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Space Index

0-9 ... 8 A ... 34 B ... 47 C ... 117 D ... 26 E ... 32
F ... 53 G ... 15 H ... 33 I ... 25 J ... 10 K ... 9
L ... 71 M ... 61 N ... 27 O ... 27 P ... 112 Q ... 0
R ... 41 S ... 175 T ... 76 U ... 18 V ... 30 W ... 12
X ... 7 Y ... 0 Z ... 8 !@#$ ... 0    

0-9

Page: 10 Minute Primer on PFTs Lecture 07 30 2016
10 Minute Primer on PFTs Lecture 07 30 2016 return to: Tracheostomy and Upper Airway Management Symposium July 30 2016 IAO and SOHN Iowa City Iowa Video of pulmonary function testing: https://medicine.uiowa.edu/iowaprotocols/10-minute-primer-pfts-lec
Page: 2016-2017 Temporal Bone Dissection Course for Iowa Otolaryngology Residents
head and necl large.png Temporal bone syllabus 2016-2017 return to: Courses at the University of Iowa return to: Iowa Otolaryngology Resident Handbook Temporal bone syllabus 2016-2017 2016 9/6 Introduction/Histology-Hansen 9/13 Drill –
Page: 2nd Arch Branchial Cleft Cyst Case Example
head and necl large.png 2nd Arch Branchial Cleft Cyst Case Example return to: Branchial Cleft Cyst - Sinus - Fistula Excision Click on image below to enlarge; advance to neck with cursor over mid-right lateral border
Page: 2nd Branchial Cleft Cyst Rads
2nd Branchial Cleft Cyst Also known as 2nd BCC, 2nd branchial cleft remnant or branchial cleft anomaly Congenital developmental defect in 2nd branchial apparatus which may occur as a sinus, fistula, cyst, or any combination of the three Characteristi
Page: 2nd Iowa Speech & Swallowing Flexible Fiberoptic Endoscopy Course
2nd Iowa Speech & Swallowing Flexible Fiberoptic Endoscopy Course December 4-5, 2009 Course Announcement and Places to Stay http://www.uihealthcare.com/depts/med/otolaryngology/conferences/index.html Course Topics with Selected Slide Presentations
Page: 3rd 4th Branchial Cleft Cyst Fistula Case 2
3rd 4th Branchial Cleft Cyst Fistula Case 2 return to: 3rd/4th Arch Branchial Cleft Cyst (Fistula)
Page: 3rd/4th Arch Branchial Cleft Cyst (Fistula)
3rd/4th Arch Branchial Cleft Cyst (Fistula) return to: Brachial Arch Anatomy and Embryology see also: 3rd 4th Branchial Cleft Cyst Fistula Case 2 under construction
Page: 50 Uses for Botulinum Toxin in the Head and Neck SOHN (Society of Head and Neck Nursing May 3 2014)
see: Botulinum Toxin Protocols return to: Courses at the University of Iowa SOHN 2014 meeting.jpg

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Page: Abscess - Oral Cavity Rads
Abscess - Oral Cavity Also known as Lugwig's angina; abscess of the root of tongue or sublingual or submandibular space Focal collection of pus in one or multiple oral cavity spaces Appears as a rim-enhancing fluid collection Important to define spa
Page: Accessory Salivary Tissue - Rads
Accessory Salivary Tissue Normal salivary tissue found in an unusual position most commonly along the tract of the parotid duct Imaging will show tissue with densities and signals equal to those of normal salivary tissue Most common location for acce
Page: Acoustic Neuroma Instrument Tray
head and necl large.png Acoustic Neuroma Instrument Tray return to:Nursing Instrument Guide return to: Acoustic Neuromas 1 Lucae University of Michigan (Spoon Shaped Jaw), Cup Bayonet, 5 3/4" 1 Satellight Micro Forceps, Counter Balance, Round Handl
Page: Acoustic Neuromas
head and necl large.png Acoustic Neuromas GENERAL CONSIDERATIONS Indications Middle cranial fossa removal Tumor less than 2 cm, not in contact with brainstem Usually for hearing preservation, but also for intracanalicular tumors with poor heari
Page: Acute Facial Paralysis Evaluation
head and necl large.png Acute facial paralysis evaluation: General considerations 80% of all peripheral facial paralysis is Bell’s palsy Diagnosis of exclusion Other etiologies include Ramsay Hunt Syndrome (Herpes Zoster Oticus) Characterized by otalgi
Page: Adenocarcinoma Metastatic to Neck
head and necl large.png Unknown Primary Cancer (Evaluation and Management) Adenocarcinoma Metastatic to Neck GENERAL CONSIDERATIONS General Adenocarcinoma is the most frequent light microscopic diagnosis (60%) in patients with carcinoma of unkn
Page: Adenoid Curette Instrument Tray
head and necl large.png Adenoid Curette Instrument Tray return to:Nursing Instrument Guide 1 Adenoid Curette, Reverse Curve, 8-1/4" Size 0 Size 1 Size 2 Size 3 1 Barnhill Adenoid Curette, 8-1/4" , Size 0 8-1/4" , Size 1 8-1/4", Size 3 1 Jones Adeno
Page: Adenoid Cystic Carcinoma
head and necl large.png AdCCBanner.png Please click on the Slides below for a quick overview of Adenoid Cystic Carcinoma (Use the right and left arrow keys to scroll) IPVirtSlide.png For an interactive look at the Histology of Adenoid Cystic Car
Page: Adenoid Cystic Carcinoma Rads
Adenoid Cystic Carcinoma Previous literature may refer to this tumor as a cylindroma Malignant salivary gland tumor arising from the peripheral salivary ducts Most commonly found superficially with slow growth characteristics and a propensity for per
Page: Adenoid Hypertrophy - Rads
Adenoid Hypertrophy Also known as reactive lymphoid hypertrophy or more simply reactive lymph nodes Benign etiology - lymphoid proliferation in response to antigen exposure Often noted with other lymphadenopthy in the neck Retropharyngeal nodes are
Page: Adult Airway in the Operating Room
Nav Panel Donors disclaimer head and necl large.png Adult Airway Day- August 12, 2014 Annual conference with hands-on experience with faculty led stations - as below. see also: Pediatric Airway Session - May 31, 2011 Microdirect
Page: Adult Flexible Bronchoscopy
head and necl large.png Adult Flexible Bronchoscopy return to:Head and Neck;Laryngology GENERAL CONSIDERATIONS Indications Diagnostic uses To evaluate the upper and lower airways to confirm that they are normal, or that there is an abnormality pres
Page: Aggressive Fibromatosis - Rads
Aggressive Fibromatosis Also known as desmoid fibromatosis, extra-abdominal desmoid fibromatosis, juvenile fibromatosis, infantile fibromatosis Bening soft tissue tumor arising from aponeuroses, derived from a fibroblast lineage Often observed as a p
Page: Airway Monitoring
head and necl large.png Use of Continuous Pulse Oximeters with Otolaryngology – Head and Neck Patients return to: Pediatric Airway; Head and Neck; Laryngology POLICY Guidelines for the duration of continuous pulse oximetry for Otolaryngology---He
Page: Alligator Forceps Tray
1 Forcep, Jackson Alligator, Grasping, Small , 50cm, 50-5422 1 Forcep, Jackson, Alligator, Grasping Small, 50 cm, 50-5020 1 Forcep, Jackson, Alligator, Grasping, Standard 28 cm 1 Forcep, Jackson, Alligator Grasping, Standard 60 cm
Page: Alt Front Page
Home - old (nov 2016) For Patients Visiting the Oto Clinic and Hospital Medical Information http://wiki.uiowa.edu/display/protocols/Patients For Clinicians Iowa Nursing Care 3JPW (specific protocols for UIHC) Nursing-(handouts, careplans) Instrument lists
Page: Amyloidosis Pathology Case Example
Amyloidosis Pathology Case Example Return to: Laryngeal Amyloidosis Pathology Pathogenesis Amyloidosis is an umbrella term for any buildup of mis-folded (beta pleated sheets) proteins in the extracellular space. Types of amyloid: Systemic Primary Amyloi
Page: Anatomy of submandibular gland and duct
head and necl large.png return to: Sialogram Technique return to: Salivary Ductoplasty see also: Case example Submandibular Gland Resection see also: Salivary Stone Removal with Ductoplasty from Submandibular Gland and Plunging Ranula Transoral
Page: Anspach Drill Tray
head and necl large.png Anspach E-Max Drill return to: Nursing Instrument Guide 1 Motor, Anspach E Max, with attached cable; black cap must be attached for sterilization 2 Attachment, Anspach, angled, 8cm, 5½" 1 Attachment, Anspach, angled, 11cm, 6
Page: Anspach E12 Saw
1 Saw, Anspach E12, 6 1/2" w/attached Cord
Page: Anterior Craniofacial Resection with Formal Anterior Bifrontal Craniotomy
head and necl large.png Anterior Craniofacial Resection With Formal Anterior Bifrontal Craniotomy see also: Anterior Pericranial and Galeofrontalis-Pericranial Flap and: Paranasal Sinus Surgery Protocols GENERAL CONSIDERATIONS Indications Tumors of
Page: Anterior Ethmoidal Artery Ligation
head and necl large.png Anterior Ethmoidal Artery Ligation for Epistaxis Control See also: Nose Bleed Management and Epistaxis Control Epistaxis GENERAL CONSIDERATIONS Anterior ethmoidal artery ligation is considered for continued epistaxis uncontrolle
Page: Anterior Glottic Web
001.bmp 009.bmp 015.bmp 017.bmp Refrerences: Endoscopic Laser Surgery of the Upper Aerodigestive Trach. eds Steiner W and Ambrosch P. 2000 Thieme Stutgart New York pp 60-61 "Prevention of Anterior Commissure Webs"
Page: Anterior Glottic Web Pediatric
head and necl large.png Anterior Glottic Web Indenting and outdenting in richtext should work as well
Page: Anterior Pericranial and Galeofrontalis-Pericranial Flap
head and necl large.png Anterior Pericranial and Galeofrontalis-Pericranial Flaps return to:Paranasal Sinus Surgery Protocols return to:Anterior Craniofacial Resection with Formal Anterior Bifrontal Craniotomy GENERAL CONSIDERATIONS Indications T
Page: Anterolateral Thigh Flap
head and necl large.png Anterolateral Thigh Flap return to: Microvascular Surgery Protocols GENERAL CONSIDERATIONS Indications The thigh flap provides a tremendously versatile soft tissue flap. In selected patients, the skin paddle is as thin and
Page: Antibiotic Prophylaxis in Head and Neck Surgery
head and necl large.png Antibiotic Prophylaxis in Head and Neck Surgery GENERAL CONSIDERATIONS Wound Classifications Clean: Operation under aseptic conditions, no break in sterile technique, no evidence of infection or contamination of the wound,
Page: ARD- Arytenoid Repositioning Device
head and necl large.png see also: Arytenoid Repositioning Device Video (2011 Experiment) see also Transillumination technique (password protected):Transilluminating Obturator ARD- Arytenoid Repositioning Device ARD01.jpg ARD ver 1 Standard approache
Page: Arnold-Bruening Intraoral Injection Tray
head and necl large.png Arnold-Bruening Intraoral Injection Tray return to: Nursing Instrument Guide 1 (Arnold-Bruening) Adaptor, Luer Lock, 5/8'' 1 (Arnold-Bruening) Arnold Injection Needle, Straight 20.5 cm x 18G Tip and Stylet 20.5 cm x 19G T
Page: Arterial Graft Instrument Tray
head and necl large.png Arterial Graft Instrument Tray return to:Nursing Instrument Guide 1 Potts Tenotomy Scissors, Curved, 13.9 cm 1 Diethrich Coronary Artery Scissors, 45°, 17.7 cm 1 Diethrich Circumflex Artery Scissors with Stabilizing Bar, 13
Page: Arytenoid Adduction Combined with Medialization Laryngoplasty through Type I Gore Tex Thyroplasty
head and necl large.png Arytenoid Adduction (Combined With Medialization LaryngoplastyThrough Type I Gore-Tex Thyroplasty) return to: Laryngeal Surgery (Benign Disease) Protocols click to access: Case example Thyroplasty with arytenoid adduction u
Page: Arytenoid Repositioning Device Video (2011 Experiment)
head and necl large.png Arytenoid Repositioning Device Video (2011 Experiment) return to: ARD- Arytenoid Repositioning Device return to: Bloomington Indiana Visit 03062014 see also: Transilluminating Obturator (password protected) see also: MERS M
Page: ASC K28 Hall Microsagittal Saw Basket
head and necl large.png ASC K28Hall Microsagittal Saw Basket return to: Nursing Instrument Guide 2 Blades, Hall Microsagittal Saw, Fine, Straight, 0.18 in x 1.0 in, #5053-39
Page: Authors boxes
Otolaryngology, Nursing, Audiology, and Speech Pathology Editor: Henry Hoffman, MD Managing Editors: Karen Dondelinger, Grant Worthington, and Kay Klein Illustrated by Timothy McCulloch, MD Chinese Editor: Jack Jiang MD, PhD Protocols Student Editor: St

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Page: Baha (Osseointegrated Hearing Implant)
Baha (Osseointegrated Hearing Implant) return to: Otology - Neurotology GENERAL CONSIDERATIONS Patient Selection Conductive Hearing Loss The Baha System is indicated for patients who have a unilateral or bilateral conductive or mixed hearing loss and ca
Page: Baha (Osseointegrated Implant)
Click for Case Example BAHA GENERAL CONSIDERATIONS Patient Selection Conductive Hearing Loss The Baha System is indicated for patients who have a conductive or mixed hearing loss and can still benefit from amplification. Patients who wear a conventional
Page: Baha Instrument Tray
head and necl large.png Baha Instrument Tray return to: Nursing Instrument Guide 1 Cochlear Surgical Organizer, titanium 1 Cochlear Dissector 1 Cochlear Forceps, titanium 1 Cochlear Cylinder Wrench 1 Cochlear Screwdriver, unigrip 1 Cochler Counter
Page: Bartholin's duct on normal sialogram
Bartholin's duct on normal sialogram return to: Sialograms and Sialography
Page: Bartholins duct anatomy
Bartholins duct anatomy return to: Sialendoscopy Course LSU New Orleans Lectures (Hoffman) March 21-22, 2015
Page: Basic Ear Room Setup
head and necl large.png Basic Ear Room Setup EQUIPMENT Operating room table in reverse orientation with two arm boards Back tables x 2 Gown table Mayo stand Ring stands x 2 IV stands x 3 Elbow guards x 2 Pillows x 2 Foam rubber padding 6" x 12" (x
Page: Basic soft tissue pack
head and necl large.png Basic Soft Tissue Pack Split sheet Mayo stand cover Instrument pouch Magnetic needle counter Cautery tip cleaner Unipolar cautery Cautery holster 18 x 18 x-ray detectable lap sponges x 5 4 x 4 x-ray detectable sponges x 20 P
Page: Basic Soft Tissue Room Setup
head and necl large.png Basic Soft Tissue Room Setup EQUIPMENT Operating room table in reverse orientation with arm boards Back table Gown table Sequential compression device Iowa elbow guards x 2 Fiberoptic light projector with headlights x 2
Page: Basosquamous Cell Cancer
head and necl large.png Basosquamous carcinoma (BSC) Also known as metatypical basal cell carcinoma Current theory is that basosquamous carcinoma is a rare variant of basal cell carcinoma with areas of differentiation into squamous cell carcinom
Page: Bell's Palsy treatment algorithm (facial nerve paralysis treatment)
head and necl large.png Bell's Palsy treatment algorithm return to: Otology - Neurotology Click Below to Enlarge In patients with Bell's Palsy (facial weakness), return to normal facial nerve function (HB I) occurred in the following % of patients:
Page: Benign Lymphoepithelial Lesions - Rads
Benign Lymphoepithelial Lesions Abbreviated as BLL-HIV (benign lymphoepithelial lesion of human immunodeficiency virus) Not an AIDS patient diagnosis, so avoid calling AIDS-related parotid cysts Look for solid and cystic structures in enlarged paroti
Page: Benjamin Operating Laryngoscope Infant Tray
1 Laryngoscope, Benjamin Operating, Small 11.5cm 1 Light Carrier, Bemjamin Lindholm , 3", 2mm id x 3mm 1 Suction Tube, Storz Insertable 3 1/2"
Page: Benjamin Ryker Laryngoscope Tray
head and necl large.png Benjamin Ryker Laryngoscope Tray 1 Benjamin Operating Laryngoscope, 14.9 cm WL, 11 mm x 14 mm ID, 12 mm x 15 mm OD 1 Benjamin Suction Tube, 13.3 cm TL, 10.1 cm WL, 2 mm ID, 3 mm OD 1 Benjamin Operating Light Carrier, with
Page: Benjamin Subglottiscope Child/Adolecent Tray
1 Subglottiscope, Benjamin, Child 5 1/2" 1 Light Carrier, Fiber Optic, 4 1/4"
Page: Benjamin Subglottiscope Infant Tray
1 subglottiscope, Infant , 4 3/4" 1 Light carrier, Benjamin Lindholm 3", 2mm id x 3mm
Page: Benjamin Subglottiscope Neonate Tray
1 Subglottiscope, Neonate 4 1/4" 1 Light Carrier, Holinger Benjamin Fiberoptic 3 1/4" 1 Suction Tube, Storz Insertable 3 1/2''
Page: Benjamin Weerda Diverticuloscope Tray
1 Diverticuloscoope, Weerda 9" 1 Diverticuloscope, Hollinger Benjamin 9 3/4" 2 Light Carrier , Storz w/storz adapter 1 Suction Tube 8 3/8" 2 Weerda Handle 4 3/4"
Page: Bien Otologic Electric Drill Tray
head and necl large.png Bien Otologic Electric Drill Tray 1 (Bien) Ball Bearing Handpiece, Straight, 11.1 cm 1 (Bien) Ball Bearing Handpiece, Angled, 12.7 cm 1 Bien Otologic Micromotor 40,000 RPM, 100 mm 1 Hall Burr Brush, 7.6 cm 1 Bien Electric Dr
Page: Bilateral Cheiloplasty
return to:Cleft Lip and Palate Protocols https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Cleft+Lip+and+Palate+Protocols TECHNIQUE Much different design considerations from unilateral repair Most often used technique at our institution i
Page: Bilateral Cochlear Implant Prep and Drape
head and necl large.png (click on first photo to enlarge then on arrow to advance): Patient is positioned supine with three safety straps (across the chest, hips, and legs) and test-roll performed to ensure that the table can be tilted safely intrao
Page: Bilateral Vocal Cord Paralysis
head and necl large.png Bilateral Vocal Cord Paralysis return to: Management of Specific Voice Disorders see also: Vocal Fold Paralysis (Vocal Cord Paralysis) Etiologies and Unilateral Laryngeal Paralysis or Vocal Cord Paralysis Case Examples: Exam
Page: Billing and Coding
head and necl large.png Billing and Coding return to: Iowa Otolaryngology Resident Handbook see also: Nine minute video: Resident Education of Billing and Coding for Physician Services E&M coding Reference Card H&P- Template for Dictation of New V
Page: Billing and Coding video
Billing Coding
Page: Biomedical Engineering Graduate Seminar May 5 2011
head and necl large.png Biomedical Engineering Graduate Seminar May 5 2011 return to: Courses at the University of Iowa Engineering Science and Medicine Thursday at 12:30 PM. Room 101 BCSB (Becker Communications Building, near the main library)
Page: Bipolar Forceps Trays
head and necl large.png Bipolar Forceps Trays and Single Package Items I. Trays a. Malis® Hardy Micro Bayonet Bipolar Forceps, 22.2 cm Long with cord b. Stryker® Silverglide bipolar forceps c. Kirwan bipolar forceps tray d.
Page: Blastomycosis causing laryngeal leukoplakia
head and necl large.png Blastomycosis causing laryngeal leukoplakia Return to: Laryngeal leukoplakia white plaques on vocal cords Go to: Candidiasis causing laryngeal leukoplakia Go to: Overview of squamous dysplasia Blastomyces dermatitidis, a so
Page: Bloomington Indiana Visit 03062014
Bloomington Indiana Visit 03062014 Vocal Fold (Cord) Paralysis Laryngology background (anatomy/physiology): Common Voice Disorders April 4 2011 Hoffman Videostroboscopy Unilateral Laryngeal Paralysis or Vocal Cord Paralysis Bilateral Vocal Cord Paral
Page: Botox Injection for Freys Syndrome
head and necl large.png Intracutaneous Botulinum Toxin An injection for Frey's Syndrome return to: Botulinum Toxin Protocols return to: Salivary Gland Surgery Protocols (aka auriculotemporal syndrome or gustatory sweating) Click on video below to a
Page: Botox injection to salivary glands for hypersalivation
Botox injection to salivary glands for hypersalivation return to: Botulinum Toxin Protocols see also: Salivary Ultrasound Case #1 Hyper-salivation addressed with 4 gland Botox insufflation Case #2 Excessive salivary flow from right parotid following
Page: Botulinum Neurotoxin A Injection
head and necl large.png Botulinum Neurotoxin A Injection return to: Laryngeal Surgery (Benign Disease) Protocols see: Botulinum neurotoxin preparations Case example EMG guided laryngeal Botox Injection Case Example Vocal Tremor Response to Botox
Page: Botulinum neurotoxin preparations
Botulinum neurotoxin preparations return to:Botulinum neurotoxin treatment of salivary gland disorders; Botox injection to salivary glands for hypersalivation or return to: 50 Uses for Botulinum Toxin in the Head and Neck SOHN (Society of Head and Neck
Page: Botulinum neurotoxin treatment of salivary gland disorders
Botulinum neurotoxin treatment of salivary gland disorders return to: Botulinum Toxin Protocols see also:Sialendoscopy Course LSU New Orleans Lectures (Hoffman) Feb 1-2, 2014 Hypersalivation Ptyalism Sialorrhea Botox injection to salivary glands for
Page: Botulinum toxin injection to cricopharyngeus
head and necl large.png Botulinum toxin (Botox) Injection to Cricopharyngeus return to: Botulinum Toxin Protocols return to:Tracheoesophageal Puncture , Botulinum Neurotoxin A Injection or Head and Neck Cancer Symposium MCOW September 23 2011 (un
Page: Botulinum Toxin Protocols
Botulinum Toxin Protocols return to: 50 Uses for Botulinum Toxin in the Head and Neck SOHN (Society of Head and Neck Nursing May 3 2014) Botulinum neurotoxin preparations Case example EMG guided laryngeal Botox Injection Case Example Vocal Tremor Response
Page: Bouchayer Laryngoscope Tray
1 Bouchayer Laryngoscope, WL 7" 1 Light Carrier w/adapter, 6 1/4"
Page: BPPV Patient Handout
head and necl large.png BPPV Patient Handout You may have a disorder called BPPV (Benign Paroxysmal Positional Vertigo). This causes dizziness as a result of particles (calcium crystals) floating in the semicircular canal of your ear. Benign: NOT ma
Page: Branchial Cleft Cyst - Sinus - Fistula Excision
head and necl large.png Branchial Cleft Cyst/Sinus/Fistula Excision see:Brachial Arch Anatomy and Embryology, 2nd Arch Branchial Cleft Cyst Case Example and Second Arch Branchial Cleft Fistula Case Example and: Branchial Cleft Fistula First Ar
Page: Branchial Cleft Fistula First Arch Case Example
head and necl large.png OPERATIVE PROCEDURE Multiple previous procedures including parotidectomy failed to resolve recurrent cyst formation with intermittent drainage. preop3.png Revision parotidectomy and resection to include a segment of the ca
Page: Branchio-oto-renal Syndrome (Melnick-Fraser Syndrome)
Branchio-oto-renal Syndrome (Melnick-Fraser syndrome) See also: Second Arch Branchial Cleft Fistula Case Example Branchio-oto-renal (BOR) syndrome, also known as Melnick-Fraser syndrome, is characterized by an association of: 1) brachial fistulae or
Page: Bronchofiberscope, Olympus
head and necl large.png Bronchofiberscope, Olympus 2 Olympus Biopsy Forceps, Standard Fenestrated, Handle, 14.2 cm, Spring, 3.4 cm, 1116.5 cm TL 1 Wire Cutting Scissors, Curved, 12.0 cm 1 Olumpus Bronchofiberscope Model BF/Type P30, 5 mm Diameter, 2
Page: Bronchoscope Tray, Sharplan CO2 Laser Instrument Tray
head and necl large.png Bronchoscope Tray, Sharplan CO2 Laser Instrument Tray 1 Sharplan CO2 Laser Bronchoscope with 1 Respiration Connector 15 mm for each 4 mm Diameter x 250 mm 6 mm Diameter x 350 mm 8 mm Diameter x 450 mm 9 mm Diameter x 350 mm 1
Page: Bronchoscopy Tray, Adult
head and necl large.png Bronchoscopy Tray, Adult 1 Sam Roberts Bronchoscopic and Esophagoscopic Biopsy Forceps, Standard Medium Light Weight, 4 mm x 50 cm, Scope Size - 7 mm+, Angular and Straight 1 Fluvog, w/sliding glass window plug adapter, 3-1/4
Page: Bronchoscopy Tray, Child
head and necl large.png Bronchoscopy Tray, Child 1 Mayo Dissecting Scissors, Straight, 13.9 cm 1 Crile Artery Forceps, Curved, 15.8 cm 1 Backhaus Towel Forceps, 7.6 cm 1 Jackson Alligator Grasping Forceps, Extra Delicate, 3.5 cm, Scope Size #3.5 mm+
Page: Bucal Mucosal Graft Tray
2 DeBakey Thoracic Forceps 6" 2 Cushing Tissue Fine Forceps, w/1x2 Teeth , 7" 1 #7 Knife Handle, 6 1/2 " 1 Steven Tenotomy Curved Scissors, 4 1/2" 1 Steven Tenotomy Curved Scissors, 5 1/2" 1 Mayo Dissecting Scissors , Straight 5 1/2" 1 Trusler Dean Diss
Page: Buccal mucosa and Masticator space anatomy
head and necl large.png Buccal mucosa and masticator space anatomy return to: Buccal Mucosa Graft for Urethral Reconstruction return to:Case Example of Buccal Fat Flap Palate Reconstruction Anatomy of the buccal mucosa:The buccal mucosa is bordered
Page: Buccal Mucosa Graft for Urethral Reconstruction
head and necl large.png Buccal Mucosa Graft for Urethral Reconstruction (click to see: Buccal Mucosal Harvest - case example (bilateral); Buccal mucosa and Masticator space anatomy return to: Reconstructive Procedures Protocols Communication with n
Page: Buccal Mucosal Harvest - case example (bilateral)
head and necl large.png return to: Buccal Mucosa Graft for Urethral Reconstruction return: L buccal mucosal graft 11 x 3.5 cm from oral commissure past retromolar trigone to anterior tonsillar pillar R buccal mucosal graft 6 x 3 cm from ora

