vestibular Ablation 113
20 Laryngeal Electromyography and Injection of Botulinum Toxin 117
21 Vocal Fold Augmentation 123
22 Indirect Procedures of the Larynx and Pharynx 129
23 Laser Assisted Endoscopic Laryngeal Surgery (LAELS) 139
24 Local Anesthesia for Laryngeal Surgery 143
25 Videolaryngoscopy: Equipment and Documentation 149
26 Endoscopy and Stroboscopy 159
27 Vocal Dynamics Laboratory 167
28 Assessment of the Patient with Swallowing Difficulty: The Videoendoscopic Swallowing Study 177
29 Otoplasty 191
30 Rhytidectomy 201
31 Perioperative Approaches for Efficient and Improved Results in Outpatient Rhinoplasty 215
32 Outpatient Facial Contouring through the Use of Facial Implants 225
33 Surgery of Facial Tumors 235
34 Facial Reconstruction in an Office-Based Operative Setting 243
35 Botulinum Toxin Injections for the Reduction of Hyperfunctional Facial Lines and Wrinkles 259
36 Lipo-Sculpting of the Face and Neck 265
37 Hair Replacement Surgery 275
38 Cutaneous Laser Exfoliation: A Contemporary Approach 285
39 Photodocumentation and Computer Imaging 297
40 Laser Hair Removal 309
41 Photodocumentation in Ear, Nose, and Throat Surgery 317
42 Treatment of Epistaxis 321
43 Laser Photocoagulation of the Inferior Turbinates 327
44 Turbinate Procedures 333
45 Nasal Polypectomy 339
46 Paranasal Sinus Drainage and Irrigation 343
47 Endoscopic Control of Nasopharyngeal Lesions 349
48 Nasal Septal Surgery 353
49 Oral Mucosal Biopsy Techniques 359
50 Salivary Gland Procedures 369
51 Laser Surgery of the Oral Cavity 387
52 Fine Needle Aspiration Cytology in the Head and Neck 395
53 Botulinum Toxin Injections for the Treatment of Oromandibular Dystonia and TMJ Dysfunction 419
54 Removal of Foreign Bodies 423
55 Laser-Assisted Serial Tonsillectomy 429
56 Laser-Assisted Uvulopalatoplasty (LAUP) 433
57 Electrosurgical Uvulopalatoplasty (UPP) 443
58 Ultrasonography 447
59 Management of Torticollis 451
60 Excision of Head and Neck Masses in the Office Setting 459
61 Closure of Tracheocutaneous Fistula 465

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