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Page: Calcific Tendonitis of Longus Colli
Calcific Tendonitis of Longus Colli Return to Myositis Ossificans of the Neck Surgical Treatment Heterotopic Bone Formation After Trauma
Page: Calcium Management in Thyroidectomy Patients - Hypocalcemia
head and necl large.png Calcium Management in Thyroidectomy Patients - Hypocalcemia (return to: Thyroidectomy and Thyroid Lobectomy) see also: PTH and vitamin D protocol Introduction: Hypocalcemia: varies from asymptomatic to life-threatening
Page: Call Guidelines
head and necl large.png Call guidelines Disclaimer: This document does not replace or substitute for the experience of the senior residents and staff. Your backup resident has jurisdiction over your call and should be called with any concerns or q
Page: Calvarial Bone Graft
head and necl large.png Calvarial Bone Graft see also: Case Example Calvarial Bone Graft Harvest return to:Reconstructive Procedures Protocols GENERAL CONSIDERATIONS Indications Bone grafts are used for a variety of purposes in facial skeletal surg
Page: Canal Wall Reconstruction (Mastoidectomy)
head and necl large.png Canal Wall Reconstruction (Mastoidectomy) return to: Otology - Neurotology General considerations Indications: Chronic otitis media with cholesteatoma in children and adults. We use this technique for most cholesteatomas
Page: Cancer Management Principles
Cancer Care Principles https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Cancer+Care+Principles Radiation Induced Malignancy in the Head and Neck https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Management+Consideration+++++++
Page: Candidiasis causing laryngeal leukoplakia
head and necl large.png Candidiasis causing laryngeal leukoplakia Return to: Laryngeal leukoplakia white plaques on vocal cords Go to: Blastomycosis causing laryngeal leukoplakia Candida species can invade squamous mucosa and mimic the alterations
Page: Carcinoma of External Auditory Canal and Middle Ear
head and necl large.png Carcinoma of the External Auditory Canal and Middle Ear return to: Otology - Neurotology GENERAL CONSIDERATIONS Demographics Rare cancer, approximately 250 cases per year in the USA. Usually history of outdoor occupations (i
Page: Carcinoma-in-situ vs Severe Dysplasia
head and necl large.png return to: Laryngeal leukoplakia white plaques on vocal cords see also: Overview of squamous dysplasia Head and Neck Click on image to enlarge: Under construction
Page: Carotid Artery Resection in Head and Neck Cancer Treatment
head and necl large.png Carotid Artery Resection in Head and Neck Cancer Treatment GENERAL CONSIDERATIONS Indications Resection of the common or internal carotid artery due to invasion by malignant disease has been the subject of considerable stu
Page: Carotid Body and Carotid Sinus -- General Information
head and necl large.png Carotid Body and Carotid Sinus – General Information See also: Carotid Body Paragangliomas, Carotid Body Tumor Case Example, and Carotid Body Tumor Resection Carotid Body The carotid body is a chemoreceptor located in the adven
Page: Carotid Body Paraganglioma
Carotid Body Paraganglioma return to: Carotid Body and Carotid Sinus -- General Information General: Also known as carotid body tumor, chemodectoma, and non-chromaffin paraganglioma A benign vascular tumor originating from glomus bodies in the carotid
Page: Carotid Body Tumor and Carotid Body Paraganglioma Case Example
head and necl large.png Carotid Body Tumor and Carotid Body Paraganglioma Case Example see also: Carotid Body and Carotid Sinus -- General Information, Carotid Body Paraganglioma, Carotid Body Tumor Resection, Carotid body tumor resection and vasom
Page: Carotid Body Tumor Resection
head and necl large.png Carotid Body Tumor Resection see also: Carotid Body and Carotid Sinus - General Information, Carotid Body Paraganglioma, Carotid Body Tumor - Case Example, and Carotid body tumor resection and vasomotor instability (blood pr
Page: Carotid body tumor resection and baroreflex failure (blood pressure problems)
see also: Carotid Body and Carotid Sinus -- General Information, Carotid Body Tumor Resection, Carotid Body Paraganglioma, Carotid Body Tumor and Carotid Body Paraganglioma Case Example Introduction: Baroreceptors sense systemic changes in blood pressu
Page: Carotid Dissection - Rads
Carotid Dissection An intimal tear allows blood to enter the arterial wall and separate the intimal layer of the artery from the media, forming a hematoma Most commonly occur in the internal carotid artery 2-3 cm away from the bifurcation of the commo
Page: Carotid Pseudoaneurysm Rads
Carotid Pseudoaneurysm Partial or total distruption of the vessel wall with hemorrahege into the lumen Can be saccular or fusiform in shape, usually 1-3 cm in size On CT: vessel wall will be calcified if chronic on non-contrast; central luminal enhan
Page: Carotid Rupture Precautions
head and necl large.png Carotid Artery Rupture Precautions PURPOSE Precautionary measures if the carotid artery is endangered. EQUIPMENT To be placed at the bedside (OR cart available on unit): Standard precaution supplies (gloves, goggles, mas
Page: Case example EMG guided laryngeal Botox Injection
head and necl large.png Case example EMG guided laryngeal Botox Injection Botulinum neurotoxin A, Electromyography, Larynx, Spasmodic Dysphonia return to: Botulinum Toxin Protocols see also: Laryngeal Movement Disorders Clinic (Neurolaryngology) s
Page: Case Example Lip Reconstruction Peri-alar Crescentic Advancement Flap
head and necl large.png Case Example Lip Reconstruction Peri-alar Crescentic Advancement Flap S/P "Moat" Procedure for lentigo maligna surrounding invasive melanoma Moat Procedure: refers to circumferential clearance of margins by Mohs procedure
Page: Case Example Lip Split for Mandibulectomy
head and necl large.png Case Example Lip Split for Mandibulectomy return to: Lip Split with Mandibulotomy Approach for Oral and Pharyngeal Access Click on picture to enlarge; advance to neck by arrow that will appear with hovering over middle of
Page: Case Example Parotid Lipoma-like Liposarcoma
head and necl large.png Case Example Parotid Lipoma-like Liposarcoma Return to:Parotidectomy with Facial Nerve Dissection see also: Case example neck apocrine cystadenoma presenting clinically similar to lipoma Parotid Mass Preop CT: Well circums
Page: Case Example Resection of Parotid Warthins Tumor without Facial Nerve Dissection
head and necl large.png Case Example: Resection of Parotid Warthins tumor without facial nerve dissection. return to: Parotidectomy with Facial Nerve Dissection Click on image to enlarge and advance to next with arrow over midportion of right bord
Page: Case Example Subglottic Stenosis and Relapsing Polychondritis
head and necl large.png Subglottic Stenosis and Relapsing Polychondritis return to:Subglottic Stenosis - Example Cases or to: Subglottic stenosis click on image to enlarge, advance to neck image via arrow that appears by hovering over the mid-right
Page: Case Example Teflon Injection for Laryngeal Paralysis 29 year followup
<img class="confluence-embedded-image image-center" title="Test &gt; Home - old (nov 2016) &gt; head and necl large.png" src="https://iowaheadneckprotocols.oto.uiowa.edu/download/attachments/7276347/head%20and%20necl%20large.png?version=1&amp;modifi
Page: Case example thyroglossal duct cyst with tract through to oropharynx
head and necl large.png Case Example Thyroglossal duct cyst complicated by infection due to communication with oropharynx. return to: Thyroglossal Duct Cyst Excision 47 yo with anterior neck swelling addressed with surgical removal to thyroglos
Page: Case example Thyroplasty with arytenoid adduction under General Anesthesia
head and necl large.png See sequence of videos at bottom of page depicting preop / intraop (procedure) / short term postop / 16 months postop return to: Unilateral Laryngeal Paralysis or Vocal Cord Paralysis or Arytenoid Adduction (Combined wi
Page: Case Example Vocal Fold Nodule Surgery
head and necl large.png Case Example Vocal Fold Nodule Surgery return to:Vocal Nodules (vocal fold nodules, vocal cord nodules, singer's nodes) Teacher with significant vocal demands and dysphonia. Managed initial initially with voice therapy wi
Page: Case example - Anterior mandibular reconstruction with osteocutaneous fibula free flap
head and necl large.png see also: Segmental and Rim Mandibulectomy; Fixation of Vascularized Bone Flaps Case history: Patient with a T4N0 squamous cell carcinoma of the mandible. Physical exam demonstrates an ulcerative mass extending from th
Page: Case example - CO2 Laser Cordectomy for a T1AN0 SCCA of left TVC
head and necl large.png Patient presented with a T1AN0 SCCA of left TVC. CO2 Laser was used to remove this lesion with a 0.1 cm depth of invasion. Of note, this lesion did not involve the anterior commisure. A portion of the left false vocal fol
Page: Case example - Vocal Process Granuloma
head and necl large.png Return to Protocol: Vocal Process Granuloma See also: Botulinum Toxin Protocols Case history: 50 yo man who presented to our clinic in 2005 with dysphonia and a vocal fold lesion c/w vocal process granuloma Chronology: 1997
Page: Case Example 1: Subglottic Stenosis due to Wegener's Granulomatosis
head and necl large.png Return to: Wegeners Granulomatosis Return to: Subglottic Stenosis - Example Cases see also: Spirometry PIF Peak Inspiratory Flow CLINICAL HISTORY: A 31 year old female presented to UIHC on 8/13/2010 with a history of facial
Page: Case Example 2 - Posterior Scar Band
head and necl large.png return to: Posterior Glottic Stenosis Subglottic Stenosis - Example Cases Case History: Presentation at the UIHC on 6/11/13 Bogdasarian Type 1 Type I involves an interarytenoid scar band between the vocal folds that is ante
Page: Case example 2 Posterolateral Neck Dissection and Anatomy
head and necl large.png Return to: Posterolateral Neck Dissection or Case Example Posterolateral Neck Dissection Case Example 2 51 yo with ulcerated melanoma of scalp/post-auricular region with 20 mm depth invasion with lymphovascular spread. PET u
Page: Case Example 2 Retrograde Sialendoscopy to Prevent Retained Ductal Stone with Submandibular Gland Resection
head and necl large.png Case Example 2 Retrograde Sialendoscopy to Prevent Retained Ductal Stone with Submandibular Gland Resection return to: Submandibular Gland Resection Modified Operative NotePre Op Dx: 2.6 cm left submandibular stone with recu
Page: Case Example Atypical Spitz Nevus
head and necl large.png Case Example Atypical Spitz Nevus return to:Spitz Nevus see also: Full thickness skin graft and Case Example Full Thickness Skin Graft July 2010: Evaluated by her dermatologist with a right auricular "pink, scaly nodule' wi
Page: Case Example Calvarial Bone Graft Harvest
head and necl large.png Case Example Calvarial Bone Graft Harvest return to:Calvarial Bone Graft click on image below to enlarge; hover over mid-right border to advance to next image
Page: Case Example Cricoarytenoid Abscess with Rheumatoid Arthritis
Case Example Cricoarytenoid Abscess with Rheumatoid Arthritis Return to: Laryngeal Surgery (Benign Disease) Protocols Airway compromise associated with cricoarytenoid joint fixation due to rheumatoid arthritis is an uncommon but well described complicati
Page: Case Example Deep Lobe Parotid Tumor Parapharyngeal Space Pleomorphic Adenoma
head and necl large.png Case Example Deep Lobe Parotid Tumor Parapharyngeal Space Pleomorphic Adenoma return to:Parotidectomy with Facial Nerve Dissection see also: Pleomorphic Adenoma Click on photo below to enlarge; use cursor over midporti
Page: Case example dilation technique for salivary duct stenosis with fluoroscopy
Case example dilation technique for salivary duct stenosis with fluoroscopy return to: Salivary Duct Stenosis
Page: Case Example Endoscopic CSF Repair
head and necl large.png Case Example Endoscopic CSF Repair return to: Paranasal Sinus Surgery Protocols Copy and paste extras Indenting and outdenting in richtext should work as well Protocol for fluorescein injection into CSF with the aid of Neur
Page: Case example four flap epithelial lined tracheotomy with thyroid isthmusectomy and anterior cervical lipectomy
head and necl large.png Case example four flap epithelial lined tracheotomy with thyroid isthmusectomy and anterior cervical lipectomy return to: Four-flap Epithelial Lined Tracheotomy Clinical Background: Tracheomalacia status post previous standa
Page: Case Example Full Thickness Skin Graft
head and necl large.png return to: Full thickness skin graft or Case Example T1a Lentigo Maligna Melanoma Resection with Porcine Graft Reconstruction return to: Reconstructive Procedures Protocols see: Case Example Split Thickness Skin Graft STSG Zi
Page: Case Example I131 Sialadenitis Treated With Sialendoscopy, Steroid Infusion and Sialadenectomy
Case Example I131 Sialadenitis Treated With Sialendoscopy, Steroid Infusion and Sialadenectomy return to: Salivary Swelling see also: I131 sialadenitis (Radioiodine Sialadenitis) Note: Amifostine is no longer used to protect against deleterious effects o
Page: Case Example Laryngeal Amyloidosis
head and necl large.png return to:Laryngeal Amyloidosis Case example: 65 yo presented to UIHC in 1999 with a one-year history of decreased voice strength and dysphonia with gradual progression over the preceding year. A biopsy was done to establish
Page: Case Example Level I Neck Dissection
Case Example Level I Neck Dissection return to:Case example Submandibular Gland Resection References authors name date cite:
Page: Case Example Mediastinal Tracheostomy with Anatomic Diagrams
head and necl large.png Case Example Mediastinal Tracheostomy (Tracheotomy) with Anatomic Diagrams return to:Mediastinal tracheostomy for total laryngectomy with resection of manubrium Click on image to enlarge, advance to neck image by clicking on
Page: Case example neck apocrine cystadenoma presenting clinically similar to lipoma
head and necl large.png Case example neck apocrine cystadenoma presenting clinically similar to lipoma see also: Case Example Parotid Lipoma-like Liposarcoma Click on image to enlarge; advance with cursor over right lateral border Modified Operativ
Page: Case Example of Buccal Fat Flap Palate Reconstruction
head and necl large.png Case Example of Buccal Fat Flap Palate Reconstruction Minor salivary gland cancer - low grade mucoepidermoid carcinoma of the palate see also:Buccal mucosa and Masticator space anatomy; Mucoepidermoid Carcinoma Histopatholo
Page: Case Example of Pectoralis Myocutaneous Flap
head and necl large.png Case Example Pectoralis Myocutaneous Flap Chang K MD, Boyd N MD and Hoffman H MD U of Iowa return to: Pectoralis Major Myocutaneous Flap and Myofascial Flap Click on image below to activate 7 minute video of procedur
Page: Case Example of Submandibular Gland Resection with Sialendoscopy to Avoid Retained Stone in Duct Remnant
head and necl large.png Case Example of Submandibular Gland Resection with Sialendoscopy Employed to Avoid Retained Stone in Duct Remnant return to: Submandibular Gland Resection see modified operative note below identifying approach used to avoid
Page: Case Example of Thyroglossal duct cyst excision standard approach
head and necl large.png return to: Thyroglossal Duct Cyst Excision see sample operative note below images Click on first image to enlarge then arrow to advance: Sample Operative Note (modified, but applicable to case presented) After written inform
Page: Case Example Parotidectomy with sacrifice of buccal branch
head and necl large.png Case Example: Parotidectomy Requiring Sacrifice of Buccal Branch with intact facial nerve function due to preservation of anastomosing buccal branches return to: Parotidectomy with Facial Nerve Dissection Click on image be
Page: Case Example Percutaneous Tracheotomy
head and necl large.png Case Example Percutaneous Tracheotomy return to: Percutaneous Tracheotomy - Dilation Click on video below to begin Endoscopic View of Percutaneous Tracheotomy with Suspension Laryngoscopy Perc Trach 12082010 Modified/edit
Page: Case Example Posterior Cordotomy for Bilateral Vocal Cord Paralysis
head and necl large.png Bilateral Vocal Cord Paralysis Posterior Cordotomy return to: Bilateral Vocal Cord Paralysis; Tracheostomy and Upper Airway Management Symposium July 30 2016 IAO and SOHN Iowa City Iowa 2001 underwent total thyroidectomy wi
Page: Case Example Posterior Glottic Stenosis (Scarring)
head and necl large.png Posterior Glottic Stenosis (Scarring) Page 1 return to: Posterior Glottic Stenosis ~ 50 yo male intubated for 14 days one year before evaluation in our clinic. Progressive airway obstruction after extubation resulted in a
Page: Case Example Posterolateral Neck Dissection
head and necl large.png return to protocol: Posterolateral Neck Dissection more anatomic detail: Case example 2 Posterolateral Neck Dissection and Anatomy History: 44-year-old woman whose family members identified a pigmented lesion at the junction
Page: Case Example Retained Submandibular Stone After Submandibular Gland Resection with neck fistula
head and necl large.png Case Example Retained Submandibular Stone After Submandibular Gland Resection with neck fistula return to: Submandibular Gland Resection or Sialolithiasis see also: Case Example 2 Retrograde Sialendoscopy to Prevent Retai
Page: Case Example Sentinel Lymph Node Biopsy
head and necl large.png Case Example: Sentinel Lymph Node Biopsy see video of procedure at bottom of page: return to: Sentinel Lymph Node Biopsy (contains information not only about false negatives, but also controversy re: use of SLN bx) see also:
Page: Case Example Sequence of Response to External Beam Irradiation for T1 Glottic SCC
head and necl large.png see also: Management Consideration Radiation Induced Malignancy in the Head and Neck and: Laryngeal leukoplakia white plaques on vocal cords Case Example Sequence of Response to External Beam Irradiation for T1 Glottic SCC
Page: Case Example Split Thickness Skin Graft STSG Zimmer Dermatome settings
head and necl large.png Case Example Split Thickness Skin Graft (STSG) with harvest technique, followup, and wound care S/P "Moat" Procedure for lentigo maligna surrounding invasive melanoma Moat Procedure: refers to circumferential clearance of m
Page: Case example Submandibular Gland Resection
head and necl large.png Return to: Submandibular Gland Resection See also: Anatomy of submandibular gland and duct Case Example Level I Neck Dissection Marginal Mandibular Nerve Weakness (Ramus Mandibularis) Level I Neck Dissection (extended) recurr
Page: Case example Submental flap for oral cavity defect
Picture 002.jpg T2 tongue cancer with extensive submucosal extension Picture 008.jpg Hemiglossectomy defect Picture 003.jpg Design of flap around identified cutaneous perforators Picture 005.jpg Flap after completion of elevation and lymphadenectomy.
Page: Case Example T1a Lentigo Maligna Melanoma Resection with Porcine Graft Reconstruction
head and necl large.png Case Example T1a Lentigo Maligna Melanoma Resection with Porcine Graft Reconstruction see also subsequent reconstruction with full thickness skin graft with long term f/u:Case Example Full Thickness Skin Graft return to: M
Page: Case Example Temporal Arteritis with Tongue Necrosis
Back to: Temporal Arteritis aka Giant Cell Arteritis and Temporal Artery Biopsy Technique CLINICAL HISTORY: S.W. is a 66-year-old Caucasian female who presented with 4 episodes of transient R sided vision loss, a 5-day history of worsening tip of t
Page: Case Example Tracheal Stenosis after Tracheotomy with Four Flap Epithelial Lined Tracheotomy
head and necl large.png Case Example Tracheal Stenosis after Tracheotomy with Four Flap Epithelial-lined Tracheotomy return to: Subglottic stenosis see also: Four-flap Epithelial Lined Tracheotomy Emergent tracheotomy done 3 1/2 years ago due to
Page: Case Example Tracheoesophageal puncture with Cigla Percutaneous Trach set Atos TEP inserter
head and necl large.png Case Example Tracheoesophageal puncture with Ciaglia Percutaneous Tracheotomy set and Atos TEP inserter return to: Tracheoesophageal Puncture return to: Total Laryngectomy see video at bottom of page TEP
Page: Case Example Transphenoidal Approach to Pituitary Tumor
head and necl large.png Return to Transnasal Transsphenoidal Approach to Pituitary
Page: Case Example Video of Laryngectomy Closure True Connell Suture Technique
head and necl large.png Case Example Video of Laryngectomy Closure True Connell Suture Technique return to: Total Laryngectomy click to activate movie below: Connell suture
Page: Case Example Vocal Fold Cyst Surgery
head and necl large.png Case Example Vocal Fold Cyst Surgery return to: Vocal Fold Cysts (intracordal) or Polyps Nodules Cysts 49 yo secretary with frequent phone use had left vocal fold cyst removed in 1998. Now (2009) with three months of vocal d
Page: Case Example Vocal Tremor Response to Botox
head and necl large.png Vocal Tremor Prolonged Breathiness after Botox (Botulinum Neurotoxin A) Injection return to: Botulinum Toxin Protocols return to: Videos for Common Voice Disorders Mary Greeley Medical Center Grand Rounds August 12, 2015 Ho
Page: Cawthorne's Head Exercises
Cawthorne's Head Exercises These exercises are to be carried out for 15 minutes twice a day, increasing to 30 minutes. Eye Exercises: Look up, then down - at first slowly, then quickly - 20 times Look from one side to the other - at first slowly, then q
Page: Cervical Lymphadenectomy- General Considerations
head and necl large.png Cervical Lymphadenectomy: General Considerations see: Selective Neck Dissection; Posterolateral Neck Dissection; Radical Neck Dissection and Minor Modifications see also: Chyle leak; Marginal Mandibular Nerve Weakness (Ramus
Page: Change of Tracheostomy Tube
head and necl large.png Change of Tracheostomy Tube return to:Tracheotomy - Tracheostomy PURPOSE To ensure the patency of the tube, promote hygiene, and minimize the potential for infection. EQUIPMENT Appropriate size sterile tracheostomy tube with
Page: Checklist Steroid Insufflation to Salivary Glands in Clinic
Checklist for Steroid (Kenalog 10) Insufflation to Salivary Glands (Parotid & Submandibular) in Clinic return to: Sialogram Technique Sialograms and Sialography Parotid duct dilation and steroid insufflation in clinic and Cook Medical Salivary
Page: Cheiloplasty (General considerations)
return to: Cleft Lip and Palate Protocols The following guidelines apply to both unilateral and bilateral cleft lip repairs - see respective webpages for details on operative technique for unilateral vs bilateral PREOPERATIVE PREPARATIONS Labo
Page: Chondrosarcoma - Rads
Chondrosarcoma A malignant tumor of the cartilage Most often seen as a mass of soft tissue with varying degrees of calcification, indistiguishable border with the bone of origin Often greater than 3 cm at presentation On CT: Non-contrast erosion of
Page: Chronic Submandibular Gland Sialadenitis: Case Example
Return to: Salivary Gland Surgery Protocols A 71-year-old female presented with a stable in size left submandibular mass for 4 months noticed by the patient without any associated pain. She denies any symptoms of dry mouth or dry eyes. No history of auto
Page: Citing the Iowa Protocols
head and necl large.png return: Home https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Home Citing the Iowa Protocols (use as a reference) For a full list of editors and contributing authors see: Home - old (nov 2016) recommended citatio
Page: Citing the Iowa Protocols (use as a reference)
head and necl large.png return: Home https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Home Citing the Iowa Protocols (use as a reference) For a full list of editors and contributing authors see: Home - old (nov 2016) recommended citatio
Page: Cleft Lip and Palate Protocols
Cleft Lip and Palate Protocols Referring a Cleft Clinic Patient https://iowaheadneckprotocols.oto.uiowa.edu//display/protocols/Referring+a+Cleft+Clinic+Patient Cleft lip repair Cheiloplasty (General considerations) Unilateral Cheiloplasty Bilateral C
Page: Cleft palate (general considerations)
head and necl large.png GENERAL CONSIDERATIONS Indications: The main objectives of cleft palate repair are complete closure of the palatal cleft and the creation of an adequately functioning velopharynx for production of intelligible speech. Considerati
Page: Clinical Bedside Swallowing Assessment
head and necl large.png Swallowing Disorders see also: Swallowing Disorders Management Protocols Assessment of patients suspected of having swallowing disorders is accomplished by both clinical/bedside and videofluoroscopic/videoendoscopic methods.
Page: Closed Nasal Reduction
head and necl large.png Return to Reconstructive Protocols Home Page Closed Nasal Reduction Nasal fractures are the most common facial fracture, third most common fracture of the body History and Exam: Usually preceding trauma (MVC, physical alterca
Page: Closed Suction (Jackson Pratt) Drain Placement and Removal
head and necl large.png Closed Suction (Jackson Pratt) Drain Placement and Removal return to:Closed Suction Drain Management Many appropriate ways to place, secure, and remove suction drains exist. The following example represents one way. Click
Page: Closed Suction Drain Management
head and necl large.png Closed Suction Drain Management return to: Nurses see also: Closed Suction (Jackson Pratt) Drain Placement and Removal see also: Closed Suction Drain Management Securing the Drain "Stripping the Drain" "Home Management of D
Page: Closed Suction Drain Management Securing the Drain
head and necl large.png Closed Suction Drain Management Securing the Drain return to: Closed Suction Drain Management Although 'pinning' (safety pins) the suction drains to adjacent clothing is recommended by some as the best method to secure Jac
Page: Cochlear Americas Nucleus Freedom Tray
1 Forcep, Cochlear Advanced Off Style, 6" 1 Template, Bone Recess 5 3/4" 1 Gauge, Recess Checking 5 3/4" 1 Claw, Contour Electrode 6" 1 Template, Array Exit Marking, 2" 1 Template, Implant 1 3/4"
Page: Cochlear High Focus/Resolution 90k Tray
1 Insertion Tool, Advanced Bionics, 7 1/4" (3 pieces) 1 Gauge, Advanced Bionics Recess, 5 1/2" 1 Gauge, Advanced Bionics Plastic Tube, 8 1/4" 1 Gauge, Advanced Bionics Cochleostomy Sizing, 8 1/2" 1 Tool, Advanced Bionics Claw Foot Electrode, 5 1/2" 1 Te
Page: Cochlear Implant Tray
1 Guide, Australian, Cochlear Implant Consists of: 1 Device, Inner Measuring, 4 5/8", 15/16" Ring OD 1 Device, Outer Measuring, 5 1/8", 1 3/8" Ring O.D. Cochlear Surgical Nucleus Kit consists of: 1 Template, Outline, 2 1/4" 1 Template, Drill, Recess, 5
Page: Cochlear Implantation
Cochlear Implantation return to: Otology - Neurotology GENERAL CONSIDERATIONS Indications Adults (at least 18 years of age) Bilateral severe-to-profound sensorineural hearing loss Post-lingual onset of deafness Little to no useful benefit with ap
Page: Cochler CI 1512 Instrument Tray
1 template, Cochlear Below the ear, 2" 1 Template, Cochlear CI Implant, 2 1/4" 1 Gauge, Cochlear Recess, 6 1/2" 1 Claw, Contour Electrode 6" 1 Forceps, Cochlear Advanced off style, 6"
Page: Collett-Sicard Syndrome
Collett-Sicard Syndrome Is a constellation of cranial nerve IX-XII defcits caused by a lesion at the jugular foramen, such as schwanomma of globus jugulare tumor. Clinical Picture- CN IX-XII deficits Unilateral- unilateral velopharyngeal incompetence (
Page: Combined Open and Endoscopic Removal of Parotid Stone (sialendoscopy case example)
head and necl large.png Combined Open and Endoscopic Removal of Parotid Stone (sialendoscopy case example) return to: Sialendoscopy; Salivary Gland Surgery Protocols; Sialolithiasis; Sialograms and Sialography see also: Endoscopic stone manageme
Page: Common Call Problems
head and necl large.png Common call problems Note: The ETC has ear scopes stored in room 35 Common questions Post-op stapedectomy with vertigo (delayed onset) or hearing loss This is an emergency and the patient should have an audiogram and likely
Page: Common Medical Problems
head and necl large.png Common Medical Problems Adrenal Insufficiency If patient previously on glucocorticoids: If taking 5-15mg prednisone daily for > 3 weeks, double the daily dose (up to 20 mg of prednisone or equivalent) on the day of the proc
Page: Common Otolaryngology Abbreviations
head and necl large.png Return to: Medical Student Instruction Below is a list of abbreviations that you may see while rotating on the otolaryngology service: ABR: auditory brainstem response ACC: adenoid cystic carcinoma AD: right ear AOM: acute ot
Page: Common Voice Disorders Take Home Points
head and necl large.png "Common Voice Disorders" return to: Common Voice Disorders April 4 2011 Hoffman April 5 2011 H Hoffman MD Dept of Otolaryngology Learning Objectives: To understand the basis of voice and speech production To understand t
Page: Common Voice Disorders April 4 2011 Hoffman
head and necl large.png Common Voice Disorders April 4 2011 Hoffman Videos -Click on slide below to enlarge -Advance to neck slide by clicking arrow that will appear with cursor placed on right side of slide click to access: Commo
Page: Common Voice Disorders Videos April 4 2011 Hoffman
head and necl large.png return to: Grand Rounds Mary Greeley Medical Center 'Common Voice Disorders' August 10, 2015 Common Voice Disorders April 6 2011 Hoffman see also Bloomington Indiana Visit 03062014
Page: Commonly Used Medications
head and necl large.png Common Medications Note: Typical dosages are assuming normal renal function * Denotes is available in elixir form Antibiotics Antibiotic Adult Peds Amoxicillin 500 mg PO bid or 875 bid 25-45 mg/kg/day divided bid amoxicill
Page: Complication from Arytenoid Adduction Combined with Medialization Laryngoplasty (Gore-tex thyroplasty)
Complication from Arytenoid Adduction Combined with Medialization Laryngoplasty (Gore-tex thyroplasty) return to: Arytenoid Adduction Combined with Medialization Laryngoplasty through Type I Gore Tex Thyroplasty see also: Case example Thyroplasty with a
Page: Complication from open (transfacial) approach to parotid stone removal
Complication from open (transfacial) approach to parotid stone removal return to: LSU Sialendoscopy Course Case Presentations Feb 1 2014 Botulinum neurotoxin treatment of salivary gland disorders see also: Botulinum Toxin Protocols
Page: Complication from open parotid ductoplasty for stone with parotid cutaneous fistula
Complication from open parotid ductoplasty for stone with parotid cutaneous fistula return to: Salivary Gland Surgery Protocols Sialolithiasis Modified Operative Note: Combined open/endoscopic removal of right parotid stone Procedure: Sialodochoplasty (
Page: Congenital Hearing Loss
head and necl large.png Congenital Hearing Loss return to: Otology - Neurotology For more information about genetic testing for hearing loss at the University of Iowa and the 'audiogene' see: http://www.healthcare.uiowa.edu/labs/morl/ http://www.h
Page: Cook Medical Salivary Access Dilator Set
head and necl large.png Cook Medical Salivary Access Dilator Set return to: Sialograms and Sialography or Checklist Steroid Insufflation to Salivary Glands in Clinic https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Checklist+++++Stero
Page: Copy of Otology - Neurotology
Otology - Neurotology Otology - Neurotology Home Page https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Otology+-+Neurotology General Considerations of Otologic Surgery https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/General+Co
Page: Copy of Otology - Neurotology salvage
Otology - Neurotology Otology - Neurotology Home Page https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Otology+-+Neurotology General Considerations of Otologic Surgery https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/General+
Page: Coronal Approaches to the Upper Facial Skeleton
head and necl large.png Coronal Approach to the Upper Facial Skeleton return to:Reconstructive Procedures Protocols GENERAL CONSIDERATIONS Indications Access to frontal sinus, nasal root, nasoethmoid compartment, superior orbits, and zygomatic arch
Page: Cranial Nerve Anatomy / Cranial nerves
THE CRANIAL NERVES cranial nerves.png "Brain human normal inferior view with labels en-2" by Brain_human_normal_inferior_view_with_labels_en.svg: *Brain_human_normal_inferior_view.svg: Patrick J. Lynch, medical illustratorderivative work: Beaoderivative
Page: Cranial Nerve V3 Schwannoma - Rads
Cranial Nerve V3 (Mandibular Branch of CN V) Schwannoma Previously known as neuroma, neurilemmoma, or neurinoma of cranial nerve V3 A benign peripheral nerve sheath tumor which leads to displacement of CN V3 fascicles and frequently transverses the sk
Page: Cranioplasty
head and necl large.png Go to Cranioplasty 2 CRANIOPLASTY# GENERAL CONSIDERATIONS: Pediatric cranioplasty is most often indicated for cases of craniosynostosis - a congenital defect that manifests as premature closure of one or more of the cranial
Page: Cross Face Nerve Graft (Case Example)
head and necl large.png Nerve Grafting for Facial Paralysis (Cross Face Nerve Grafting) *Cases provided by Dr. Douglas Henstrom, University of Iowa Facial Plastic and Reconstructive Surgeon, Director of Facial Nerve Center: Dr. Henstrom's profile pa
Page: CT Navigation Setup for Image Guided Surgery-Sinus and Skull Base
head and necl large.png CT Navigation Setup for Image Guided Surgery-Sinus and Skull Base Surgical Navigation can be utilized for a number of different surgical procedures. While it is most frequently used by the Otolaryngology service for endo
Page: Curette Long Tray
Brun Bone Curettte Sizes: Angled: 000, 9" 00, 9" #1-#6 all 9" Straight: 000 -#6 all 9"
Page: Custom Dental Guards for Micro Direct Laryngoscopy (Suspension Laryngoscopy)
head and necl large.png Custom Dental Guards for Microlaryngoscopy (Suspension Laryngoscopy) created by Dr. Robert Schneider DDS (UIHC) and Dr. Henry Hoffman MD (UIHC) 03-27-11 updated 03-04-2012 hh return to:Microdirect Laryngoscopy (Suspension
Page: Cymetra Injection to Paralyzed Vocal Cord In the Clinic Technical Points for Percutaneous Injection
Cymetra Injection to Paralyzed Vocal Cord in the Clinic Technical Points for Percutaneous Injection return to: Injection Laryngoplasty for Vocal Fold Paralysis and Glottic Incompetence see also: Injectable substances for injection laryngoplasty and: Inj

D

Page: Date Base Recording and Report Generation
head and necl large.png Data Base Recording and Report Generation Diagnosis and documentation of voice disorders and their laryngeal correlates involve a multifaceted protocol. The sample protocol is provided on Figure IC-1 (PDF), a data-entry
Page: Decannulation of Tracheostomy Tube
head and necl large.png Decannulation of Tracheostomy Tube see also: Tracheotomy, Tracheostomy & Modifications and: Tracheotomy - Tracheostomy Definition of decanulation: permanent removal of tracheotomy tube with intent for tracheostomy site to
Page: Dedo Laryngoscope
head and necl large.png Dedo Laryngoscope A disadvantage of the Dedo Laryngoscope is the internal irregularities created by impression of the light channel. This prominence is present on each side of the endoscope. It interferes with manipulation o
Page: Dedo Laryngoscope Tray
1 Dedo Micro Laryngoscope , 22mm x 17cm 1 Light carrier, Single, Oval 5" 1 Light Carrier, Bifurcated, Oval 6" 1 Cable, Pilling FO
Page: Deltopectoral Flap
head and necl large.png Deltopectoral Flap GENERAL CONSIDERATIONS Indications Carotid coverage after pharyngocutaneous fistula formation Reconstruction of large cutaneous cervical defects Hypopharyngeal reconstruction Contraindications For most
Page: Dense Submandibular Stone Unable to Adequately Fragment with Laser
Dense Submandibular Stone Unable to Adequately Fragment with Laser return to: Salivary Gland Surgery Protocols Modified Operative Note: Informed consent was reviewed with the patient, and the patient was brought back to the main operating room and
Page: Dental Protocols
head and necl large.png Dental Protocols (Click on table heading to resort links alpabetically.) Non-Surgical Dental Protocols Surgical Dental Protocols
Page: Dentistry Basic Instrument Tray
head and necl large.png Dentistry Basic Instrument Tray 2 Frazier Suction Angulated Tubes, 10.7 cm WL 10 Fr 3.3 mm 1 Obturator, 20.3 cm 2 Yankauer Suction Tubes, Pediatric, 25.1 cm 1 Gruenwald Ear Forceps, Bayonet Shape, 15.8 cm 1 Cushing Dressing F
Page: Dermal Fat Graft Reconstruction of Facial Defects
Dermal Fat Graft Reconstruction of Facial Defects return to: Facial Plastics GENERAL CONSIDERATIONS: Dermal fat grafting has been used for over a hundred years (McNichols et al) and provides an autologous tissue source. PREOPERATIVE PREPARATIONS Evalu
Page: Dermoid Cysts Rads
Dermoid Cysts Also known as developmental oral cavity cyst, ectodermal inclusion cyst Congenital cyst resulting from epidermal inclusion Dermoid cyst contains epithelial elements plus dermoid substructure including dermal appendages Epidermoid cyst
Page: Description of Tracheostomy Tubes and Appliances
head and necl large.png Description of Tracheostomy Tubes and Appliances PURPOSE To identify types of tracheostomy tubes/appliances. DESCRIPTION: Tracheostomy and laryngectomy tubes vary in size, degree of arc, and length. The 3 parts of the tr
Page: Desmoplastic Melanoma
head and necl large.png DMBanner.png Pathologic Description Below posted 6-08-2011 (hh) Swick B, Liu V and Stone M (Dermatopathology UIHC) Desmoplastic and spindle cell variants of malignant melanoma are characterized by tumor cells with a spindle-
Page: Difficult Airway
see also: Pediatric Airway; Airway Monitoring Manangement Protocols; Emergency Airway Cart; Heliox for the difficult airway see also: Tracheostomy and Upper Airway Management Symposium July 30 2016 IAO and SOHN Iowa City Iowa and: Pulse Oximetry Basic
Page: Difficulty airway management- adult awake fiberoptic intubation
head and necl large.png Awake Fiberoptic Intubation Considerations: Transnasal vs transoral route – A brief discussion: The transnasal route provides a very direct path to the larynx for the scope and ETT after the turn at the nasopharynx is made; the
Page: Direct Laryngoscope Tray
head and necl large.png Direct Laryngoscope Tray 1 Scissors, Mayo, Dissecting , Straight 5-1/2''. 1 Kelly Artery Forceps, Curved, 5-1/2" 3 Devon Drape Clamps 5-1/3" 1 Forceps, Jackson, Laryngeal, Cup Angled, 4 mm x 28 cm, #50-5104 Angled, 6 mm x 28
Page: Disclaimer
The contents of this web site are for information purposes only, and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. The University of Iowa does not recommend or endorse any specific tests, physicians, product
Page: do not delete me
Editor: Henry Hoffman, MD Managing Editors: Corrine Hamers, Carlisle Xavier, and Kay Klein Illustrated by Timothy McCulloch, MD Chinese Translation: Jack Jiang MD, PhD Henry Hoffman, MD Gerry Funk, MD Kristi Chang, MD Nitin Pagedar, MD Scott Graham, MD Do
Page: Donors
head and necl large.png The Department of Otolaryngology and the University of Iowa wish to acknowledge the support of those who share our goal in improving the care of patients we serve. The University of Iowa appreciates that supporting benefactor
Page: Dr. Funk Vascular Dissecting Forceps Tray
1 Forceps, S & T Vascular Dissecting 0.5mm Tip, 12.5cm 4 3/4" 1 Forceps, S & T Vascular Dissecting 0.5mm Tip, 14.5cm 5 1/2"
Page: Dr. Gantz Micro Forceps Instrument Tray
Scissors OtoView Scissors, Ear, Curved Up, 5 3/4" Forceps and Rongeurs Forceps, Shea, Alligator Oval Cup, Fine, Curved Left 6 1/4" Forceps, Shea, Alligator Oval Cup, Fine, Curved Right 6 1/4" Forceps, Shea, Alligator Oval Cup, Fine, Curved Up 6 1/4" Fo
Page: Dr. Hansen Ear Instrument Tray
1 Knife-Curette, Sheehy House, Small Weapon 6 9/16" Blade d 2mm 1 Knife-Curette, Sheehy House, Large Weapon, 6 5/8" Blade d 2.5mm 1 Knife, Myringoplasty Flap, 6 5/8" 1 Scissors, Malis, Tit, Straight, Fine Tip, 6" 1 Scissors, Malis, Tit, Curved, Fine ti
Page: Dr. Henstrom Plastic Instrument Tray
1 ASSI Metzenbaum Super Cut Scissors , Black Handle 7" 1 ASSI Kaye Face Lift Super Cut Scissors , Black Handle 9" 1 Grant Scissor Needleholder, 6-3/4" 1 Periosteal Oval Elevator, Malleable Shaft 10-1/2'' 1 Dura Upturned Edge Dissector, Malleable Shaft 10
Page: Dr. Henstrom Rhinoplasty Instrument Tray
1 Rasp, Foman, Fine, 8 1/2" 1 Rasp, Foman, Course, 8 1/2" 1 Rasp, Toriumi, 8 1/4" 1 Osteotome, 2mm, 6 1/4" 1 Osteotome, 3mm, 6 1/4" 1 Osteotome, 5mm, 6 1/4" 1, Ostotome, Rubin, 14mm , 6 3/4" 1, Ostotome, Rubin, 16mm, 6 3/4" 1, Ostotome, Becker, Simple Gu
Page: Dr. Richard Smith Ear Instrument Tray
1 Knife, Guilford WRt, Stapedial, Incal, 5 17/32", 2mm Blade 1 Knife, House, Incal Stapedial Joint, 6 1/2" 1 Scissors, Fischer, Neurotomy, Straight 6 1/4" 1 Needle, House Rosen, Sharp Point, Straight, 6 5/16" Curve to tip 3mm 1 Pick, Scheer, Light Shaft,
Page: Dr. Richard Smith-Pediatric Clinic
head and necl large.png GENERAL CONSIDERATIONS Given the large number of potential complicated patients seen in Dr. Richard Smith's pediatric clinic, and the decreased ability for cerebral tissue to work well in a hypoglycemic environment, this pro
Page: Dr. Sperry Integra graft and Allevyn dressing
see also: Case Example Full Thickness Skin Graft Full thickness skin graft Skin Graft Donor Site Care Steps for integra placement for Moh's defect on scalp. Usually done under local anesthesia or MAC in OR Take down dressing, measure wound, inject loc

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Page: Ear Basic Instrument Tray
head and necl large.png Ear Basic Instrument Tray 1 Gruenwald Ear Forceps, Bayonet Shape, 6-1/4'' 2 Tissue Forceps, Delicate (Fine Tooth) 1 x 2 Teeth, 3-7/8'' 2 Brown-Adson Tissue Forceps, 4-3/4'' 2 Adson Tissue Forceps, Special Delicate Model 1 x 2
Page: Ear Microsurgery Instrument Tray
head and necl large.png Ear Microsurgery Instrument Tray 1 Tabb Flap Knife, Double Ended, Angled at 25° and 45° (1), 6" 1 McCabe Flap Knife Dissector, Double Ended, Angled Blades 2 mm and 3 mm, 7 1/4" 1 House Incal Stapedial Joint Knife (GG), 6 1/2"
Page: Ear Specialty Tray (old Style)
1 Holder, Schuknecht, Modified, Spec. Consists of: 1 c clamp 1 tightening knob 1 rod 5" 1 tightening Nut 1 handle 1 c clamp for spec holder
Page: Emergency Tracheotomy Tray Emergency Tracheotomy Set
head and necl large.png Emergency Tracheotomy Tray return to: Tracheotomy - Tracheostomy return to: Emergency Airway Cart (demonstration video, currently password protected) Click on image to enlarge; advance with cursor over mid right lateral bo
Page: Endaural Approach
Return to Otology - Neurotology GENERAL CONSIDERATIONS - Indications: Conductive hearing loss due to perforation or ossicular dysfunction Chronic or recurrent OM secondary to contamination (preferably want a "dry ear" prior to proceeding) Perforation or
Page: Endoscopic Dacryocystorhinostomy (DCR)
head and necl large.png Endoscopic Dacryocystorhinostomy (DCR) return to:Paranasal Sinus Surgery Protocols GENERAL CONSIDERATIONS Indications: Epiphora/lacrimal duct obstruction Contraindications: Watery eyes not due to ductal obstruction. It is impo
Page: Endoscopic Frontal Sinus Instrument Tray
head and necl large.png Endoscopic Frontal Sinus Instrument Tray 1 Giraffe Frontal Recess Forceps 90°, Horizontal Short Neck Jaw, 19.0 cm, Cup 2 mm 90°, Vertical Short Neck Jaw, 19.0 cm, Cup 2 mm 45°, Horizontal Short Neck Jaw, 20.6 cm, Cup 2 mm 45°
Page: Endoscopic removal of laryngocoele with histopathology
Endoscopic removal of laryngocoele with histopathology return to: Saccular Cysts and Laryngoceles
Page: Endoscopic Resection of Vocal Cord (Fold) Leukoplakia
head and necl large.png Endoscopic Resection of Vocal Cord (Fold) Leukoplakia 'Floating the Lesion" return to:Laryngeal Surgery (Malignant Disease) Protocols return to: Laryngeal Surgery (Benign Disease) Protocols see also: Microdirect Laryngos
Page: Endoscopic Sinus Room Setup
head and necl large.png Endoscopic Sinus Room/Stealth Setup ANESTHESIA CONSIDERATIONS Bed will be turned 180 degrees, which will likely require extenders for the circuit to reach Paralysis OK in general ETT should be taped to the left lip Transsphe
Page: Endoscopic Sinus Surgery
head and necl large.png Endoscopic Sinus Surgery return to:Paranasal Sinus Surgery Protocols see also: Sinus Videos Instruction for FESS Fiberoptic Endoscopic Sinus Surgery GENERAL CONSIDERATIONS Indications Chronic sinusitis resistant to maximal a
Page: Endoscopic stone management: Intermediate Sized/Lasers/External Lecture LSU New Orleans (Hoffman) Feb 1-2 2014
Endoscopic stone management: Intermediate Sized/Lasers/External return to: Sialendoscopy Course LSU New Orleans Lectures (Hoffman) Feb 1-2, 2014 Endoscopic stone management: Intermediate Sized/Lasers/External Sialolithiasis Salivary gland atrophy with
Page: Endoscopy Management Protocols
Endoscopy Panendoscopy https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Panendoscopy Local Anesthesia for Rigid Endoscopy https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Local+Anesthesia+for+Rigid+Endoscopy Adult Flexible Br
Page: ENT pack
head and necl large.png ENT Pack Back table cover Mayo stand cover Head drape Split sheet Suction tubing Unipolar cautery Cautery holster Instrument pouch Cautery tip cleaner Magnetic needle counter 4 x 4 x-ray detectable sponges Basin Light handle
Page: Enteral Therapy
head and necl large.png Enteral Therapy PURPOSE To provide nutritional support for the patient who is unable to eat by mouth. DEFINITIONS Continuous: delivery of formula at a designated rate over a 24-hour period via an enteral feeding pump. In
Page: Epistaxis
Return to: General Clerkship Objectives see also: Anterior Ethmoidal Artery Ligation Overview Epistaxis, or nosebleeds: common problem that most people have dealt with at some point in their life Though most people don't seek medical attention, severe
Page: Erich Arch Bars
head and necl large.png Intermaxillary Fixation: Erich Arch Bars INDICATIONS Maxillofacial Fractures Requiring Occlusal Control Maxillomandibular fixation (MMF) Temporary occlusal orientation for placement of rigid internal fixation Extended El
Page: Erlangen Mini Sialendoscope 1.1mm Tray
1 Telescope, Mini Sialendoscopy Erlangen 0 degree, 0.25 x 1, 1x10cm 1 adapter, Storz Telescope 1 adapter, for Storz/Wolf FO cable Handle this scope with extreme caution
Page: Erlangen Mini Sialendoscope .08 Diag. Tray
1 Telescope Mini Sialendoscopy Erlangen 0 degree, 0.25 x .08mm x 10 1 Adapter, Storz Telescope 1 Adapter, for Storz/Wolf FO Cable Handle this scope with extreme caution
Page: Erlangen Mini Sialendoscope 1.6 Tray
1 Telescope Mini Sialendoscoopy Erlangen 0 degree, 0.25 x 1.6mm x 10cm 1 adapter, Storz Telescope 1 adapter, for Storz/Wolf FO Cable Handle this scope with extreme caution
Page: Esophageal Perforation Treatment
head and necl large.png Esophageal Perforation Treatment Return to: Head and Neck See also: Zenker's Diverticulectomy GENERAL This protocol is designed to aid in the management of identified or suspected esophageal perforations that can occur seco
Page: Esophageal Reflux Precautions
head and necl large.png Esophageal Reflux Precautions INTRODUCTION In some people, irritating acid stomach juices may leak out of the stomach and into the esophagus and throat. This causes irritation and muscle spasm in the throat. Some symptoms
Page: Esophageal Speech without TEP compared to with TEP
head and necl large.png Esophageal Speech without TEP compared to with TEP return to: Tracheoesophageal Puncture
Page: Esophagoscopy Tray, Adult
head and necl large.png Esophagoscopy Tray, Adult 1 Forceps, Sam Roberts, Biopsy, Angled, 4 mm x 50 cm #50-5144 1 Forceps, Sam Roberts, Biopsy, Angled, 6 mm x 60 cm #50-5152 1 Forceps, Sam Roberts, Biopsy, Straight, 4 mm x 50 cm #50-5132 1 Forceps,
Page: Esophagoscopy with narrow band imaging (NBI) for Reflux Esophagitis
head and necl large.png Esophagoscopy with narrow band imaging (NBI) for Reflux Esophagitis return to: Swallowing Disorders Management Protocols see also: Narrow band imaging of vocal cord leukoplakia flexible transnasal videolaryngoscopy see also:
Page: Esthesioneuroblastoma Rads
Esthesioneuroblastoma A neural crest cell malignancy which originates from the olfactory bulb in the superior nasal cavity Mass often extens both into the nasal cavity and the intracranial fossa Cysts present in the intracranial portion of the tumor
Page: Examination of the subglottis with transnasal laryngoscopy
Examination of the subglottis with transnasal laryngoscopy return to: Flexible Fiberoptic Exam Transnasal Fiberoptic Laryngoscopy Instruction Video
Page: Extraction Tray
head and necl large.png Extraction Tray 1 Cryer Exolever #30, 13.6 cm 1 Cryer Exolever #31, 13.6 cm 1 Clev-Dent Exolever #34, 14.6 cm 1 Clev-Dent Exolever #41, 14.6 cm 1 Clev-Dent Exolever # 46, 14.6 cm or (Lorenz) Elevator 46, 14.6 cm 1 Clev-Dent E
Page: Extraction Tray (Frequent Use)
head and necl large.png Extraction Tray (Frequent Use) Bone Instruments-Dissectors/Elevators 1 Exolever/Elevator, Cryer, #27, 6¼ inch 1 Exolever/Elevator, Cryer, #28, 6¼ inch 1 Exolever, Clev Dent, #46, 5¾ inch 1 Exolever, Clev Dent, #301, 5¾ inch
Page: Extraction Tray (Seldom Use)
head and necl large.png Extraction Tray (Seldom Use) 1 Exolever, Cryer, #31, 5 3/8 inch 1 Elevator, Woodward, #190, 5¾ inch 1 Elevator, Woodward, #191, 5¾ inch 1 Forcep, Steiglitz (Archer), Splinter, 45º, 5 inch 1 Forcep, Steiglitz (Archer), Splint
Page: Extraesophageal reflux disease
head and necl large.png Extraesophageal reflux disease return to: Proton Pump Inhibitor Side Effects PPI Considerations Swallowing Disorders Management Protocols; Management of Swallowing Disorders; Speech Pathologists PRESENTATION Definitions G
Page: Extraoral Osseointegration
head and necl large.png Extraoral Osseointegration (Ear, Orbit, Maxilla) First Stage/Second Stage return to:Reconstructive Procedures Protocols GENERAL CONSIDERATIONS (FIRST STAGE) A major commitment is needed from the patient and the health care t

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Page: Facelift (Rhytidectomy)
head and necl large.png Facelift (Rhytidectomy) INCOMPLETE return to: Cosmetic Facial Surgery GENERAL CONSIDERATIONS Dedo diagnosis and classification of the aging neck Class I neck is an essentially normal younger patient with a well defined mental angl
Page: Facial Degloving Approach
head and necl large.png Facial Degloving Approach return to:Paranasal Sinus Surgery Protocols GENERAL CONSIDERATIONS The facial degloving technique as described here includes the elevation of the soft tissue of the external nose such that the nasal
Page: Facial Fracture Management Handbook
head and necl large.png See also: Iowa Otolaryngology Resident Handbook; Mandible fracture; Zygomatic Complex Fracture (Tripod Fracture); Laryngeal Fracture Plating; Closed Nasal Reduction Facial Fracture Management Handbook by Dr. Gerry Funk Introduct
Page: Facial Fracture Managment Handbook - Applied Anatomy
head and necl large.png Facial Fracture Management Handbook by Dr. Gerry Funk See sidebar for Introduction, Bibliography, and other Sections. Applied Facial Anatomy Bony Buttresses of the Facial Skeleton The supporting bony structure of the face can be
Page: Facial Fracture Managment Handbook - Bibliography
head and necl large.png Facial Fracture Management Handbook by Dr. Gerry Funk See sidebar for Introduction and Sections. Bibliography 1. Starkhammar,H., Olofsson,J.: Facial fractures: A review of 922 cases with special reference to incidence and aetiol
Page: Facial Fracture Managment Handbook - Brief History
head and necl large.png Facial Fracture Management Handbook by Dr. Gerry Funk See sidebar for Introduction, Bibliography, and other Sections. A Brief History of Facial Fracture Fixation The management of facial fractures has undergone considerable chan
Page: Facial Fracture Managment Handbook - Frontal sinus fractures
head and necl large.png Facial Fracture Management Handbook by Dr. Gerry Funk See sidebar for Introduction, Bibliography, and other Sections. Frontal Sinus Fractures Anatomy and Mechanism of Injury We have already considered frontal sinus anatomy and p
Page: Facial Fracture Managment Handbook - Head and neck trauma exam
head and necl large.png Facial Fracture Management Handbook by Dr. Gerry Funk See sidebar for Introduction, Bibliography, and other Sections. Head and Neck Trauma Exam The following is a general outline for a comprehensive head and neck examination in
Page: Facial Fracture Managment Handbook - Lateral orbital wall fractures
head and necl large.png Facial Fracture Management Handbook by Dr. Gerry Funk See sidebar for Introduction, Bibliography, and other Sections. Lateral Orbital Wall Fractures Anatomy and Mechanism of Injury The lateral orbital wall is composed of the fro
Page: Facial Fracture Managment Handbook - LeFort Fractures
head and necl large.png Facial Fracture Management Handbook by Dr. Gerry Funk See sidebar for Introduction, Bibliography, and other Sections. LeFort Fractures Anatomy and Mechanism of Injury The term LeFort fractures is applied to transverse fractures
Page: Facial Fracture Managment Handbook - Malar complex fractures
head and necl large.png Facial Fracture Management Handbook by Dr. Gerry Funk See sidebar for Introduction, Bibliography, and other Sections. Malar Complex Fractures Anatomy and Mechanism of Injury The term malar complex fracture refers to a fracture w
Page: Facial Fracture Managment Handbook - Mandible fractures
head and necl large.png Facial Fracture Management Handbook by Dr. Gerry Funk See sidebar for Introduction, Bibliography, and other Sections. Mandible Fractures Anatomy and Mechanism of Injury Many of the fundamental concepts of dental and mandibular a
Page: Facial Fracture Managment Handbook - Nasoethmoid fractures
head and necl large.png Facial Fracture Management Handbook by Dr. Gerry Funk See sidebar for Introduction, Bibliography, and other Sections. Nasoethmoid Fractures Anatomy and Mechanism of Injury The nasoethmoid complex can roughly be thought of as the
Page: Facial Fracture Managment Handbook - Orbital blowout fractures
head and necl large.png Facial Fracture Management Handbook by Dr. Gerry Funk See sidebar for Introduction, Bibliography, and other Sections. Orbital Blowout Fractures Anatomy and Mechanism of injury Blowout fractures of the orbit most frequently affec
Page: Facial Fracture Managment Handbook - Pathophysiologic considerations
head and necl large.png Facial Fracture Management Handbook by Dr. Gerry Funk See sidebar for Introduction, Bibliography, and other Sections. Pathophysiologic considerations in bony facial trauma Facial trauma is predominantly an occurrence in the you
Page: Facial Nerve (Cranial Nerve VII) -- General Information
Facial Nerve (Cranial Nerve VII) -- General Information UIHC.jpg See: Acute Facial Paralysis Evaluation General: Cranial nerve seven (CN VII) is responsible for both efferent and afferent modalities in the head and neck including: Branchial moto
Page: Facial Paralysis (surgery for facial nerve paralysis weakness)
Facial Nerve Paralysis (Surgery for Facial Paralysis) Facial Reanimation https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Facial+Reanimation House-Brackmann Facial Paralysis Scale https://iowaheadneckprotocols.oto.uiowa.edu/display/prot
Page: Facial Plastics
picture Reconstructive Procedures Protocols Cosmetic Facial Surgery General Health Recommendations
Page: Facial Plastics Service
head and necl large.png Facial Plastics Service (Resident information) return to:Reconstructive Procedures Protocols Henstrom Clinic: Try to anticipate what might be needed. For post-op rhinoplasty patients, have the suction and a speculum ready. I
Page: Facial Reanimation
head and necl large.png Facial Reanimation return to: Facial Paralysis (surgery for facial nerve paralysis weakness) see also: Platinum-Gold eyelid weighting; House-Brackmann Facial Paralysis Scale; Salivary Gland Surgery Protocols; Nerve Graf
Page: Fascia Lata Harvest
head and necl large.png Fascia Lata Harvest return to: Reconstructive Procedures Protocols GENERAL CONSIDERATIONS Indications Suspension of facial tissues in surgery for facial paralysis or ptosis correction. Consider alternatives: cadaver fascia
Page: Feder-Ossoff-Karlan Phonosurgery Instrument Tray (Frequent Use)
head and necl large.png Feder-Ossoff-Karlan Phonosurgery Instrument Tray (Frequent Use) 1 Feder-Ossoff Microlaryngeal Sickle Knife, Shaft Tapered 3.2-1 mm, Blade 3 mm Straight, 27.3 cm TL, 24 cm WL Curved, 30.4 cm TL, 22.8 cm WL 1 Feder-Ossoff Micro
Page: Feder-Ossoff-Karlan Phonosurgery Instrument Tray (Seldom Use)
head and necl large.png Feder-Ossoff-Karlan Phonosurgery Instrument Tray (Seldom Use) 1 Feder-Ossoff Microlaryngeal Blunt Scissors, 2 mm Diameter Shaft Angled Up Vertical Action, 31.7 cm TL, 24.1 cm WL Curved Blades Horizontal Action Open Left, 31.7
Page: Fehy Pharyngoscope Retractor Tray
1 Blade, Tongue, Curved Right Side Open, 7 1/4" 1 Blade, Tongue Curved Left Side Open, 7 1/4" 1 Blade, Tongue Curved, 7 1/4" 1 Blade, Simon Mandible, 4 1/2" 2 Blade, Cheek Retractor, 5 1/4" 1 Light Clip, 6 1/2" w/adapters 1 frame, Fehy Kastenbauer, 10" 1
Page: Fellowship - Head and Neck Curriculum
head and necl large.png University of Iowa Head and Neck Oncologic and Reconstructive Surgery Fellowship Fellowship Curricula - University of Iowa Department of Otolaryngology Educational Curriculum Kristi Chang, MD Associate Professor Progra
Page: Fellowship Curricula - University of Iowa Department of Otolaryngology
University of Iowa Fellowships Department of Otolaryngology Head and Neck Fellowship https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Fellowship+-+Head+and+Neck+Curriculum Neuro-Otology Fellowship http://www.uihealthcare.com/depts/med/otol
Page: Fiberoptic Endoscopic Examination of Swallowing (FEES)
head and necl large.png Fiberoptic Endoscopic Examination of Swallowing (FEES) return to: Swallowing Disorders Management Protocols; Clinical Bedside Swallowing Assessment; Management of Swallowing Disorders Speech Pathologists VELOPHARYNGEAL CLOSU
Page: Fibromatosis Colli Rads
Fibromatosis Colli Also known as sternocleidomastoid (SCM) pseudotumor of infancy On exam a non-tender mass is found in the region of the sternocleidomastoid in an infant Most commonly in the middle to lower third of the muscle, right more common tha
Page: Fibrosarcoma - Rads
Fibrosarcoma - Sinonasal
Page: Fibrous Dysplasia
head and necl large.png FDBanner.png IPVirtSlide.png For an interactive look at the Histology of Fibrous Dysplasia, please click on the link below: Fibrous Dysplasia Virtual Slide http://www.path.uiowa.edu/pathology_unknowns/ent/case19/case19_ent_a
Page: First Branchial Cleft Cyst - Rads
First Branchial Cleft Cyst Also known as 1st BCC, cervicoaural cyst, 1st branchial apparatus remnant A congenital cyst occuring in the parotid, submandibular space, or preauricular region - a remnant of the 1st branchial cleft Look for a cystic struc
Page: Fisch Footplate Hook Tray
1 Hook, Fisch, Footplate, 6 1/4" .2mm
Page: Fischer Bipolar Alternative Tray
1 Forceps, Fischer/Malis Bipolar, Ex Del, Blue Coated, 6 1/2" 1 Forceps, Aesculap BP Coag Instrument Bayo, Straight Tip 8 3/4" 0.6mm Tip 1 Forcep Malis, Bipolar, Bayonet, 8 1/4" 1 Forcep, Rhoton Micro Bayonet, BP, Reg Tip, 8 1/2" TL x 1.0mm
Page: Fischer Bipolar Instrument Tray
head and necl large.png return to: Nursing Instrument Guide Fischer Bipolar Instrument Tray 1 Fischer Bipolar Coagulation Forceps Angled, Extra Delicate (Insulated) 16.0 cm Angled, Blunt (Insulated) 16.0 cm
Page: Fixation of Vascularized Bone Flaps
head and necl large.png Fixation of Vascularized Bone Flaps return to:Microvascular Surgery Protocols see also: Case example - Anterior mandibular reconstruction with osteocutaneous fibula free flap GENERAL CONSIDERATIONS Indications Most osseous f
Page: Fixed Intermediate Sized Salivary Stones Lecture AHNS Salivary Endoscopy Course April 9 2013
head and necl large.png Fixed Intermediate Sized Salivary Stones return to: Salivary Gland Surgery Protocols; Courses at the University of Iowa; see also: Salivary Gland Anatomic Anomalies and Foreign Bodies Lecture AHNS April 9 2013 Fixed Intermed
Page: Flexible Fiberoptic Exam Transnasal Fiberoptic Laryngoscopy Instruction Video
head and necl large.png Flexible Fiberoptic Exam Transnasal Fiberoptic Laryngoscopy Instruction Video return to: Medical Student Instruction see also another technque for viewing vocal cords: Videostroboscopy and Examination of the subglottis w
Page: Flexible Fiberoptic Laryngoscopy (written instruction)
head and necl large.png Return to: Medical Student Instruction see video: Flexible Fiberoptic Exam Transnasal Fiberoptic Laryngoscopy Instruction Video Introduction to Flexible Fiberoptic Laryngoscopy (Transnasal) (without photos) see also:
Page: Floor of Mouth SCCa - Rads
Floor of Mouth Squamous Cell Carcinoma Floor of mouth squamous cell carcinoma (SCCa) is the third most common oral cavity & oropharynx malignancy - 17% of cases Important to observe for submucosal extension Involment of neurovascular bundles is an in
Page: Followup after treatment
head and necl large.png Follow-up General Considerations return to: Head and Neck Objectives: Early detection of recurrence Identify second primary cancers Address co-morbidities induced by the cancer and its treatment Keep the patient current wit
Page: Followup SCC Case Example
head and necl large.png When he was a 33 -year-old man (birth date 1957), he received a jaw, tongue, neck dissection with rectus abdominus free flap in 1990 for a T4N0 squamous cell cancer of the right retromolar trigone with postoperative radiation
Page: Forms for Medical History Past Medical History Medications Allergies Review of Systems Family History
head and necl large.png return: Patient Welcome Needed for new patients to Dr. Hoffman's Clinics (Head and Neck Cancer / Salivary Disorders / Voice Clinic) please print out both sides, fill out, and bring with you to give directly to Dr. Hoffman w
Page: Forwards
picture Last updated 1:26:10 PM 4/10/2007 by admin & admin see: Iowa Protocols Update 03192012 Foreword for Surgery Section (year 2000) The Iowa Head and Neck Protocols is a refreshing approach to the diagnosis and Management of a broad range of
Page: Four-flap Epithelial Lined Tracheotomy
head and necl large.png Epithelial-lined Tracheostomy (with anterior cervical lipectomy and thyroid isthmusectomy) return to: Trachea Surgical Protocols see:Use of Tracheostomy Tube Cuff; Case Example Four-flap Epithelial Lined Tracheotomy (dela
Page: Fracture Tray
head and necl large.png Fracture Tray 1 Beaver Chuck Handle, Round Knurled 3K, 3-7/8" 2 Rochester "Diamond Jaw" Needle Holder, 18.4 cm or Microvascular Needle Holder, Tungsten Carbide Jaw, 7-1/4" 5 Raney Clip Applying Forceps, 6-1/4" 2 Ochsner Arter
Page: Freche Monopolar Probe - Cord Instrument Tray
head and necl large.png Freche Monopolar Probe/Cord Instrument Tray 1 Freche Coagulating Monopolar Probe, 36.8 cm TL, 22.8 cm WL, Tip 16 mm. 1 Freche Unipolar Connecting Cable, 1.52 M
Page: Free Flap Monitoring and Salvage
head and necl large.png Free Flap Monitoring and Salvage return to: Microvascular Surgery Protocols Concepts Free flap failure rates have decreased to generally less than 4%. This includes successful salvage of flaps. The overall flap complicatio
Page: Free Flap Room Setup
head and necl large.png Free Flap Room Setup EQUIPMENT Surgical loupes 3080 operating room table in reverse orientation with foot extension Arm boards x 3 (for radial arm) Mayfield headrest with adapter Back tables x 2 Mayo stands x 2 Gown tabl
Page: Frontal Sinus Osteoplastic Flap
head and necl large.png Frontal Sinus Osteoplastic Flap return to: Paranasal Sinus Surgery Protocols GENERAL CONSIDERATIONS Indications Frontal sinus fractures: nasofrontal duct involvement, anterior and posterior tables involved Frontal sinus dise
Page: Full thickness skin graft
head and necl large.png see:Case Example Full Thickness Skin Graft (retroauricular) and Full Thickness Skin Graft from medial upper arm donor site and: Case Example of Full Thickness Skin Graft for Atypical Spitz Nevus and Split Thickness Skin Graft
Page: Full Thickness Skin Graft from medial upper arm donor site
head and necl large.png Full Thickness Skin Graft from Medial Upper Arm donor site return to:Full thickness skin graft sun damaged skin elsewhere warranted donor site protected from sun exposure Click on image to enlarge; advance to next with curs
Page: Fundic Polyps in Patient on Proton Pump Inhibitors
Fundic Polyps in Patient on Proton Pump Inhibitors return to: Esophagoscopy with narrow band imaging (NBI) for Reflux Esophagitis under construction Esophagoscopy June 2011 done at time of treatment for subglottic stenosis identified multiple gastric po
Page: Furlow Double Opposing Z-Palatoplasty
image2017-1-30 9:57:52.png return to:Cleft Lip and Palate Protocols GENERAL CONSIDERATIONS A transposition-advancement flap Two flaps myomucosal are rotated posteriorly and the two mucosa-only flaps are transposed anteriorly Short limb of th

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Page: Gantz Micro Forceps Instrument Tray
head and necl large.png Gantz Micro Forceps Instrument Tray 1 OtoView Ear Scissors, Curved Up, 14.6 cm 1 Shea Oval Cup Alligator Forceps Fine Curved Left, 15.8 cm Fine Curved Right, 15.8 cm Fine Curved Up, 15.8 cm Fine Straight, 15.8 cm 1 OtoView Cu
Page: General
picture Surgical Protocols (Click on table heading to resort links alpabetically.) Antibiotic Surgical Protocols Tonsils and Adenoids Laryngeal Surgery (Benign Disease) Protocols Laryngeal Surgery (Malignant Disease) Protocols Salivary Gland Surger
Page: General Clerkship Objectives
return to: Medical Student Instruction General Course Objectives: By the end of the clerkship, students will demonstrate proficiency in diagnosing and describing treatment of common otolarynglogic problems occurring in adult and pediatric patients. Stud
Page: General Considerations for Acoustic Neuroma Management
General Considerations for Acoustic Neuroma Management return to: Otology - Neurotology INDICATIONS The general indication for tumor removal is the presence of a tumor. The natural history of schwannomas is slow but steady growth. Larger tumors may grow
Page: General Considerations of Otologic Surgery
General Considerations of Otologic Surgery return to: Otology - Neurotology ANESTHESIA CONSIDERATIONS Positioning/monitoring BP cuff on contralateral side to surgery Advise anesthesia that we will be turning 180 degrees Have circuit extensions av
Page: General Floor Guidelines
head and necl large.png Supplies H&N: have tongue depressors and light source ready, 18g needle if flap check is necessary, check that dressing change supplies are in the room Otology: always have a 512Hz tuning fork Supplies for a mastoid dress
Page: General OR Guidelines
head and necl large.png General OR Guidelines Pre-op visit H&P Done within 30 days before the planned surgery due to hospital regulations. The preoperative clinic note should be very thorough including PMHx, medication with doses, complete exam, l
Page: Genetic Testing for Deafness Overview
head and necl large.png Genetic Testing for Deafness Overview See also: Congenital Hearing Loss, OtoSCOPE® - Genetic Testing See Flow Diagram Below for Summary Key Information: Genetic deafness comprises the majority of congenital deafness but environ
Page: Globus Syndrome
Globus Syndrome Return to: Throat Pressure Pain Symptoms Etiology See also: Vallecular Cyst unusual cause of lump in throat sensation (globus) General Overview Persistent or intermittent sensation of a lump, foreign body, pressure, retained food, or
Page: Gracilis Free Flap for Smile Reanimation
head and necl large.png UNDER CONSTRUCTION GENERAL CONSIDERATIONS Indications Contraindications PRE-OPERATIVE CONSIDERATIONS Consent Antibiotics Should have Unasyn or equivalent OCTOR Patient should have had pictures taken, and these should be prin
Page: Graft Coupler Tray
head and necl large.png Graft Coupler Tray Graft Coupler System contains:: 1 Delivery Instrument, 6 inch 1 Coupler Forcep, 7 1/8 inch 1 Measuring Guage, 5¼, double-ended 1 Synovis Micro Case
Page: Grand Rounds Mary Greeley Medical Center 'Common Voice Disorders' August 10, 2015
head and necl large.png Grand Rounds Mary Greeley Medical Center 'Common Voice Disorders' August 10, 2015 Videos for Common Voice Disorders Mary Greeley Medical Center Grand Rounds August 12, 2015 Hoffman click to access: Common
Page: Granular Cell Tumor of Larynx: Case Example (1)
A 39-year-old male presented with a persistent voice change and intermittent throat discomfort not relieved by Omeprazole for a year and half. Past medical history significant for gastroesophageal reflux disease relieved by Omeprazole, and a history of s
Page: Granular Cell Tumor of the Larynx
returnto: Laryngeal Surgery (Benign Disease) Protocols Visit: Granular Cell Tumor of Larynx: Case Example (1) Background: Granular cell tumor is a rare soft tissue neoplasm of uncertain cell type origin. Electron microscopy and immunohistochemistry studi
Page: Great auricular nerve pain (great auricular neuralgia)
Great auricular nerve pain (great auricular neuralgia) return to: Sialosis or sialadenosis Case example of surgical treatment Nerve block wtih 2% lidocaine iwth 1:100,000 epineph J Headache Pain. 2013; 14(Suppl 1): P161. Published online 2013

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Page: Hall Hi Speed Drill Tray
1 Drill, Hall High Speed w/cord 1 Guard, Hall 1 1/8" 1 Guard, Hall 1 3/4" 1 Guard, Hall, 3 3/4" 1 Linvatec Hall Burr Buddy, Measuring Device 5" 1 Bur Brush
Page: Hall Micro Sagittal Saw Tray (Pneumatic)
head and necl large.png Hall Micro Sagittal Saw Tray (Pneumatic) 1 Hall Micro Sagittal Saw, Pneumatic 17.8 cm Long x 18 mm Diameter 1 Allen Wrench With Handle, 12.7 cm x 3.5 mm 2 Hall Micro Sagittal Saw Blade, Straight, 19.1 mm x 2.54 cm 2 Hall Micr
Page: HaN Admin Pages
The Protocols contributors Known Issues with pages Streaming media server Video example Admin pages/excerpt pages Authors boxes Navigation Panel Pages: Disclaimer Nav Panel List of Donors Panel Excerpt Pages List: Part I: Management Protocols Airway Mo
Page: HaN Sandbox 2
Page: Handout for MCOW Symposium September 23 2011
head and necl large.png Handout For Medical College of Wisconsin Head and Neck Cancer Symposium September 23-24, 2011 return to:Head and Neck Cancer Symposium MCOW September 23 2011 "Google", "Bing" or otherwise search for "Iowa Protocols" or "Iow
Page: Handout: Esophageal Reflux Precautions
University of Iowa Hospitals and Clinics Department of Otolaryngology - Head and Neck Surgery Esophageal Reflux Precautions In some people, irritating acid stomach juices may leak out of the stomach and into the esophagus and throat. This causes irrit
Page: Handout: Homeopathic Thorat Soothers
University of Iowa Hospitals and Clinics Department of Otolaryngology - Head and Neck Surgery Homeopathic Throat Soothers Gould's Gargle Ingredients: - Half tsp talt. - Half tsp baking sode. - Half tbsp. Karo syrup. - 6 oz warm water Mix all ingred
Page: Handout: Voice Conservation
University of Iowa Hospitals and Clinics Department of Otolaryngology - Head and Neck Surgery CONSERVE YOUR VOICE Throat clearing, coughing, and yelling can be harmful to your voice. Instead of throat clearing, try to cough without voicing more effort
Page: Harmonic Blue Handpiece Tray
1 Handpiece, Harmonic Blue 7" w/attached cord
Page: Head and Neck
picture Management Protocols (Click on table heading to re-sort links alpabetically.) Midwest Head and Neck Consortium Cancer Management Principles Airway Monitoring Manangement Protocols Endoscopy Management Protocols Voice Clinic Management Prot
Page: Head and Neck Cancer Staging
head and necl large.png B. Oral Cavity Definition: The anterior border is the junction of the skin and vermilion border of the lip. The posterior border is formed by the junction of the hard and soft palates superiorly, the circumvallate papillae
Page: Head and Neck Cancer Surgery
head and necl large.png Head and Neck Cancer Surgery ROUTINE PREOPERATIVE TEACHING OF THE ADULT PATIENT Objective: Patient/family will verbalize understanding of routine preoperative instructions. Content: Refer to clinic policy Routine Preoper
Page: Head and Neck Cancer Survivorship
head and necl large.png Head and Neck Cancer Survivorship Cancer Survivorship Phase of the cancer continuum after completion of active treatment Prevention Early Detection Diagnosis Treatment Survivorship End-of-Life Care Tobacco control Diet Physical a
Page: Head and Neck Clinic Procedures
Flexible laryngoscopy Verbal consent was obtained and the nose sprayed with topical anesthetic and vasoconstrictor. Flexible fiberoptic scope was then introduced into the patient's nose and the nose, nasopharynx, oropharynx, larynx, and hypopharynx wer
Page: Head and Neck CT Protocols
Head and Neck CT Protocols Head CT Without Contrast https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Head+and+Neck+CT+Protocols?preview=%2F7275110%2F7296238%2FHeadCTwoContrast.pdf Head CT With Contrast https://iowaheadneckprotocols.oto.uiow
Page: Head and Neck Team
head and necl large.png Head and Neck (updated October 9 2010) return to: Iowa Otolaryngology Resident Handbook Tumor board Tumor board is a conference held by the H&N team every Friday at 6:30AM which includes Otolaryngology, Radiology, Nuclear
Page: Head and Neck Test Homepage Feb 28
Search the Protocols: head and necl large.png For Patients -Visiting the Oto Clinic and Hospital https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Patient+Welcome -Medical Information http://wiki.uiowa.edu/display/protocols/Patients
Page: Head and Neck Tumor Board (Multidisciplinary Treatment Planning Conference)
head and necl large.png Head and Neck Tumor Board (Multidisciplinary Treatment Planning Conference) Return to: Head and Neck GENERAL CONSIDERATIONS Purpose A regularly scheduled formal meeting between physicians who manage cancer patients is usef
Page: Healy Jako Subglottiscope Tray
1 Subglottiscope, Healy Jako, Pediatric Set includes Scope Light Cable Left and Right
Page: Heliox for the difficult airway
Heliox for the difficult airway return to: Difficult Airway; Adult Airway in the Operating Room; Emergency Airway Cart see also:Tracheostomy and Upper Airway Management Symposium July 30 2016 IAO and SOHN Iowa City Iowa Heliox has a lower density than
Page: Hemangioma - Tongue Rads
Hemangioma - Tongue Hemagio_pic_0725.jpg T1-weighted MR.jpg Hemangio_T1_0716.jpg T2-weighted MR.jpg Hemangio_T2_0716.jpg TI post-con fat-sat.jpg Hemangio_T1postFatSat_0716.jpg
Page: Hemilaryngectomy
head and necl large.png Hemilaryngectomy(Or Vertical Partial Laryngectomy) return to:Laryngeal Surgery (Malignant Disease) Protocols click to see:Vertical Partial Laryngectomy Case Example GENERAL CONSIDERATIONS Definitions Hemilaryngectomy is
Page: Hoarseness
Return to: General Clerkship Objectives Overview: Hoarseness is ideally defined as abnormal vocal cord vibration Any change in voice quality is often referred to as hoarseness Many etiologies from many anatomic locations- oral cavity to lungs Can be br
Page: Holmium laser for lithotripsy
Holmium laser for lithotripsy return to:Laser Surgery Protocols The first medical laser lithotripsy papers appeared in 1985 with development dominated by Urologic applications (85-90% of articles in Urology) Holmium lasers have dominated the field of
Page: Home Care Instruction Nursing Protocols
Home Care Instruction return to: Preoperative Patient Education Nursing Counselling https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Preoperative+Patient+Education+++Nursing+Counselling Home Care Instruction Home Page https://iowaheadneck
Home page: Home Page
head and necl large.png Any question and/or comments please email us at: iowaotoprotocols@uiowa.edu mailto:iowaotoprotocols@uiowa.edu Search the Protocols: For Patients Visiting the Oto Clinic and Hospital Medical Information For Nurses Iowa Nursing Care
Page: House-Brackmann Facial Paralysis Scale
head and necl large.png return to: Facial Paralysis (surgery for facial nerve paralysis weakness) see also: Facial Reanimation ; Platinum-Gold eyelid weighting ; Gracilis Muscle Transfer for Facial Paralysis; Unilateral Brow Lift for Facial Paral
Page: House-Urban Middle Fossa Retractor Tray
head and necl large.png House-Urban Middle Fossa Retractor Tray 1 House-Urban Middle Fossa Retractor, 7.6 cm x 7.6 cm 1 House-Urban Middle Fossa Retractor Blade, 12.7 cm x 1.2 cm 1 House-Urban Middle Fossa Retractor Wrench Small, 5 cm x 6.3 mm Large
Page: How to Read an Audiogram
How to Read an Audiogram uihc_logo.png General: Audiograms are used to diagnose and monitor hearing loss. Audiograms are created by plotting the t
Page: Hybrid Cochlear Implant
head and necl large.png Hybrid Cochlear Implant under construction Otology - Neurotology
Page: Hyperbaric Oxygen Therapy
head and necl large.png Hyperbaric Oxygen Therapy RATIONALE AND BACKGROUND Predisposing Factors Relative tissue ischemia leads to wound breakdown by several mechanisms. Healing tissue requires angiogenesis, cell proliferation, and collagen synthe
Page: Hyperkeratosis causing laryngeal leukoplakia
head and necl large.png Hyperkeratosis causing laryngeal leukoplakia Return to:Laryngeal leukoplakia white plaques on vocal cords Go to: Overview of squamous dysplasia Go to: Mild squamous dysplasia causing laryngeal leukoplakia Hyperkeratosis is
Page: Hypersalivation Ptyalism Sialorrhea
Hypersalivation Ptyalism Sialorrhea return to: Botulinum neurotoxin treatment of salivary gland disorders see also: Transdermal scopolamine and glycopyrrolate for sialorrhea and salivary fistula I. Definitions Excessive accumulation of saliva may

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Page: I131 sialadenitis (Radioiodine Sialadenitis)
head and necl large.png I131 sialadenitis (Radioiodine Sialadenitis) return to:Thyroid nodule evaluation; Thyroidectomy and Thyroid Lobectomy; Thyroid Cancer (Evaluation and Management) see also: Salivary Swelling; Botulinum Toxin Protocols; Case
Page: IgG4 Salivary Disease
IgG4 Salivary Disease return: Salivary Swelling I. IgG4 related disease (IgG4-RD) Characteristics A. General Characterized by elevated tissue levels of IgG4-positive plasma cells "newly recognized fibroinflammatory condition" (Stone 2012) characteri
Page: Iliac Crest-Internal Oblique Free Flap
head and necl large.png Iliac Crest-Internal Oblique Free Flap return to: Microvascular Surgery Protocols GENERAL CONSIDERATIONS Indications This flap has been used extensively for oromandibular reconstruction. It is particularly well suited for th
Page: Immobile Vocal Cord After Intubation
head and necl large.png Immobile Vocal Cord After Intubation see video below return to:Unilateral Laryngeal Paralysis or Vocal Cord Paralysis or: Injection Laryngoplasty for Vocal Fold Paralysis and Glottic Incompetence password protected site:Lar
Page: Indications and Timing for tracheostomy
Indications and Timing for tracheostomy return to: Tracheotomy - Tracheostomy https://iowaheadneckprotocols.oto.uiowa.edu/download/attachments/12517528/010.JPG?version=1&modificationDate=1469795933983&api=v2 https://iowaheadneckprotocols.oto.uiowa.ed
Page: Information for Sub-Internship and Rotating Elective Students
head and necl large.png Information for Sub-Internship and Rotating Elective Students Course Director: Scott Graham, MD (scott-graham@uiowa.edu mailto:scott-graham@uiowa.edu) Contact person for the rotation: April Thompson (april-thompson@uiowa.e
Page: Injectable substances for injection laryngoplasty
Injectable substances for injection laryngoplasty return to: Injection Laryngoplasty for Vocal Fold Paralysis and Glottic Incompetence see also: Cymetra Injection to Paralyzed Vocal Cord In the Clinic Technical Points for Percutaneous Injection and: I
Page: Injection laryngoplasty difficulties
Injection laryngoplasty difficulties return: Injection Laryngoplasty for Vocal Fold Paralysis and Glottic Incompetence Cymetra Injection to Paralyzed Vocal Cord In the Clinic Technical Points for Percutaneous Injection and Injectable substances for i
Page: Injection Laryngoplasty for Presbylaryngis
head and necl large.png Injection Laryngoplasty for Presbylaryngis -- see video below return to: Injection Laryngoplasty for Vocal Fold Paralysis and Glottic Incompetence Presbyphonia defines age related voice changes. Presbylaryngis more specif
Page: Injection Laryngoplasty for Vocal Fold Paralysis and Glottic Incompetence
head and necl large.png return to: Unilateral Laryngeal Paralysis or Vocal Cord Paralysis or Laryngeal Surgery (Benign Disease) Protocols see excellent discussion of laryngeal injectables and philosophy for choosing injection laryngoplasty: Injec
Page: Injection Needle (Merz Aesthetics) for transoral vocal cord injection of Radiesse
head and necl large.png Injection Needle (Merz Aesthetics) for transoral vocal cord injection of Radiesse return to: Injection Laryngoplasty for Vocal Fold Paralysis and Glottic Incompetence Click on image below to enlarge; advance with cursor ov
Page: Injury to the Palate -- General Information
Injury to the Palate -- General Information General: Injuries to the palate are relatively common in the pediatric population. A child’s propensity to place objects in their mouth, along with their unsteady gait, make trauma to the
Page: Internship Orientation
Intern Orientation The otolaryngology clinic and operating room have a number of specialty specific practices which may be different from the rest of your internship training. Prior to beginning your two month rotation with the service, please complete
Page: Intranasal medications (steroid nasal spray, antihistamine nasal spray, nasal irrigations)
head and necl large.png Intranasal medications (steroid nasal spray, antihistamine nasal spray, nasal irrigations) return to: Sinus and Rhinology and Medical Management of Sinusitis and Steroids Side Effects Systemic Corticosteroid Therapy Advers
Page: Intraoperative Manipulations Goretex Thyroplasty
head and necl large.png see also: medialization Laryngoplasty- Type I Thyroplasty with ePTFE (Gore-Tex) injection Laryngoplasty for Vocal Fold Paralysis and Glottic Incompetence Intraoperative visualization of manipulations of the left vocal cord in
Page: Invasive squamous cell carcinoma causing laryngeal leukoplakia
head and necl large.png Invasive squamous cell carcinoma causing laryngeal leukoplakia Return to: Laryngeal leukoplakia white plaques on vocal cords Go to: Verrucous squamous carcinoma causing laryngeal leukoplakia Invasive squamous carcinoma is
Page: Iodine Allergy Protocols for Contrast
head and necl large.png Iodine Allergy Protocols for Contrast return to:Radiology Protocols, Sialogram Complications See attachment for U of Iowa protocol to address allergy to radio-iodine: Radiology Comprehensive Contrast Policy U of Iowa 2013 h
Page: Iodine Contrast Protocol
head and necl large.png Delete Unneeded
Page: Iontophoresis for myringotomy or ear procedures under local anesthesia
head and necl large.png Iontophoresis for myringotomy or ear procedures under local anesthesia Return to Otology - Neurotology or Pediatrics What is iontophoresis? Iontophoresis is a process in which ionized chemical substances are applied to the s
Page: Iowa Head and Neck Protocols Mission Statement
head and necl large.png Mission Statement and History of the Iowa Protocols return to: Home - old (nov 2016) see also "Evaluating Health Information on the Internet" from the National Library of Medicine: http://www.nlm.nih.gov/medlineplus/webe
Page: Iowa Otolaryngology Resident Handbook
head and necl large.png Note: Some information requires HawkID login References General otolaryngology Commonly Used Medications Common Call Problems Common Medical Problems Tooth numbering - permanent , primary Reflux symptom index Facial Plastic
Page: Iowa Otolaryngology Resident Mother's Protocol Pregnancy in Residency Resident Mother Motherhood in Residency
Iowa Otolaryngology Resident Mother’s Protocol Pregnancy In Residency Motherhood in Residency Resident Mother BACKGROUND: ~ half of medical school applicants are women with increasing numbers of female graduates entering surgical subspecialties. Resid
Page: Iowa Otolaryngology Resident Protocols Awards
head and necl large.png Iowa Otolaryngology Resident Protocols Awards return to Home - old (nov 2016) 2010 Ipad1 awarded 2011 Ipad2 awarded 2012 Ipad3 awarded Andy Heaford Largest number of edits Hank Diggelmann Largest number of edits Aaron Flet
Page: Iowa Protocols Update 03192012
head and necl large.png return to: Home - old (nov 2016) see also: Forwards to the 2000 version (Charles Krause MD, Barbara Singler RN, and Ingo Titze PhD) Click on image below to enlarge. Advance to next with arrow that appears with cursor over mi
Page: Ivy Loops
head and necl large.png Intermaxillary Fixation: Ivy Loops INDICATIONS Maxillofacial Fractures Requiring Occlusal Control Maxillomandibular fixation (MMF) Temporary occlusal orientation for placement of rigid internal fixation ADVANTAGES Simple an

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Page: Jackson Laryngeal Dilator Tray
head and necl large.png Jackson Laryngeal Dilator Tray: 1 Jackson Laryngeal Dilator #16 Fr #18 Fr #20 Fr #22 Fr #24 Fr #26 Fr #28 Fr #30 Fr #32 Fr #34 Fr #36 Fr #38 Fr #40 Fr #42 Fr #44 Fr 1 Instrument Tray, 13.5 in x 9.75 in x 0.65 in Wrapper: 40 i
Page: Jannetta Posterior Fossa Retractor Tray
head and necl large.png Jannetta Posterior Fossa Retractor Tray 1 Jannetta Posterior Fossa Retractor. 1 Retractor Body, 19.0 cm 2 Double Round Bars, 10.0 cm, 18.0 cm TL 2 Round Bars, 10.0 cm 1 Retractor Blade Blade 15 mm x 70 mm, 165 mm TL Blade 20
Page: Jet Ventilation Anesthesia - Transoral for Laryngeal Surgery
head and necl large.png Jet Anesthesia - Transoral for Laryngeal Surgery Return to Laryngeal Surgery (Benign Disease) Protocols return to: Adult Airway in the Operating Room I. Definition and terms Jet ventilation refers to delivery of oxygen
Page: Jon and Veda Foster
head and necl large.png return to:Iowa Protocols Thanks for supporting the Iowa Head and Neck Protocols Picture.jpg Jon and Veda Foster Jon has been a patient of Dr. Hoffman since 1998. He had surgery and radiation in 98 and 99. Then we were marrie
Page: Jugular Foramen Tumors
head and necl large.png Jugular Foramen Tumors GENERAL CONSIDERATIONS Indications Glomus jugulare tumor Nerve sheath tumor Meningioma Epidermoid Chordoma Contraindications Asymptomatic (nonenlarging) nerve sheath tumor or meningioma Poor surgic
Page: Jugular Paraganglioma - Rads
Jugular Paraganglioma Also known as: glomus jugulare paraganglioma, glomus jugulotympanicum paraganglioma, jugular foramen paraganglioma, chemodectoma Benign tumor arising from neural crest cells near the jugular foramen Look for bony erosion on CT a
Page: Jugular Vein Thrombosis - Rads
Jugular Vein Thrombosis Chronic internal jugular vein thrombosis (IJV) is where the thrombus persists for 10 days after the intial event Jugular vein thrombophlebitis is acute to subacute thrombosis with associated local soft tissue inflammation IJV
Page: Juvenile Angiofibroma - Rads
Juvenile Angiofibroma See also Juvenile Nasopharyngeal Angiofibroma See also Juvenile Nasopharyngeal Angiofibroma (JNA) Anatomy: the Pterygopalatine Fossa A tumor of adolescent males, benign yet invasive and non-encapsulated vascular lesion Site of or
Page: Juvenile Nasopharyngeal Angiofibroma
head and necl large.png Juvenile Nasopharyngeal Angiofibroma (Evaluation and Work-Up) return to: Paranasal Sinus Surgery Protocols ; see also: Juvenile Nasopharyngeal Angiofibroma (JNA) Anatomy: the Pterygopalatine Fossa see also: Juvenile Angiofibr
Page: Juvenile Nasopharyngeal Angiofibroma (JNA) Anatomy: the Pterygopalatine Fossa
Juvenile Nasopharyngeal Angiofibroma (JNA) Anatomy: the Pterygopalatine Fossa and Surrounding Structures return to: Juvenile Nasopharyngeal Angiofibroma see also: Juvenile Angiofibroma - Rads JNA tumors most commonly originate from the sphenopalatine

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Page: Karl and Kay Rinehart
head and necl large.png return to:Iowa Protocols Thanks for supporting the Iowa Head and Neck Protocols Karl Rinehart ppt.jpg Karl Rinehart Karl
Page: KLS Free Flap Implant - Instrument Tray
head and necl large.png KLS Free Flap Implant/Instrument Tray 1 Retractor, Cheek, 2.0 mm, #25-471-10 1 Drill Guide, 2.0 mm, #25-471-20 1 Forceps, Plate Cutting, TC 6.5 in, #25-420-16 1 Plier, Aderer Modified, 5.5 in, #25-510-12 2 Pliers, Plate Bendi
Page: KLS Lag Screw Tray
1 Screwdriver Handle, KLS, 2.0/2.7mm 1 Screwdriver, 2.3 Centre Driver 1 Joystick, Lag Screw 8" 1 Bone Reduction , Lag screw 1 Clamp, Bone Reduction Blunt 1 Drill Guide Double ended 1 Handle w/cannula" 1 depth gauge 1 trocar 1 countersink 1 pointer 4 Lag
Page: KLS Locking Reconstruction Threadlock Instrument Tray
head and necl large.png KLS Locking Reconstruction Threadlock Instrument Tray LOWER TRAY 1 Depth Gauge, Chatkowski Plate Holding Drill Guide, #50-095-00 (consists of) Guide 6.25 in Depth Gauge, 2.5 in Calibrated 8 to 22 mm in 2 mm increments 1 Instr
Page: KLS Oto Trauma Implant - Instrument Tray
head and necl large.png KLS Oto Trauma Implant/Instrument Tray 1 Retractor, 2.0 mm, #25-471-10 1 Drill Guide, 2.0 mm, #25-471-20 1 Forceps, Plate Cutting, TC 6.5 in, #25-420-16 1 Pliers, Aderer Modified, 4.75 in, k#25-510-12 2 Pliers, Plate Bending,
Page: KTP Laser for RRP local anesthesia case example
KTP Laser for RRP local anesthesia case example return to: KTP Laser for the Larynx Note setup immediately below uses longer and left-handed TNE (transnasal esophagoscopy flexible distal chip scope) The setup depicted further below shows our now more co
Page: KTP Laser for the Larynx
KTP Laser for the Larynx return to: Laser Surgery Protocols KTP Laser for RRP local anesthesia case example KTP laser for papilloma microdirect laryngoscopy Recurrent Respiratory Papillomatosis (RRP) - General Information (Wang C-T et al 2013) KTP
Page: KTP laser of intra-nasal telangiectasias (HHT) (with or without Avastin injection)
KTP laser of intra-nasal telangiectasias (HHT) (with or without Avastin injection) return to: Paranasal Sinus Surgery Protocols return to: Laser Surgery Protocols Protocol for KTP laser of intra-nasal telangiectasias (HHT) (with or without Avastin injec
Page: Kurz Precise Cartilage Knife Tray
1 Kurz Precise Cartilage Knife Consists of : Cutting Block Top Cutting Block Bottom Cutting Clock Knurled Nut Blade Holder Top Blade Holder bottom Tightening Nut Mini Container Distance Plates: .01 .02 and .03

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Page: Large parotid stone (sialolithiasis) with ductoplasty removed via transfacial approach case example
Large parotid stone (sialolithiasis) with ductoplasty removed via transfacial approach case example return to: Sialolithiasis
Page: larygectomy before and after pics
laryngectomy01.gif Fig. V.D.1.1. - Airway Before Surgery laryngectomy02.gif Fig. V.D.1.2. - Airway After Surgery
Page: Laryngeal Amyloidosis
head and necl large.png Laryngeal Amyloidosis return to: Management of Specific Voice Disorders see also: Case Example Laryngeal Amyloidosis and Amyloidosis (Laryngeal) Pathology See also: Amyloidosis Pathology Case Example GENERAL CONSIDERATIONS
Page: Laryngeal EMG (Electromyography)
head and necl large.png Laryngeal EMG see also: Laryngeal EMG (Electromyography) Anatomy and Video PREOPERATIVE PREPARATION Evaluation Head and neck exam to include indirect or fiberoptic laryngoscopy. Videostroboscopy (preferable preoperatively
Page: Laryngeal EMG (Electromyography) Anatomy and Video
head and necl large.png Laryngeal EMG (Electromyography) Anatomy and Video see also: Case example EMG guided laryngeal Botox Injection and Case Example Vocal Tremor Response to Botox see also: Unilateral Laryngeal Paralysis or Vocal Cord Paralysis
Page: Laryngeal Fat Injection for Vocal Cord Paralysis and Glottic Incompetence
head and necl large.png Laryngeal Fat Injection for Vocal Cord Paralysisand Glottic Incompetence return to: Laryngeal Surgery (Benign Disease) Protocols GENERAL CONSIDERATIONS Indications Symptomatic glottic insufficiency Laryngeal paralysis or
Page: Laryngeal Fracture Plating
Laryngeal Fracture Plating see also: Laryngeal Fracture Surgery after Deer-Car Accident return to: Arytenoid Repositioning Device Video (2011 Experiment) 28 yo in snowmobile accident (striking a deer at high velocity) with nasal and laryngeal trauma.
Page: Laryngeal Fracture Surgery after Deer-Car Accident
Laryngeal Fracture Surgery after Deer-Car Accident return to: Laryngeal Fracture Plating
Page: Laryngeal Leukoplakia Case Example
head and necl large.png Laryngeal Leukoplakia Case Example see also: Endoscopic Resection of Vocal Cord (Fold) Leukoplakia return to: Microdirect Laryngoscopy (Suspension Microlaryngoscopy or Direct Laryngoscopy) see general listings: Laryngeal l
Page: Laryngeal leukoplakia progression to invasive squamous cell carcinoma 2009 to 2013
head and necl large.png return to: Laryngeal leukoplakia white plaques on vocal cords History: 67 yo referred to UIHC Nov 2010. Former 1 pack per day cigarette user with laryngo-pharyngeal reflux developed dysphonia in 2007 leading to treatment else
Page: Laryngeal leukoplakia white plaques on vocal cords
Laryngeal leukoplakia white plaques on vocal cords Reactive Proliferative Lesions: Squamous hyperplasia Parakeratosis Hyperkeratosis Infectious Proliferative Lesions: Candidiasis Blastomycosis Neoplastic Proliferative Lesions: Laryngeal leukopla
Page: Laryngeal Movement Disorders Clinic (Neurolaryngology)
picture Neuro-Laryngology Clinic (Movement Disorders) Protocols Home Page Neuro-Laryngology Clinic History Form Evaluation forms: 1. Muscle Tension Dysphonia vs Spasmodic Dysphonia 2. Vocal Tremor / Parkinsons Voicing Form Link to: Case exam
Page: Laryngeal Needle Localization with Transillumination
Laryngeal Needle Localization with Transillumination return to: Microendoscopy of Reinke's Space (MERS); MERS March 2010 Pig Experiment, ARD- Arytenoid Repositioning Device see also (password protected): Reinke's Space Approaches; Transilluminating Obt
Page: Laryngeal Oncocytic Cystadenoma Case Example
Laryngeal Oncocytic Cystadenoma return to: Laryngology GENERAL CONSIDERATIONS Definitions Oncocyte: An epithelial cell that has undergone metaplastic changes with characteristic eosiniophillic and granular cytoplasm secondary to increased mitochondria
Page: Laryngeal paralysis case example of complex case
head and necl large.png Click to see history and progressive changes after failed efforts to produce voicing after thyroplasty and arytenoid adduction addressed by in-clinic trial of saline injection followed by operative treatment with fat injectio
Page: Laryngeal Reinnervation
head and necl large.png Laryngeal Reinnervation return to:Laryngeal Surgery (Benign Disease) Protocols see: Reinnervation for Laryngeal Paralysis
Page: Laryngeal Stent Placement for Aspiration
head and necl large.png Laryngeal Stent Placement for Aspiration (See Laryngeal Stent Placement for Aspiration - Case Example) (return to Management of Swallowing Disorders) GENERAL CONSIDERATIONS Indications for laryngeal stent placement Use to
Page: Laryngeal Stent Placement for Aspiration - Case Example
head and necl large.png Laryngeal Stent Placement for Aspiration - Case Example 01 Montgomery stent.jpg Operative Note: We then proceeded to evaluate the patient's larynx with a direct laryngoscopy. An approximately 2 cm incision was made above the
Page: Laryngeal Surgery (Benign Disease) Protocols
return to: Laryngology Laryngeal Surgery (Benign Disease) Laryngeal Surgery (Benign Disease) Protocols Home Page https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Laryngeal+Surgery+%28Benign+Disease%29+Protocols Microdirect Laryngoscopy (Su
Page: Laryngeal Surgery (Malignant Disease) Protocols
Laryngeal Surgery (Malignant Disease) Laryngeal Surgery (Malignant Disease) Protocols Home Page https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Laryngeal+Surgery+%28Malignant+Disease%29+Protocols Hemilaryngectomy https://iowaheadneckprot
Page: Laryngeal white lesions that are not leukoplakia
head and necl large.png Laryngeal white lesions that are not leukoplakia return to: Laryngeal leukoplakia white plaques on vocal cords
Page: Laryngectomy
head and necl large.png Laryngectomy (under revision) return to: Patient Teaching and Education Information Nursing Protocols and Laryngectomy Counselling or surgical protocol: Total Laryngectomy restricted access (to U of Iowa): Total Laryngecto
Page: Laryngectomy Counselling
head and necl large.png Return to protocols: Total Laryngectomy, Laryngectomy Home Care Booklet, Tracheoesophageal Puncture, Laryngectomy Description of Tracheostomy Tubes and Appliances Sample note generated after speech pathologists discussion
Page: Laryngectomy Home Care Booklet
head and necl large.png LARYNGECTOMY HOME CARE return to:Resources for Total Laryngectomy in 2015 Total Laryngectomy The University of Iowa UIHC Hospitals and Clinics Department of Nursing The University of Iowa Hospitals and Clinics Iowa City, Iow
Page: Laryngology
picture click to advance to: Specific Voice Disorders Evaluation and Management Surgical Protocols (Click on table heading to resort links alpabetically.) Antibiotic Surgical Protocols Laryngeal Surgery (Benign Disease) Protocols Laryngeal Surgery (M
Page: Laryngology Update - Innovative Approaches to Common Problems
Resources for Laryngology Update - Innovative Approaches to Common Problems return to: Utahotolaryngology Update 21st Lectures (Hoffman) June 19-20, 2015 see also: Wisconsin Society of Otolaryngology Meeting WSO Elkhart Lake Wisconsin October 18 19 2014
Page: Laryngomalacia
Laryngomalacia return to: Pediatric Airway see also: The Evaluation of Stridor in Pediatric Patients and: Pediatric Airway Sizing General: Defined as the inward collapse of the supraglottic structures duri
Page: Laryngoscope Instrument Tray, Microscopic Direct
head and necl large.png Laryngoscope Instrument Tray, Microscopic Direct 1 Jako Microlaryngeal Cup Forceps Angled Left, 2 mm x 22 cm, #50-6460. Angled Right, 2 mm x 22 cm, #50-6461 Angled Up, 2.5 mm x 22 cm, #50-6462 Straight, 3 mm x 22 cm, #50-6465
Page: Laryngoscope Weerda
head and necl large.png Laryngoscope Weerda 1 Needleholder, Kleinsasser, 11.75 in LK, 9 in, #8660N 1 Forceps, Storz Laryngeal Alligator, Straight 12 in, 9.25 in, #8593A 1 Light Carrier, Weerda FO, 5.75 in TL, 4.5 in L, 2 mm ID, 3 mm OD, #8588GF 1 Ad
Page: Laryngotracheal Reconstruction with Costal Cartilage Grafting
head and necl large.png Laryngotracheal Reconstruction With Costal Cartilage Grafting (Laryngotracheoplasty) return to: Trachea Surgical Protocols and Pediatric Airway GENERAL CONSIDERATIONS Indications Symptomatic patients with greater than 50% s
Page: Laryngotracheal Separation Procedure
head and necl large.png See also: Laryngotracheal Separation with Tracheo Tracheal Puncture Case Example DEFINITIONS Tracheoesophageal diversion: trachea divided with the lower open segment sutured to skin (tracheostome) and upper open segme
Page: Laryngotracheal Separation with Tracheo Tracheal Puncture Case Example
head and necl large.png See protocols for: Laryngotracheal Separation Procedure Sequence of images showing neck with tracheostome and external aspect of prosthesis followed transnasal laryngoscopy approach: stoma a.gif prosthesis.gif closeup prosth
Page: Larynx Operative Notes Modified
return to: Modified Operative Notes by Organ Site The sample dictations below are not intended to be used as templates. They are variations on procedures and should not substitute for the surgeon's own dictation. They are provided to help visualize t
Page: Laser Education Page (Otolaryngology Laser Instruction)
head and necl large.png return to: Laser Surgery Protocols BASICS OF LASER USAGE What is a laser? A laser is an electro-optical device that emits organized light in a narrow intense beam. Light Amplification by the Stimulated Emission of Radiation,
Page: Laser Instrument Tray, Adult
head and necl large.png Laser Instrument Tray, Adult 1 Bellina Coagulation Forceps, 30.4 cm TL, 22.8 cm WL, 12'' 1 Ossoff-Karlan Laser Platform, 27.9 cm TL, 21 cm WL 4 mm 6 mm 8 mm 3 Jako Microlaryngeal Suction Tubes, Fine, Size 0, 6 Fr x 22 cm., Be
Page: Laser Instruments Pediatric Tray
1 Forceps, Bellina, Coagulation, 12" 1 Forceps, Jackson, Laryngeal, Cup, Straight 4mm x 28cm 1 Forceps, Jackson, Laryngeal, Cup, Straight 6mm x 28cm 1 Retractor, Jako, Laser, Angled Left Peds. 12" 1 Retractor, Jako Laser, Angled Right Peds. 12" 1 Retract
Page: Laser Surgery Protocols
Laser Surgery Laser Education Page (Otolaryngology Laser Instruction) Microscopic Laser Laryngoscopy (CO2) https://iowaheadneckprotocols.oto.uiowa.edu/pages/viewpage.action?pageId=25301262 Microscopic Laser Laryngoscopy (CO2) Laser-Assisted Uvulopalat
Page: Laser tip fracture parotid sialendoscopy
Laser tip fracture parotid sialendoscopy return to: UCSF Sialendoscopy Nov 4 2015 Complex Cases
Page: Laser-Assisted Uvulopalatoplasty
head and necl large.png Laser-Assisted Uvulopalatoplasty return to:Laser Surgery Protocols GENERAL CONSIDERATIONS Indications Heroic and habitual snoring refractory to conservative measures (ie, weight loss, positional therapy, and elimination of s
Page: Lateral Temporal Bone Resection
Lateral Temporal Bone Resection return to: Otology - Neurotology General Considerations Indications Primarily for removal of tumors of external ear canal and temporal bone Extent of spread determines specific degree of temporal bone resection Lateral
Page: Latissimus Free Flap and Pedicled Flap
head and necl large.png Latissimus Free Flap and Pedicled Flap return to: Microvascular Surgery Protocols GENERAL CONSIDERATIONS Indications The flap may be used either as a free or pedicled flap. Initially, the procedure for harvesting the flap is
Page: Leech Therapy - Anticoagulation Protocols
head and necl large.png Medicinal Leech Therapy on Head and Neck Patients return to: Microvascular Surgery Protocols Theory Behind Using Leeches Venous congestion occurs when the veins that drain blood from a tissue are unable to do their job bec
Page: LeFort I Approach
head and necl large.png The LeFort I Approach return to:Paranasal Sinus Surgery Protocols GENERAL CONSIDERATIONS Indications Juvenile nasopharyngeal angiofibroma Nasopharyngeal, sphenoid, clivus tumors Inverting papilloma, Myxoma, adenoma Pterygo
Page: Lewy Laryngoscope Holder Tray
head and necl large.png Lewy Laryngoscope Holder 1 Lewy Laryngoscope Holder, 30 cm Kept on each otolaryngology video unit
Page: Lindholm Laryngoscope Adolescent Tray
1 Light Carrier, Lindholm Fiberoptic 3 1/2" 1 Adapter, Storz Telescope 1 Laryngoscope, Lindholm Operating , Adult Large 6", 18mm x 21mm id, 19mm x 23mm od 1 cannula, Storz Injection F/Positive Pressure 3 7/8" 1 Adapter, ET tube #3
Page: Lindholm Laryngoscope Child Tray
1 Light Carrier, Lindholm Fiberoptic 3 1/2" 1 adapter, Storz Telescope 1 Laryngoscope, Lindholm Pediatric/child (18 mths) 4 1/4" , 9 x 9 mm id, 13 x 13mm od 1 Cannula, Storz Injection F/Positive Pressure 3 7/8 , 2mm id, 3mm od 1 adapter, ET tube #3
Page: Lindholm Laryngoscope Infant Tray
1 Light Carrier, Benjamin Lindholm 3", 2mm ld x 3mm 1 adapter, Storz Telescope 1 Laryngoscope, Benjamin Lindholm Peds Small 3 3/4" , 11mm x 13mm ld , 13mm x 15mm Od 1 Suction Tube, Storz Insertable 3 1/2", 2mm ld, 3mm Od 1 adapter, ET tube #3, metal or p
Page: Lindholm Laryngoscope Toddler Tray
1 Laryngoscope, Benjamin Lindholm 4" Blade 1 Light Carrier, Benjamin Lindholm 3" 1 Suction Tube, Storz Insertable 3 1/2" 1 Adapter , ET Tube #3
Page: Lindolm Laryngoscope
Nav Panel Donors disclaimer head and necl large.png Lindholm-Adoles_0032.jpg Adolescent Lindholm Laryngoscope LindholmAdolescent_0031.jpg disclaimer
Page: Lingual Release Approach to the Oral Cavity and Pharynx
head and necl large.png Lingual Release Approach to the Oral Cavity and Pharynx GENERAL CONSIDERATIONS Indications Large anterior, lateral, or posterior tumors of the oral cavity Tumors of the lateral or posterior oropharynx and selected tumors
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Lingual Thyroid Also known as ectopic thyroid tissue, thyroid dysgenesis Thyroid tissue that is found in an abberant location in the tongue base or rarely the floor of the mouth - anywhere along the tract of the thyroglossal duct Appears as a well-ci
Page: Lip biopsy for minor salivary gland (biopsy for Sjogren's syndrome)
Lip biopsy for minor salivary gland (biopsy for Sjogren’s syndrome) see also: Sjogren's Syndrome and: Sjogren Syndrome Pathology Lip biopsy of the minor salivary glands of the lip can be used in diagnosis of Sjogren’s syndrome. Need to provide the pa
Page: Lip Melanoma Resection with W-plasty and Sentinel Node Biopsy Case Example with sample op note
return to: Melanoma (Evaluation and Management) see also: Case Example Lip Reconstruction Peri-alar Crescentic Advancement Flap Lip Melanoma Resection with W-plasty and Sentinel Node Biopsy Case Example Modified Operative Note PreOp DX: Lower lip melanom
Page: Lip Split with Mandibulotomy Approach for Oral and Pharyngeal Access
head and necl large.png Lip Split With Mandibulotomy Approach for Oral and Pharyngeal Access see (for incision and f/u):Case Example Lip Split for Mandibulectomy see also:Segmental and Rim Mandibulectomy GENERAL CONSIDERATIONS Indications This appr
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Lipoma CT with Contrast.jpg LIPOMA_CT_0713.jpg T1-weighted MR.jpg LIPOMA_T1_0713.jpg TI post-con fat-sat.jpg LIPOMA_T1POST_0713.jpg
Page: Liposarcoma - Rads
Liposarcoma Malignant tumor derived from mesenchymal tissue with adipose differentiation Seen as fatty tumor with tissue stranding and nodularity Seen most commonly in the masticator space, larynx, and cervical neck On CT: Non-contrast: calcification
Page: List of Donors
List of Donors Make a donation to the protocols online http://www.givetoiowa.org/oto KLS Martin, LP http://www.klsmartinnorthamerica.com/company/ Hemostatix Medical Technologies, LLC http://www.hemostatix.com Cook Medical https://www.cookmedical.com/otola
Page: Local Anesthesia for Rigid Endoscopy
head and necl large.png Local Anesthesia for Rigid Endoscopy return to:Head and Neck;Laryngology;Local Anesthesia in Otolaryngology Laryngology GENERAL CONSIDERATIONS The great majority of rigid endoscopy procedures done at the University of Iowa i
Page: Local Anesthesia in Otolaryngology
head and necl large.png Local Anesthesia Topics Regional Blocks of head and neck To seePDF file of 2/16/2016 Grand Rounds - Kate Ostedgaard Regional Blocks of H&N go to password protected site (access limited to Otolaryngology at UIHC):Local Anesthesi
Page: Lower Eyelid Lift (Lateral Tarsal Strip) Case Example
head and necl large.png See: Lower Lid Tightening (Lower Lid Tarsal Strip) Case examples provided by Dr. Douglas Henstrom, Director of University of Iowa Facial Plastic and Reconstructive Surgery and Facial Nerve Center, Department of Otolaryngology
Page: Lower Island Trapezius Flap
head and necl large.png Lower Island Trapezius Flap GENERAL CONSIDERATIONS Indications This flap has its greatest utility in closure of lateral craniofacial and lateral skull base defects. This flap is also useful in the correction of lateral ne
Page: Lower Lid Tightening (Lower Lid Tarsal Strip)
Page: Lower Lid Tightening - Lower Lid Tarsal Strip for correction of ectropion
head and necl large.png Lower Lid Tightening (Lower Lid Tarsal Strip for correction of ectropion) return to:Facial Paralysis (surgery for facial nerve paralysis weakness) See: Lower Eyelid Lift (Lateral Tarsal Strip) Case Example Case examples prov
Page: Lower Lip SCCa - Rads
Lower Lip Squamous Cell Carcinoma The most common head & neck squamous cell carcinoma - 38% of all cases Imaging is rarely need for diagnosis or evaluation As lesions advance, they spead to the buccal mucosa and the mandible Occasionally lesions wil
Page: LSU Sialendoscopy Course 2016 April 9 and 10 Hoffman Presentations
LSU Sialendoscopy Course 2016 April 9 and 10 Hoffman Presentations return to: Courses at the University of Iowa Saturday April 9 (LSU Lions Building 2020 Gravier Street, New Orleans, LA 70112) April 9, 2016 8:00 to 8:15 am: Surgical Anatomy & Physiolog
Page: LSU Sialendoscopy Course Case Presentations Feb 1 2014
LSU Sialendoscopy Course Case Presentations Feb 1 2014 return to: Sialendoscopy Course LSU New Orleans Lectures (Hoffman) Feb 1-2, 2014 see also: Sialendoscopy Course LSU New Orleans Lectures (Hoffman) March 21-22, 2015 Sialograms and Sialography Chec
Page: LSU Sialendoscopy Course Case Presentations Feb 1 2015
LSU Sialendoscopy Course Case Presentations Feb 1 2015 return to: Sialendoscopy Course LSU New Orleans Lectures (Hoffman) March 21-22, 2015 Sialograms and Sialography Checklist Steroid Insufflation to Salivary Glands in Clinic Sialendoscopy Room Set U
Page: Lymph Node Biopsy Chronic Granulomatous Disease Level IB
head and necl large.png Lymph Node Biopsy Chronic Granulomatous Disease Level IB return to: Neck Surgery Protocols Chronic granulomatous disease (CGD) represents a heterogeneous group of disorders characterized by defective function of human phago
Page: Lymph Node Groups
head and necl large.png Lymph Node Groups IA Submental - Between anterior belly of the digastric and hyoid - Mets from floor of mouth, anterior oral tongue, anterior mandibular alveolar ridge, and lower lip. IB Submandibular - Between anterior and
Page: Lymphatic Malformation Rads
Lymphatic Malformation see also: Sclerotherapy with Ultrasound Guidance for Lymphangioma with Doxycycline Also referred to as vasculolymphatic malformation and formally as lymphangioma Occurs as a wide spectrum of congenital lesions, with widely vary
Page: Lymphoseek also called technetium Tc 99m tilmanocept
Lymphoseek return to: Sentinel Lymph Node Biopsy Lymphoseek (TM) is a registered trademark of Navidea Biopharmaceuticals, Inc and is a (technetium Tc 99m tilmanocept) injection Background: [99mTc]tilmanocept (TcTM) is a receptor targeted radiopharmac

M

Page: Mahorner Thyroid Retractor Tray
head and necl large.png Mahorner Thyroid Retractor Tray 1 Mahorner Thyroid Retractor, 22.8 cm, 10.0 cm Spread, 7 Prong Blade, 32.5 mm x 11.9 mm (vm)
Page: Major Instrument Tray 1, Otolaryngology
head and necl large.png Major Instrument Tray #1, Otolaryngology Forceps 1 Gruenwald Ear Forceps, Bayonet Shape, 6¼ inch. 2 Tissue Forceps, Delicate (Fine Teeth) 1 x 2 Teeth, 3 7/8 inch 1 Brown Adson Tissue Forceps, 4¾ inch 2 Adson Tissue Forceps,
Page: Major Instrument Tray 2, Otolaryngology
head and necl large.png Major Instrument Tray #2, Otolaryngology Retractors, Hand-Held- Hooks 2 Tyrell Iris Hook, Sharp, 4 3/4. 2 Skin Hooks, Two Prong, 5 1/8" x 2 mm 2 Joseph Double Hooks, 6 3/8 x 7mm 2 News Tracheotomy Hooks, 6 1/2" 1 Bone Hook,
Page: Maloney Esophageal Bougie Instrument Tray
head and necl large.png Maloney Esophageal Bougie Instrument Tray 1 Maloney Tapered Mercury Filled Esophageal Bougie 75 cm 20 Fr 22 Fr 24 Fr 26 Fr 28 Fr 30 Fr 32 Fr 34 Fr 36 Fr 38 Fr 40 Fr 42 Fr 44 Fr 46 Fr 48 Fr 50 Fr 52 Fr 54 Fr 56 Fr 58 Fr 60 Fr
Page: Management Consideration Radiation Induced Malignancy in the Head and Neck
head and necl large.png Management Consideration: Radiation Induced Malignancy in the Head and Neck return to: Cancer Care Principles see also: Case Example Sequence of Response to External Beam Irradiation for T1 Glottic SCC (irradiation, radiothe
Page: Management of Specific Voice Disorders
return to: Laryngeal Surgery (Benign Disease) Protocols, Flexible Fiberoptic Laryngoscopy (written instruction) Management of Specific Voice Disorders Vocal Fold Nodules https://iowaheadneckprotocols.oto.uiowa.edu/pages/viewpage.action?pageId=33067
Page: Management of Swallowing Disorders
head and necl large.png Management of Swallowing Disorders return to: Swallowing Disorders Management Protocols; Clinical Bedside Swallowing Assessment see also: Speech Pathologists INDICATIONS Swallowing dysfunction (dysphagia) is often associated
Page: Management of Xerostomia
head and necl large.png XEROSTOMIA (Dry Mouth) PATIENT INFORMATION HANDOUT Cindy L. Marek, Pharm D., Clinical Associate Professor The University of Iowa Colleges of Dentistry & Pharmacy April 2008 C. Marek DEFINITION Xerostomia (pronounced "z
Page: Management Protocols
head and necl large.png Management Protocols (Click on table heading to resort links alpabetically.) Airway Monitoring Manangement Protocols Endoscopy Management Protocols Swallowing Disorders Management Protocols Treatment of Alcohol Withdrawal Man
Page: Marchal Mini Sialendoscope 0 Degree Tray
1 Marchal M ini Sialendoscopy Telescope 0 degree 1.3mm x 12 cm 1 Adapter, Storz Telescope 1 Adapter, For Storz/Wolf FO Cable
Page: Marginal Mandibular Nerve Weakness (Ramus Mandibularis) Level I Neck Dissection (extended) recurrent pleomorphic adenoma
head and necl large.png Marginal Mandibular Nerve Weakness (Ramus Mandibularis) Level I Neck Dissection (extended) recurrent pleomorphic adenoma Return to: Submandibular Gland Resection; Selective Neck Dissection Click on video below to activate
Page: Masseter hypertrophy facial swelling botulinum toxin treatment
Masseter hypertrophy as a cause of facial swelling Salivary Swelling under construction References: Capaccio P https://www.ncbi.nlm.nih.gov/pubmed/?term=Capaccio%20P%5BAuthor%5D&cauthor=true&cauthor_uid=268928381,2, Gaffuri M https://www.ncbi.nlm.
Page: Masticator Space Lesions - Rads
Masticator Space Lesions Cranial Nerve V3 Schwannoma http://wiki.uiowa.edu/display/protocols/Cranial+Nerve+V3+Schwannoma+-+Rads Synovial Sarcoma http://wiki.uiowa.edu/display/protocols/Synovial+Sarcoma+-+Rads Chondrosarcoma http://wiki.uiowa.edu/display
Page: Mastoid Instrument Tray
head and necl large.png Mastoid Instrument Tray 2 Schuknecht Self-Retaining Postauricular Mastoid Retractors, 5'' 1 Wullstein Weitlaner, Del w/Cvd. Branches, Retractor, 5'' long Angled Shaft 2 Richards Adjustable Double Fork Retractors (Modified), 6
Page: Maxillary Prostheses
head and necl large.png Maxillary Prostheses SURGICAL OBTURATOR A surgical obturator replaces missing dentoalveolar and/or palatal structures. They are usually used to close oronasal and/or oroantral communications following ablative cancer sur
Page: Maxillectomy
head and necl large.png Maxillectomy return to:Paranasal Sinus Surgery Protocols GENERAL CONSIDERATIONS Indications Removal of malignant and benign tumors of the nose and paranasal sinuses Removal of malignant and benign tumors of the oral cavity t
Page: Maximum allowable blood loss
head and necl large.png return to: Pediatric Otolaryngology see also: Tonsillectomy and Adenoidectomy; Cleft Lip and Palate Protocols Pediatric Fluid Management The volume of circulating blood should be estimated prior to taking a newborn to the operati
Page: Maximum Recommended Doses and Duration of Local Anesthetics
head and necl large.png Local Anesthetics play a critical role in Analgesia and in the prevention of laryngospasm in pediatric cases. They may be injected or applied to mucosal membranes. All local anesthetics are cardiac depressants and may cause
Page: Medialization Laryngoplasty- Type I Thyroplasty with ePTFE (Gore-Tex)
head and necl large.png Medialization Laryngoplasty: Type I Thyroplasty With ePTFE (Gore-Tex®) return to: Laryngeal Surgery (Benign Disease) Protocols see operative notes and images with videos: Type I Thyroplasty (Gore-tex) case examples Video -
Page: Mediastinal tracheostomy for total laryngectomy with resection of manubrium
head and necl large.png Mediastinal tracheostomy for total laryngectomy with sternal resection see:Case Example Mediastinal Tracheostomy with Anatomic Diagrams return to: Total Laryngectomy Indications: An anterior mediastinal tracheostomy for
Page: Medical Care of the Irradiated Patient
head and necl large.png Medical Care of the Irradiated Patient return to:Head and Neck GENERAL CONSIDERATIONS OF RADIOTHERAPY FOR HEAD AND NECK CANCER Indications Primary radiotherapy Definitive course of treatment for early-stage cancer Definitive
Page: Medical Management of Sinusitis
head and necl large.png Medical Management of Sinusitis: Acute and Chronic return to: Sinus and Rhinology see also: Intranasal medications (steroid nasal spray, antihistamine nasal spray, nasal irrigations) DIAGNOSIS Sinusitis may be clinically
Page: Medical Student Instruction
Medical Student Instruction Information for Rotating students General Clerkship Objectives Clerkship Checklist Physical Examination of the Head and Neck Suturing Technique Soft Tissue Reapproximation Instructional Video Flexible Fiberoptic Laryngoscopy
Page: Medullary Thyroid Carcinoma
head and necl large.png see also MEN 2aMEN 2b MTCBanner.png Please click on the Slides below for a quick overview of Medullary Thyroid Carcinoma (Use the right and left arrow keys to scroll) IPVirtSlide.png For an interactive look at the Histology
Page: Meige's Syndrome
Meige's Syndrome return to: Botulinum Toxin Protocols Meige's syndrome is a syndrome of oral mandibular dystonia with blepharospasm. Oromandibular dystonia (OMD) consists of prolonged spasms caused by contraction of the muscles of the mouth and
Page: Melanoma (Evaluation and Management)
Melanoma (Evaluation and Management) Return to: Cancer Care Principles see also: Sentinel Lymph Node Biopsy / Case Example Sentinel Lymph Node Biopsy and Melanoma Pathology Reporting Template Case Example of Melanoma requiring parotidectomy (scro
Page: Melanoma Pathology Reporting Template
head and necl large.png Pathology Reporting: return to: Melanoma (Evaluation and Management) Dermatopathology Melanoma Template Histologic subtype Clark level Breslow thickness Ulceration Regression Mitotic rate Vascular/lymphatic invasion N
Page: MEN 2b
head and necl large.png return to: Medullary Thyroid Carcinoma MEN IIB: Sippels syndrome Background MEN IIB is caused by mutations in the RET proto-onco gene, generally in the TK1 domain. Classic clinical symptoms include Medullary thyroid cancer
Page: Meningioma - Jugular Foramen - Rads
Meningioma - Jugular Foramen Arises from arachnoid cap cells found along the cranial nerves which pass through the jugular foramen Look for permeative-sclerotic bony erosions on CT and tumor spread along dural surfaces on post-contrast T1 MR Typicall
Page: Merkel Cell Carcinoma
Merkel Cell Carcinoma Merkel cell carcinoma is an aggressive neuroendocrine carcinoma arising in the skin. Approximately 50% of cases occur in the head and neck region - with a male predominance and higher incidence in the elderly. Merkel cell carcinom
Page: MERS March 2010 Pig Experiment
head and necl large.png return to:Microendoscopy of Reinke's Space (MERS) return to: Laryngeal Needle Localization with Transillumination (password protected) Microendoscopy of Reinke's Space in Pig Model On Jan 22, 2010 (6 weeks prior to the Marc
Page: Micro Neurotology Instrument Tray
head and necl large.png Micro Neurotology Instrument Tray 1 Fisch Crurotomy Scissors, Left 6.9 cm Shaft x 6.9 cm Handle, 12.7 cm TL or 1 Fisch Crura Nippers, Left Cutting, 6.3 cm Shaft, 6.9 cm Handle, 13.0 cm TL 1 Fisch Crurotomy Scissors, Right, 6.
Page: Microdebrider Suction Modulator for RRP
Microdebrider Suction Modulator for RRP return to: Pharmacotherapy for Recurrent Respiratory Papillomatosis
Page: Microdirect Laryngoscopy (Suspension Microlaryngoscopy or Direct Laryngoscopy)
head and necl large.png Suspension Microlaryngoscopy return to: Laryngology, Flexible Fiberoptic Laryngoscopy (written instruction) see: Microdirect Laryngoscopy case example see: Management of Specific Voice Disorders see: Laryngeal Leukoplaki
Page: Microdirect Laryngoscopy case example
head and necl large.png Microdirect Laryngoscopy case example (return to: Microdirect Laryngoscopy (Suspension Microlaryngoscopy or Direct Laryngoscopy)) see also: Custom Dental Guards for Micro Direct Laryngoscopy (Suspension Laryngoscopy) see
Page: Microendoscopy of Reinke's Space (MERS)
head and necl large.png Microendoscopy of Reinke's Space (MERS) return to: Laryngeal Surgery (Benign Disease) Protocols see also: MERS March 2010 Pig Experiment see also: Transilluminating Obturator (password protected) Microendoscopy of Reinke's
Page: Microscopic Laser Laryngoscopy (CO2)
head and necl large.png Microscopic Laser Laryngoscopy Surgery (CO2) return to: Laser Surgery Protocols see also: Adult Airway in the Operating Room GENERAL CONSIDERATIONS The addition of a laser component to a procedure automatically increases the
Page: Microsurgery Instrument Tray, Otolaryngology
head and necl large.png Microsurgery Instrument Tray, Otolaryngology 1 Forceps, S&T, Acland, Dilator, Angled Tip, 4-3/8 in, 0.2 mm Tip, #ST-D-5AZ or #ST-D-5A 4 Forceps, S&T, Jeweler, Straight, 7-1/8 in, #ST-JF-3-18 1 Forceps S&T, Jeweler Angled 45 d
Page: Microsurgical chicken thigh model study
head and necl large.png Microsurgical chicken thigh model study I. Background A. Rationale for study Microsurgery has become an essential technique in many surgical specialties, such as otolaryngology, plastic surgery, hand surgery, neurosurgery
Page: Microtia
head and necl large.png Dr. Douglas Henstrom University of Iowa Facial Plastic and Reconstructive Surgeon Dr. Henstrom's profile page. http://www.uihealthcare.org/PlasticSurgery/plastic-cosmetic-surgery-doctors/dr-douglas-henstrom.html For appointm
Page: Microvascular Anastomotic Techniques
head and necl large.png Microsurgical technique return to:Microvascular Surgery Protocols Arterial anastomosis (end-to-end) Fibula free flap: peroneal artery to facial artery, 9-0 nylon, N. Pagedar & J. Hill, 2009. Arterial anastomosis 8-0 or
Page: Microvascular Skills Training
picture UNDER CONSTRUCTION return to: Microvascular Surgery Protocols Microsurgical chicken thigh model study
Page: Microvascular Surgery General Considerations
head and necl large.png Microvascular Surgery General Considerations Return to: Microvascular Surgery Protocols GENERAL CONSIDERATIONS Indications As the ease of performance of microsurgery has increased over the past 10 years, the number of cli
Page: Microvascular Surgery Protocols
return to:Head and Neck Microvascular Surgery Microvascular Surgery Protocols Home Page https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Microvascular+Surgery+Protocols Microvascular Surgery General Considerations https://iowaheadneckprotoc
Page: Midas Rex Drill Tray
head and necl large.png Midas-Rex Medtronic Platinum Oto Tray 1 Motor, Midas-Rex Legend Platinum, w/ Lubricant/Diffuser Housing, 12 ft, #PM200 (motor head is platinum in color; no product number visible on motor or hose) 1 Attachment, Midas-Rex, Ang
Page: Middle cranial fossa approach to cerebellopontine angle/IAC tumors
OPERATIVE PROCEDURE Prep Orders: Ancef, decadron - induction Mannitol (0.5mg/kg) - incision acyclovir (Hansen) - anytime NIMs electrodes orbicularis oris and oculi - "Iowa Ear" setting on the console (0.05mA threshold) Hang notes, audio, consent Images
Page: Middle Cranial Fossa Technique Lecture Slides
head and necl large.png Middle Cranial Fossa Technique Lecture Slides return to: Otology - Neurotology Download PDF of Middle Cranial Fossa Technique Lecture Slides
Page: Midwest Head and Neck Consortium-HN-alt
head and necl large.png
Page: Mild squamous dysplasia causing laryngeal leukoplakia
head and necl large.png Mild squamous dysplasia causing laryngeal leukoplakia Return to: Laryngeal leukoplakia white plaques on vocal cords Return to: Overview of squamous dysplasia Go to: Moderate squamous dysplasia causing laryngeal leukoplakia
Page: Minor Instrument Tray, Otolaryngology
head and necl large.png Minor Instrument Tray, Otolaryngology Pickups 1 Gruenwald Ear Forceps, Bayonet Shape, 6-1/4'' 2 Paufique Suturing Forceps, 3-3/8'' 2 Tissue Forceps, Delicate, fine, 1 x 2 teeth, 3-7/8" 2 Brown Adson Tissue Forceps, 4-3/4'' 2
Page: Mizuho Instrument Seldom Used Tray (Oto)
1 Probe, Mizuho, Malleable Bayonet Bullet, 8" 1 Probe, Mizuho, Tear Drop Bayonet, 3mm tip, 45 degree, 8" 1 Probe, Mizuho, Tear Drop Bayonet, 3.5mm tip, 80 degree, 8" 1 Probe, Mizuho, Tumor, Bayonet, 90 degree CP-5, 7 1/2" 1 Dissector, Mizuho, 1.0mm sharp
Page: Moderate squamous dysplasia causing laryngeal leukoplakia
head and necl large.png Moderate squamous dysplasia causing laryngeal leukoplakia Return to: Laryngeal leukoplakia white plaques on vocal cords Return to: Overview of squamous dysplasia Go to: Severe squamous dysplasia or Carcinoma in situ causing
Page: Modified Operative Notes by Organ Site
Return to: Home - old (nov 2016) Click on Link Below: Larynx Operative Notes Modified Thyroid Operative Notes Modified Tonsil and Oropharynx Operative Notes Modified Trachea and Subglottis Operative Notes Modified
Page: Montgomery Cannula Canula Tracheotomy
head and necl large.png see also: Montgomery Cannula Canula insertion in clinic return to: Trachea Surgical Protocols or Tracheotomy - Tracheostomy or: Bilateral Vocal Cord Paralysis Montgomery Canula for Bilateral Vocal Cord Paralysis click on
Page: Montgomery Cannula Canula insertion in clinic
head and necl large.png Montgomery Canula Insertion in Clinic return to: Montgomery Canula Tracheotomy Click on video to activate (with sound)
Page: Morbidly Obese Tracheotomy with Chest Wall Suspension for Ventilation
Morbidly Obese Tracheotomy with Chest Wall Suspension for Ventilation return to: Tracheotomy - Tracheostomy return to: Resources for Laryngology Update - Innovative Approaches to Common Problems BMI > 70 with h/o sleep apnea and acute respiratory failur
Page: Mucoepidermoid Carcinoma - Soft Palate Rads
Mucoepidermoid Carcinoma - Soft Palate Malignant epithelial salivary gland neoplasm - 10% of all salivary tumors, 30% of all salivary malignancies About 30% of these tumors arise from the minor salivary glands in the buccal mucosa and soft palate, th
Page: Mucoepidermoid Carcinoma Rads
Mucoepidermoid Carcinoma Malignant epithelial salivary gland neoplasm - 10% of all salivary tumors, 30% of all salivary malignancies Arises from ductal epithelium, has both epidermoid and mucinous components Appearance changes according to grade Lo
Page: Myositis Ossificans of the Neck Surgical Treatment Heterotopic Bone Formation After Trauma
head and necl large.png Myositis Ossificans of the Neck Surgical Treatment Heterotopic Bone Formation After Trauma Discussion of myositis ossificans of the head and neck: Return to: Selective Neck Dissection See also: Calcific Tendonitis of Long
Page: Myringotomy and tubes
head and necl large.png Myringotomy/Tympanostomy and tubes Sample dictation GENERAL CONSIDERATIONS (Indications) image2015-5-5 13:52:49.png Pediatric Otitis media with effusion - see algorithm above Recurrent acute otitis media Acute otitis media
Page: Myringotomy Tray
head and necl large.png Myringotomy Tray 1 Beaver Chuck Handle #3K, 3-7/8'' 1 Devon Drape Clamp, 5-1/4'' 1 Boucheron Speculum, Round Size #1, 3 mm Size #2, 4 mm Size #3, 5 mm Size #4, 6 mm Size #5, 7 mm Size #6, 8 mm Size #7, 9 mm 1 Schuknecht Needl

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Page: Narrow band imaging of vocal cord leukoplakia flexible transnasal videolaryngoscopy
head and necl large.png Narrow band imaging of vocal cord leukoplakia return to: Laryngeal leukoplakia white plaques on vocal cords see also: Esophagoscopy with narrow band imaging (NBI) for Reflux Esophagitis Pathology showed: Focal mild dysplasi
Page: Nasal Endoscopy Room Setup
head and necl large.png Iowa Head and Neck Protocols|../display/protocols/Panendoscopy+Room+Setup#PanendoscopyRoomSetup-IowaHeadandNeckProtocols\ For Patients|../display/protocols/Panendoscopy+Room+Setup#PanendoscopyRoomSetup-ForPatients\ For Clin
Page: Nasal Irrigation
head and necl large.png return to: Intranasal medications (steroid nasal spray, antihistamine nasal spray, nasal irrigations) Nasal Irrigation instructions re: preparation of saline:nasal irrigation PURPOSE To remove discharge and prevent crusting
Page: Nasal Prep Tray
head and necl large.png Nasal Prep Tray 1 Gruenwald Ear Forceps, Bayonet Shape, 6-1/4'' 1 Stevens Tenotomy Scissors, Standard Curved, 4-1/2" 1 Vienna Nasal Speculum, Standard Pattern, 2.8 cm Blades, 13.0 cm Handles Med. 5-1/8'' 2 Glasses, Medicine
Page: Nasal Sharp Tray
head and necl large.png Nasal Sharp Tray 1 Freer Septum Knife, 15.8 cm, 6-1/4'' 1 ea Ballenger Swivel Knife, 3 mm x 19.6 cm, Straight Cutting End, and 4 mm x 19.6 cm 1 Cottle Chisel, Curved, 6.0mm x 7 1 Cottle Chisel Osteotome, 4 mm x 7-1/4'' 1 Do
Page: Nasopharyngeal Carcinoma
see also: Nasopharynx Rads Overview: i. Nasopharyngeal carcinoma is a rare presentation of head and neck squamous cell carcinoma that differs from typical squamous cell cancers of the head and neck in etiology, histology and treatment response. ii. Nasop
Page: Nasopharyngeal Carcinoma Rads
Nasopharyngeal Carcinoma Also known as squamous cell carcinoma of the nasopharynx or lymphoepithelioma (non-keartinizing sub-type) Best diagnostic clue: mass centered in the pharyngeal recess of nasopharynx with deep extension or cervical nodal involv
Page: Nasopharynx Rads
Nasopharynx Nasopharyngeal Carcinoma http://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Nasopharyngeal+Carcinoma+Rads Esthesioneuroblastoma https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Esthesioneuroblastoma+Rads Juvenile Angiofi
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Search the Protocols List of Donors HaN Admin Pages
Page: Near-Field Laryngectomy Case
head and necl large.png return to: Total Laryngectomy return to: Near-field laryngectomy for aspiration Case - Near field laryngectomy for supraglottic cancer. Total laryngectomy done 5 years after a comprehensive neck dissection (sparing CN XI
Page: Near-field laryngectomy for aspiration
head and necl large.png Near-field laryngectomy for aspiration (return to Management of Swallowing Disorders) (return to Total Laryngectomy) see also: Near-Field Laryngectomy Case 1st picture = postoperative result 2 months after surgery; remaind
Page: Neck Surgery Protocols
Neck Surgery Neck Surgery Protocols Home Page https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Neck+Surgery+Protocols Cervical Lymphadenectomy- General Considerations https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Cervical+Ly
Page: Necrotizing (Malignant) Otitis Externa
head and necl large.png Necrotizing / Malignant Otitis Externa Pathophysiology Diagnosis Imaging For diagnosis, obtain Technecium-99 bone scan (in UIHC EPIC, order as "NUC BONE SCAN SPECT". Radiopharmacologist will order Tc99 injection prior to
Page: Needle Cricothyroidotomy
Nav Panel Donors disclaimer head and necl large.png Needle cricothyroidotomy[1|http://wiki.uiowa.edu/#_ftn1] This bag is in the University of Iowa ENT ER cart. This could potentially serve as a bridge for oxygenating a patient with a lost airway whil
Page: Needle Stick Exposure Protocol
head and necl large.png Need stick injury: General Considerations Definitions: Blood-borne Pathogens: Pathogenic microorganisms that can be present in human blood and can cause disease in humans. Other Potentially Infectious Materials (OPIM): Bod
Page: Nerve Grafting and Neurorraphy
head and necl large.png Nerve Grafting and Neurorrhaphy return to: Facial Paralysis (surgery for facial nerve paralysis weakness); Nerve Grafting for Facial Paralysis (Cross Face Nerve Grafting) Salivary Gland Surgery Protocols GENERAL CONSIDER
Page: Nerve Grafting for Facial Paralysis (Cross Face Nerve Grafting)
Return to:Facial Paralysis (surgery for facial nerve paralysis weakness) Dr. Douglas Henstrom University of Iowa Facial Plastic and Reconstructive Surgeon, Director of Facial Nerve Center Dr. Henstrom's profile page. http://www.uihealthcare.org/Pl
Page: NIF or PImax in PFTs
NIF or PImax in PFTs return to: Spirometry PIF Peak Inspiratory Flow
Page: Non-Surgical Dental Protocols
Non-Surgical Pre-irradiation Dental Evaluation https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Pre-irradiation+Dental+Evaluation Prechemotherapy Dental Evaluation https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Prechemotherap
Page: Nonrecurrent recurrent laryngeal nerve
head and necl large.png Non-recurrent recurrent laryngeal nerve return to: Thyroidectomy and Thyroid Lobectomy Click on image to enlarge:
Page: Normal Submandibular Sialogram Sequence
head and necl large.png Normal Submandibular Sialogram Sequence return to: Sialograms and Sialography
Page: Nose Bleed Management and Epistaxis Control
head and necl large.png Nose Bleed Management and Epistaxis This protocol serves as brief introduction to epistaxis treatment measures, many of which may only be temporizing in nature. For significant or uncontrollable epistaxis, it is recommended
Page: Nurses
picture Nursing Protocols Clinical Pathways Nursing Protocols Home Care Instruction Nursing Protocols Patient Teaching and Education Information Nursing Protocols Protocols and Procedures Nursing Protocols Back to Top
Page: Nursing Instrument Guide
head and necl large.png Nursing Tray Protocols (search limited to name of tray)
Page: Nursing Protocols
head and necl large.png Nursing Protocols Clinical Pathways Nursing Protocols Home Care Instruction Nursing Protocols Patient Teaching and Education Information Nursing Protocols Protocols and Procedures Nursing Protocols
Page: Nursing Teaching for Parotidectomy
head and necl large.png Nursing Teaching for Parotidectomy for surgical protocols and case examples go to parotidectomy with facial nerve dissection Parotidectomy - case example and anatomy ROUTINE PREOPERATIVE TEACHING OF THE ADULT PATIENT Object
Page: Nutrition Assessment
head and necl large.png Nutrition Assessment PURPOSE To assess all newly diagnosed head and neck oncology patients' current nutritional status, identify and provide intervention to patients in need of pretreatment nutritional enhancement, and

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Page: Obwegeser Retractor Tray 1
head and necl large.png Obwegeser Retractor Tray 1 Retractor, Obwegeser-Ramus, #166, 8-1/4 in, 6.9 cm x 1 mm, #01-0106
Page: Obwegeser Retractor Tray 2
head and necl large.png Obwegeser Retractor Tray 1 Obwegeser Ramus Retractor #166, 20.9 cm, Blade 6.9 cm x 11 mm 2 Obwegeser Retractors Curved Downward #167, 19.6 cm x 7 mm x 25 mm Curved Downward #167, 20.9 cm x 12 mm x 55 mm Curved Downward #167
Page: October 21 2011 Charleston South Carolina Head and Neck Oncology Lectureship
head and necl large.png October 21 2011 Charleston South Carolina Head and Neck Oncology Lectureship return to: Courses at the University of Iowa click to advance to presentation Melanoma of the Head and Neck October 21 2011 (for general viewing
Page: Olympus Gastrointestinal Videoscope GIF 100 Tray
head and necl large.png Olympus Gastrointestinal Videoscope GIF 100 Tray Ring Handled Clamps
Page: Open Approaches to Parotid Stones and Lab Preparation Missouri Sialendoscopy Course April 17 2015
Open Approaches to Parotid Stones and Lab Preparation Missouri Sialendoscopy Course April 17 2015 return to: Sialendoscopy Course 2015 April 16 - 17 Midwest Head and Neck Cancer Consortium Columbia Missouri powerpoint presentation: 2015 Open Parotid
Page: Operating room setup for subglottic stenosis
Operating room setup for subglottic stenosis return to: Subglottic stenosis
Page: Oral Cavity and Oropharynx Protocols
Oral Cavity and Oropharynx Oral Cavity and Oropharynx Protocols Home Page https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Oral+Cavity+and+Oropharynx+Protocols Lip Split with Mandibulotomy Approach for Oral and Pharyngeal Access https://iow
Page: Oral Tongue SCCa - Rads
Oral Tongue Squamous Cell Carcinoma Defined as any squamous cell carcinoma which begins on the surface of the oral tongue Spreads to the floor of mouth via the hyoglossus muscle if origin is the posterior oral tongue Spreads to the floor of the mouth
Page: Oropharyngeal Cancer Management
head and necl large.png Oropharyngeal Cancer Management (Tonsil Cancer, Base of Tongue Cancer, Soft Palate Cancer, Pharyngeal Wall Cancer) Cancer of the Oropharynx Hoffman H, Anderson C, Buatti J, Bayon R, Pagedar N return to:Cancer Care Principle
Page: Oropharyngeal Cancer, HPV, and Patient Counseling
Oropharyngeal Cancer, HPV, and Patient Counseling return to: Oropharyngeal Cancer Management It is estimated that approximately 25-25% of all head and neck squamous cell carcinomas are associated with HPV genomic DNA - with the majority occurring in the o
Page: Oropharynx Rads
Oral Cavity & Oropharynx Squamous Cell Carcinomas http://wiki.uiowa.edu/display/protocols/Squamous+Cell+Carcinoma+-+Rads Thyroglossal Duct Cyst http://wiki.uiowa.edu/display/protocols/Thyroglossal+Duct+Cyst+Rads Lingual Thyroid http://wiki.uiowa.edu/dis
Page: Osseointegration Fixture Installation Instrument Tray, Stage I
head and necl large.png Osseointegration Fixture Installation Instrument Tray, Stage I 2 Connections to Handpiece (Stainless Steel), 2.3 cm 1 Screwdriver with Collar Long (Stainless Steel), 6.8 cm 1 Machine Screwdriver for Contra Angle Handpiece (
Page: Ossoff-Karlan Laryngoscope Instrument Tray
head and necl large.png Ossoff-Karlan Laryngoscope Instrument Tray 1 Ossoff-Karlan-Jako Adult Micro-Laryngoscope, 7" 1 Ossoff-Karlan-Jako Adult Light Carrier, Adult, 80 in 1 Ossoff-Karlan Dedo Adult Micro-Laryngscope, 7" 1 Ossoff-Karlan Dedo Adult
Page: Osteocutaneous Fibula Free Flap
head and necl large.png Osteocutaneous Fibula Free Flap return to: Microvascular Surgery Protocols Case example: Anterior mandibular reconstruction Prep and Drape Osteocutaneous Fibula Free Flap GENERAL CONSIDERATIONS Indications The fibula f
Page: Osteocutaneous Scapula Free Flap
head and necl large.png Osteocutaneous Scapula Free Flap return to:Microvascular Surgery Protocols GENERAL CONSIDERATIONS Indications The scapula fasciocutaneous flap is now used infrequently due to the emergence of the forearm flap for oral an
Page: Osteosarcoma - Rads
Osteosarcoma Also referred to as osteogenic sarcoma Cells for this tumor have the capability to produce osteoid Look for aggressive periosteal reaction and bony destruction and new bone formation in the tumor matrix In the head and neck, commonly se
Page: Otitis Media
Return to: General Clerkship Objectives Otitis Media: Inflammation of the middle ear space Two main types: Acute Otitis Media (AOM) Otitis Media with Effusion (OME) Acute_Otitis_Media_Stage_of_Resolution.jpg Adult_Serous_Otitis_Media.jpg By Mic
Page: Oto Extraction Traya
head and necl large.png Oto Extraction Tray 1 Trusler Dean Dissecting Scissors, 6¾". 1 Minnesota Retractor, 5½" 2 Shearer Retractors, 5¼" 1 Clev Dent Elevator, #301, 5¾" 1 Root Tip Pick, #1, 6¼" 1 Upper Incisor/Cuspid Extraction Fcp, #1A 1 Lower R
Page: Oto Lighted Retractor Tray
1 Retractor, Fiber Optic Lighted Face Lift #FORN16130 Includes: 1 Retractor, Tebbets Style Endo Face Lift #110686L 2 Adapter, Stryker, 3/4 x 3/8" 1 Allen Wrench 1/4"
Page: Oto Skull Base Instrument Tray
1 Elevator, Sharp Curved Right Bayonet Shaped 9 3/8" 1 Elevator, Sharp Curved Left Bayonet Shaped 9 3/8" 1 Elevator, Sharp Sharp Curved Spatula, 2mm x 23 cm, 10" 1 Elevator, Sharp Sharp Curved Spatula, 3mm x 23 cm, 10" 1 Dissector Sharp Elevator Distal
Page: Otology - Neurotology
Otology - Neurotology Otology - Neurotology Home Page https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Otology+-+Neurotology General Considerations of Otologic Surgery https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/General+Co
Page: Otology and Neurotology
picture Otology - Neurotology Back to Top
Page: OTOLOGY ANTIBIOTIC ADMINISTRATION GUIDELINES
OTOLOGY ANTIBIOTIC ADMINISTRATION GUIDELINES return to: Otology - Neurotology Canal Wall Reconstruction Tympanomastoidectomy Adults Zosyn and cipro IV before incision and for 48 hours postoperatively. Discharge on Levaquin or Cipro PO X 2 wk. Chi
Page: Otology Clinic Procedures
Otomicroscopy With the aid of an operating microscope and speculum, the left ear was examined. Any cerumen was cleared with a wax curette and fine suction. The procedure was then repeated on the right ear. Cerumen removal With the aid of an operating micr
Page: Otology Service
head and necl large.png Otology Rounds Mastoid dressings Gantz – change every day. Hansen - change every other day. Dressing supplies include: adaptec, bacitracin, kerlix lite rolls, kerlix fluffs (10), scissors, +/- elastoplast. Have the mastoi
Page: OtoSCOPE® - Genetic Testing
head and necl large.png OtoSCOPE® - Genetic Testing for Hearing Loss What is OtoSCOPE®? OtoSCOPE is a genetic testing platform that utilizes custom-targeted sequence capture for DNA enrichment followed by massively parallel DNA sequencing to tes
Page: Overview of squamous dysplasia
head and necl large.png Overview of squamous dysplasia Return to: Laryngeal leukoplakia white plaques on vocal cords Go to: Mild squamous dysplasia causing laryngeal leukoplakia Go to: Moderate squamous dysplasia causing laryngeal leukoplakia Go t

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Page: Palatal Lifts
head and necl large.png Palatal Lifts RATIONALE A palatal lift prosthesis (PLP) displaces the functionally impaired velum superiorly and posteriorly. The prosthesis is indicated for the improvement of velopharyngeal function for patients exhib
Page: Palate-Pharyngeal Tray
head and necl large.png Palate-Pharyngeal Tray 1 Gruenwald Ear Forceps, Bayonet Shape, 15.8 cm 1 Potts-Smith Dressing Forceps, 24.1 cm Serrated Tip 2 Adson Tissue Forceps Special, Delicate Model, 1 x 2 Teeth, 12.3 cm 2 Micro-Adson Tissue Forceps,
Page: Panendoscopy
head and necl large.png Panendoscopy return to:Speech Pathologists; Head and Neck; Laryngology GENERAL CONSIDERATIONS Definitions "Panendoscopy" of the head and neck refers to combined rhinoscopy, nasopharyngoscopy, inspection of the oral cavit
Page: Panendoscopy for Nurses and Patients
head and necl large.png Panendoscopy return to: Nurses University of Iowa Hospitals and Clinics Medical-Surgical Services I Nursing Division Otolaryngology Head and Neck Surgery Clinic TO THE PATIENT HAVING A PANENDOSCOPY This booklet is designed
Page: Panendoscopy Pack
head and necl large.png Supplies Suction tubing (12foot) Fred Telfa Irrigating basin Marking pen Ruler Lubricant Hypodermic needle 25G Abbocath 14G Syringe 10ml Plastic medicine cups Labels
Page: Panendoscopy Room Setup
head and necl large.png Panendoscopy Room Setup EQUIPMENT Operating room table in reverse orientation with arm boards Audio-video unit (for telescope) Telescope camera Fiberoptic luminator (scope compatible light source) Double shelf table (pl
Page: Papillary Thyroid Carcinoma
head and necl large.png PTCBanner.png Please click on the Slides below for a quick overview of Papillary Thyroid Carcinoma (Use the right and left arrow keys to scroll) IPVirtSlide.png For an interactive look at the Histology of Warthin's Tumor, p
Page: Papillomas - Rads
Papillomas Tumor arising in the nasal mucosa derived from epithelial cell lines which characteristically dives deep into the stroma of the nasal cavity Most commonly originating from the middle meatus with signs of bony remodeling Sinus obstruction i
Page: Paradoxical Vocal Cord Motion (PVCM)
head and necl large.png Paradoxical Vocal Cord Motion *PVCM) (Under Construction) Definition: Inappropriate adduction (closure) of vocal cords Classically occurs with inspiration constricting the airway causing stridor May occur throughout respira
Page: Parakeratosis causing laryngeal leukoplakia
head and necl large.png Return to: Laryngeal leukoplakia white plaques on vocal cords Go to: Hyperkeratosis causing laryngeal leukoplakia The laryngeal squamous mucosa typically does not contain a layer of parakeratotic surface cells. Parakerat
Page: Paramedian Forehead Flap
head and necl large.png See: Paramedian Forehead Flap Case Example GENERAL CONSIDERATIONS Indications 2 stage reconstruction for facial defects Often used as an interpolated flap for nasal defect reconstruction Larger Nasal defects Contraindicatio
Page: Paramedian Forehead Flap Case Example
head and necl large.png See: Paramedian Forehead Flap See also: Facial Plastics Cases provided by: Dr. Douglas K Henstrom, Director of University of Iowa Facial Plastics and Reconstructive Surgery, Department of Otolaryngology Dr. Henstrom's prof
Page: Paranasal Sinus Surgery Protocols
Rhinology and Paranasal Sinus Surgery Paranasal Sinus Surgery Protocols Home Page Endoscopic Sinus Surgery CT Navigation Setup for Image Guided Surgery-Sinus and Skull Base Medical Management of Sinusitis Intranasal medications (steroid nasal spray, ant
Page: Parathyroidectomy
head and necl large.png see also: Thyroidectomy and Thyroid Lobectomy # GENERAL CONSIDERATIONS Primary hypercalemia accounts for approximately 80-90% of all hypercalcemic patients in the outpatient setting. It is most commonly secondary to hy
Page: Parotid (right or left) sialendoscopy room setup
Parotid (right or left) sialendoscopy room setup return to: Salivary Gland Surgery Protocols see also: Sialendoscopy Room Set Up for Submandibular Glands Sialendoscopy Course LSU New Orleans Lectures (Hoffman) March 21-22, 2015 return to:UCSF Sialendosc
Page: Parotid Abscess - Rads
Parotid Abscess A collection of pus found in the parotid space Usually seen as a fluid collection with variable wall enhancement Occasionally air can be seen, especially with anaerobic infection On CT: look for hypodense fluid and wall-enhancement
Page: Parotid Accessory Lobe Sialadenitis - Open Resection Supplemented with Sialendoscopy
Parotid Accessory Lobe Sialadenitis - Open Resection Supplemented with Sialendoscopy return to: Salivary Gland Surgery Protocols see also: Sialendoscopy Course LSU New Orleans Lectures (Hoffman) March 21-22, 2015 return to: UCSF Sialendoscopy Nov 4 2015
Page: Parotid Duct Anatomy Case Example Resection of Recurrent Accessory Lobe Pleomorphic Adenoma Transoral
head and necl large.png Parotid Duct Anatomy Case Example Resection of Recurrent Accessory Lobe Pleomorphic Adenoma Transoral return to: Parotidectomy with Facial Nerve Dissection History: 26 year old female was referred after a transoral approach
Page: Parotid duct dilation and steroid insufflation in clinic
head and necl large.png Parotid duct dilation and steroid insufflation in clinic see detail of catheter insertion in video: Salivary Cannulation and Infusion Techniques and Sialogram Technique return to:Salivary Swelling, Sialograms and Sialog
Page: Parotid Duct Stricture Dilation with Salivary Balloon and Ultrasound Guidance
Parotid Duct Stricture Dilation with Salivary Balloon and Ultrasound Guidance return to: Salivary Gland Surgery Protocols Reference: 1 Sionis S https://www-ncbi-nlm-nih-gov.proxy.lib.uiowa.edu/pubmed/?term=Sionis%20S%5BAuthor%5D&cauthor=true&cautho
Page: Parotid duct strictures dilated with balloon catheters under fluoroscopy
Parotid duct strictures dilated with balloon catheters under fluoroscopy return to: Sialograms and Sialography
Page: Parotid Hemangioma - Rads
Parotid Hemangioma T1-weighted MR.jpg Hemang_T1_0721.jpg T2-weighted MR.jpg Hemang_T2_0721.jpg TI post-con fat-sat.jpg Hemang_T1post_0721.jpg
Page: Parotid Sarcoidosis
head and necl large.png Parotid Sarcoidosis Sarcoidosis is a multi-system disease of unknown etiology, characteristically causing bilateral hilar lymphadenopathy and granulomatous lesions of the lungs, eyes, or skin.1,2 Parotid sarcoidosis is n
Page: Parotid Sialogram Post Irradiation Stricture
head and necl large.png Parotid Sialogram Post Irradiation Stricture return to:Sialograms and Sialography Patient with left parotid swelling status post chemotherapy and radiation treatment. Lidocaine was placed over the left parotid gland papill
Page: Parotid Sialogram Stone
head and necl large.png Parotid Sialogram Stone return to: Sialograms and Sialography, Salivary Swelling, Sialendoscopy, Sialolithiasis Click on pictures to enlarge, then advance to next image with arrow that appears:
Page: Parotid Sialogram - Accessory Lobe with Acute Masseteric Bend in Stensen's Duct
Parotid Sialogram - Accessory Lobe with Acute Masseteric Bend in Stensen's Duct return to: Sialograms and Sialography
Page: Parotid Sialogram - Normal
head and necl large.png Normal Sialogram return to: Sialograms and Sialography Patient with two episodes of parotid swelling with initial CT (without contrast) showing swelling, second CT showing only accessory lobe. Subsequent sialogram normal.
Page: Parotid Sialogram - Sialectasis
head and necl large.png Left Parotid Sialogram - Image taken after removal of angiocath: return to:Sialograms and Sialography Irregularity and dilatation of intra and extra-glandular parotid duct suggestive of sialectasis. Persistent 4 cm long d
Page: Parotid Sialogram Stone 2
Parotid Sialogram Stone 2 return to: Sialograms and Sialography see also open (transfacial approach) to removal of stone: Parotid stone removed through open facial approach
Page: Parotid Sialogram with Foreign Body
head and necl large.png Parotid Sialogram with Sialendoscopy for Foreign Body Removal return to: Sialograms and Sialography, Sialendoscopy, Salivary Gland Anatomic Anomalies and Foreign Bodies Lecture AHNS April 9 2013 see videos at bottom of page
Page: Parotid stone and polyp removal through open approach
Parotid stone and polyp removal through open approach return to: Salivary Gland Surgery Protocols return to: UCSF Sialendoscopy Nov 4 2015 Complex Cases
Page: Parotid stone removed through open facial approach
Parotid stone removed through open facial approach return to: Sialolithiasis see also: Combined Open and Endoscopic Removal of Parotid Stone (sialendoscopy case example) return to: Parotid Sialogram Stone 2 or Sialograms and Sialography see also: UCSF S
Page: Parotid Technique: Stones and Strictures AAO HNS San Diego 09 17 2016
Parotid Technique: Stones and Strictures AAO HNS San Diego 09 17 2016 return to:Courses at the University of Iowa
Page: Parotidectomy - case example
head and necl large.png return to: Parotidectomy with Facial Nerve Dissection see also: Warthins tumor 'shell out' with facial nerve monitoring Parotidectomy - case example History: 54 yo former smoker with 4 year history of a painless left chee
Page: Parotidectomy with Facial Nerve Dissection
head and necl large.png Parotidectomy with Facial Nerve Dissection (see sample operative note at bottom of protocol) return to: Salivary Gland Surgery Protocols see also (video): Shaw Hemostatic Scalp for Parotidectomy Case examples: Sialosis or
Page: Parotitis
Parotitis See also: Salivary Swelling Also referred to as acute sialadenitis Three different classes Bacterial - acute supperative parotitis with localized infection; most commonly Staph Aureus, seen in debilitated patients or infants Viral - acute
Page: Passy Muir Valve and Provox XtraBase baseplate following four flap epithelial lined tracheotomy with thyroid isthmusectomy and anterior cervical lipectomy
head and necl large.png Passy-Muir Valve (PMV 005) and Provox XtraBase baseplate following four flap epithelial lined tracheotomy with thyroid isthmusectomy and anterior cervical lipectomywith thyroid isthmusectomy and anterior c
Page: Patient Experiences Checklist
return to: Medical Student Instruction CLINICAL OTOLARYNGOLOGY – CLERKSHIP CHECKLIST Completion of the items on this form is required. You will not receive a grade until it is completed and returned. The completed form is due when you take your fi
Page: Patient Teaching and Education Information Nursing Protocols
Patient Teaching/Education Information Patient Teaching/Education Information Home Page https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Patient+Teaching+and+Education+Information+Nursing+Protocols Routine Preoperative Teaching for the Adul
Page: Patient Welcome
head and necl large.png How to get to University of Iowa Hospitals -http://www.uihealthcare.org/directions.aspx http://www.uihealthcare.org/directions.aspx Parking Ramps at University of Iowa Hospitals (UIHC) - http://www.uihealthcare.org/yourvi
Page: Patients
picture Nursing and Home Care Protocols and Instructions Patient Teaching and Education Information Nursing Protocols Home Care Instruction Nursing Protocols
Page: Patulous Eustachian Tube - Management of the Symptom of Autophony
head and necl large.png Patulous Eustachian Tube Management of Autophony return to: Otology - Neurotology return to: Botulinum Toxin Protocols Definition -- Abnormally patent eustachian tube Autophony Abnormal sound of one's own voice (voice soun
Page: Pectoralis Major Myocutaneous Flap and Myofascial Flap
head and necl large.png Pectoralis Major Myocutaneous Flap and Myofascial Flap see also: Case Example of Pectoralis Myocutaneous Flap GENERAL CONSIDERATIONS Indications The pectoralis major myocutaneous flap and myofascial flap variation are u
Page: Pediatric - Disc Battery Ingestion
head and necl large.png see also: Lye Ingestion Disc batteries can cause significant morbidity in a short period of time in the pediatric population. Approximately 60% of disc battery ingestions occur after removal from a device. This creates a
Page: Pediatric Airway
Pediatric Airway The Evaluation of Stridor in Pediatric Patients https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/The+Evaluation+of+Stridor+in+Pediatric+Patients Pediatric Direct Laryngoscopy https://iowaheadneckprotocols.oto.uiowa.edu/di
Page: Pediatric Airway - Cross sectional area
head and necl large.png Minimal reduction of the cross sectional area of a pediatric airway may have significant consequences, resulting in dyspnea. The cross sectional area may be calculated using the formula: pi (3.14) * r ^2 The average diamet
Page: Pediatric Airway Session - May 31, 2011
Intubating with an LMA (Laryngeal Mask Airway) return to: Pediatric Airway see also: Pediatric Direct Laryngoscopy Adult Airway in the Operating Room click on arrow to begin video; audio portion begins after first 50 seconds peds airway 1.flv can also
Page: Pediatric Airway Sizing
head and necl large.png return to: Pediatric Airway See also: Laryngomalacia Pediatric Foreign Body Removal Adult Airway in the Operating Room GENERAL CONSIDERATIONS When performing an airway evaluation in the pediatric population through
Page: Pediatric Alveolar Ridge Bone Marrow Graft
head and necl large.png GENERAL CONSIDERATIONS The indications Indications: Complications: PREOPERATIVE PREPARATIONS . Consent and last note should be hanging. Unasyn or the equivalent should be administered pre-operatively by the anestheti
Page: Pediatric Alveolar Ridge Bone Morphogenic Protein Implant
head and necl large.png GENERAL CONSIDERATIONS The indications Indications: Complications: PREOPERATIVE PREPARATIONS . Consent and last note should be hanging. Unasyn or the equivalent should be administered pre-operatively by the
Page: Pediatric Choanal Atresia
head and necl large.png GENERAL CONSIDERATIONS The indications Indications: Complications: PREOPERATIVE PREPARATIONS ## Other Considerations: Anatomy NURSING CONSIDERATIONS Room Setup Turn patient 90 degrees Endoscopic Tower equ
Page: Pediatric Cleft Lip Nasal Deformity
head and necl large.png GENERAL CONSIDERATIONS The indications Indications: Complications: PREOPERATIVE PREPARATIONS Consent, office note and pre-operative photos should be hanging in the room. Turn the bed 90 degrees, place an IV
Page: Pediatric Direct Laryngoscopy
head and necl large.png Return to:Pediatric Airway Also see: Maximum Recommended Doses and Duration of Local Anesthetics see videos: Pediatric Airway Session (videos) - May 31, 2011 GENERAL CONSIDERATIONS The Lindholm scopes come in four sizes, in
Page: Pediatric Foreign Body Removal
return to: Pediatric Airway Also see: Pediatric Direct Laryngoscopy and Maximum Recommended Doses and Duration of Local Anesthetics PREOPERATIVE PREPARATIONS Pre-operative checklist Ensure you have the correct sized flexible suction adapter ava
Page: Pediatric Otolaryngology Clinic Procedures
Otomicroscopy With the aid of an operating microscope and speculum, the left ear was examined. Any cerumen was cleared with a wax curette and fine suction. The procedure was then repeated on the right ear. Cerumen removal With the aid of an operating m
Page: Pediatric Otolaryngology Fellowship Goals and Objectives
head and necl large.png -Click here to go to Pediatric Otolaryngology Fellowship Program http://www.uihealthcare.com/depts/med/otolaryngology/fellowships/pedoto.html Pediatric Otolaryngology Residency Goals and Objectives (Reviewed and modified 1
Page: Pediatric Palatal Mass - Pleomorphic Adenoma
head and necl large.png GENERAL CONSIDERATIONS Pleomorphic Adenomas of the hard and soft palate are extremely rare. This represents a tumor of the minor salivary gland that may be locally aggressive, and accounts for 40-70% of all major and mino
Page: Pediatric Parotid Sialendoscopy
head and necl large.png GENERAL CONSIDERATIONS Indications Salivary gland swelling of unclear origin Obstructive sialadenitis Stones Strictures Mucus plugging Foreign bodies PREOPERATIVE PREPARATION Evaluation History and Physical Exam Imaging of
Page: Pediatric Pharyngeal Flap
head and necl large.png GENERAL CONSIDERATIONS The indications Indications: Complications: Risks include: obstructive sleep apnea, nasal stricture, hyponasal speech, continued VPI PREOPERATIVE PREPARATIONS Consent Informed consent
Page: Pediatric Post Auricular Tympanoplasty
head and necl large.png GENERAL CONSIDERATIONS Indications: Conductive hearing loss due to perforation or ossicular dysfunction Chronic or recurrent OM secondary to contamination Perforation or hearing loss persistent for greater than 3 months
Page: Pediatric Sleep Endoscopy {r
The current guidelines for management of pediatric obstructive sleep apnea recommend adenotonsillectomy first; this has a >80% success rate (AAOHNS position statement, Tonsillectomy and OSAs, adopted 2010 revised 2014 http://www.entnet.org/content/tonsi
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head and necl large.png Pediatric Subglottic Hemangiomas return to: Pediatric Airway Under Construction Copy and paste extras Indenting and outdenting in richtext should work as well GENERAL CONSIDERATIONS Infantile subglottic hemangiomas cause bi
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image2014-8-15 21:47:50.png Pediatric Tracheostomy Decannulation Return to: Pediatric Airway General Considerations: Protracted tracheotomy can lead to numerous medical, social, and economic consequences in pediatric patients Tracheal infections and s
Page: Pediatric Tracheotomy
head and necl large.png return to:Pediatric Airway; Tracheostomy and Upper Airway Management Symposium July 30 2016 IAO and SOHN Iowa City Iowa see also: Tracheotomy, Tracheostomy & Modifications and: Tracheotomy - Tracheostomy GENERAL
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head and necl large.png Pediatric vital signs normal ranges Note that the patient's normal range and clinical condition should always be considered Age Group Respiratory Rate Awake Heart Rate Sleeping Heart Rate Systolic Blood Pressure* Weight (
Page: Pediatrics Service
head and necl large.png Pediatrics Service return to: Pediatric Airway Pediatric Otolaryngology Call * Schedule at www.uiowaoto.com http://www.uiowaoto.com/. On the schedule "C" = first call, "B" = backup.* On weekend days when the
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Pedicled nasoseptal flap (Hadad-Bassagasteguy flap) protocol see also:Transnasal Transsphenoidal Approach to Pituitary return to: Paranasal Sinus Surgery Protocols Definition: Vascular pedicled mucosal flap of the nasal septum mucoperichondrium an
Page: Pentax Intubation Scope Tray
1 Scope, Pentax Intubation Flexible
Page: Percutaneous collagen injection to left vocal cord
head and necl large.png Concurrent use of a transnasal fiberoptic laryngoscope permits visualization of the vocal cord as collagen is placed into the paraglottic space via percutaneous puncture through the cricothyroid membrane in a subepithelial
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head and necl large.png Percutaneous tracheotomy see also: Tracheotomy - Tracheostomy Case Example Percutaneous Tracheotomy GENERAL CONSIDERATIONS Percutaneous tracheotomy is an elective procedure often performed at bedside in patients who are int
Page: Peritonsillar Abscess Management
head and necl large.png return to: Common Call Problems see also: Tonsillectomy and Adenoidectomy Evaluation History: Sore throat Decreased oral intake due to progressive odynophagia Drooling from inability to tolerate own secretions Fever Voice
Page: Pharmacotherapy for Recurrent Respiratory Papillomatosis
head and necl large.png Pharmacotherapy for Recurrent Respiratory Papillomatosis (RRP) See also Recurrent Respiratory Papillomatosis (RRP) - General Information Microdirect Laryngoscopy (Suspension Microlaryngoscopy or Direct Laryngoscopy)
Page: Photos of Otology Equipment and Setup with Instrument Lists
head and necl large.png Photos of Otology Equipment and Setup with Instrument Lists Easier viewing may come from powerpoint presentation:Powerpoint Photos of Otology Equipment and Setup with Instrument Lists Prepared by Michelle Selch RN and Geir
Page: Physical Examination of the Head and Neck
head and necl large.png return to: Medical Student Instruction Introduction to the Head and Neck Exam: Note: the order in which this is performed may vary, but establishing a routine where all aspects of the exam are included is important to avoid
Page: Physicians
picture Surgical Protocols (Click on table heading to resort links alpabetically.) Antibiotic Surgical Protocols Laryngeal Surgery (Benign Disease) Protocols Laryngeal Surgery (Malignant Disease) Protocols Salivary Gland Surgery Protocols Neck Su
Page: Pierre Robin Difficult Intubation Scope Tray
1 Laryngoscope, Holinger-Tucker Peds Anterior Commissure 4 3/8", 7mm x 11mm ld, 8mm x 12mm OD 1 Prismatic Light Deflector w/Adapter 1 3/4" 1 Light Carrier, Holinger-Benjamin Fiberoptic 3 1/4", 2mm ld, 3mm Od 1 Laryngoscope, Holinger Benjamin Anterior Com
Page: Platinum-Gold eyelid weighting
head and necl large.png Platinum-Gold eyelid weighting Corneal - eye- protection for Facial Paralysis return to: Facial Paralysis (surgery for facial nerve paralysis weakness) Case examples provided by Dr. Douglas Henstrom, Director of University
Page: Platysma Flap
head and necl large.png Platysma Flap GENERAL CONSIDERATIONS Indications The platysma flap may be used to close defects on the lower face, buccal mucosa, and floor of mouth. In selected cases, the flap will extend to the oropharynx; however, d
Page: Platysmectomy
head and necl large.png Platysmectomy Return to Facial Plastics Home Page Case examples provided by Dr. Douglas Henstrom, Director of University of Iowa Facial Plastic and Reconstructive Surgery and Facial Nerve Center, Department of Otolaryngolog
Page: Pleomorphic Adenoma
head and necl large.png PABanner.png Please click on the Slides below for a quick overview of Pleomorphic Adenoma (Use the right and left arrow keys to scroll) IPVirtSlide.png For an interactive look at the Histology of Pleomorphic Adenoma, plea
Page: Pleomorphic Adenoma Rads
Pleomorphic Adenoma / Benign Mixed Tumor see also: Case Example Deep Lobe Parotid Tumor Parapharyngeal Space and Pleomorphic Adenoma Benign, slow-growing, heterogenous tumor made up of epithelial, myoepithelial, and stromal components Small pleomorph
Page: Plunging Ranula
head and necl large.png Plunging Ranula return to: Salivary Gland Surgery Protocols see also:Plunging Ranula Transoral Resection (Sublingual Gland) Aided With Sialendoscopy with Histopathology see also: Case Example of Plunging Ranula (Transoral
Page: Plunging Ranula Transoral Resection (Sublingual Gland) Aided With Sialendoscopy with Histopathology
Plunging Ranula Transoral Resection (Sublingual Gland) Aided With Sialendoscopy with Histopathology return to: Plunging Ranula see also room setup: Sialendoscopy Room Set Up for Submandibular Glands Click on images below to enlarge: Modified Operati
Page: Pneumatic Lithotripsy
Pneumatic Lithotripsy return to: Sialendoscopy Course LSU New Orleans Lectures (Hoffman) March 21-22, 2015 return to: UCSF Sialendoscopy Nov 4 2015 Complex Cases
Page: Pneumatic Lithotripsy updated
Pneumatic Lithotripsy updated return to: Sialendoscopy Course LSU New Orleans Lectures (Hoffman) March 21-22, 2015
Page: Polyps Nodules Cysts
Examples Polyps: example below Nodules see also: Vocal Nodules (vocal fold nodules, vocal cord nodules, singer's nodes) Case Example Vocal Fold Nodule Surgery; Case Example Vocal Fold Cyst Surgery Vocal Fold Polyps (polypoid corditis) case example
Page: Porcine Xenograft (Skin Graft)
head and necl large.png see also: Full thickness skin graft Porcine Xenograft (Skin Graft) return to: Full thickness skin graft https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Full+thickness+skin+graft or Split Thickness Skin Graft https
Page: Post-operative Care of the Flap Patient
return to: Nursing Protocols (under revision) I. Purpose of flap: a. Reconstruction after tumor excision, trauma, post-osteoradial necrosis. b. Protection of the greater vessels. c. Correction of congenital defect. II. Types of flap: a. Pedicl
Page: Posterior Glottic Stenosis
head and necl large.png Posterior Glottic Stenosis return to: Tracheostomy and Upper Airway Management Symposium July 30 2016 IAO and SOHN Iowa City Iowa Laryngeal Surgery (Benign Disease) Protocols see also: Case Example 2 - Posterior Scar Band
Page: Posterolateral Neck Dissection
head and necl large.png Posterolateral Neck Dissection Click to see: Case Example Posterolateral Neck Dissection and Case example 2 Posterolateral Neck Dissection and Case example 2 Anatomy and Posterolateral neck dissection varian
Page: Posterolateral neck dissection variant of trapezius innervation
Posterolateral neck dissection variant of trapezius innervation return to: Posterolateral Neck Dissection Trapezius muscle innervation: Tubbs et al (2011) identified that 'athough most agree that the spinal accessory nerve is the primary innervation of
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Postoperative Care Map for Skull Base Surgery return to: Otology - Neurotology POSTOPERATIVE CARE (TL AND MCF) Surgical Intensive Care Unit Overnight Neurological monitoring for intracranial bleed. No narcotics used except codeine, tylenol #3, occasiona
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head and necl large.png Postoperative Neck Dissection Shoulder Dysfunction PURPOSE To identify patients at risk for shoulder dysfunction after neck dissection and provide interventions to decrease discomfort and improve range of motion and str
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Back to tonsillectomy and adenoidectomyhead and necl large.png Postoperative pain management in pediatric tonsillectomy patients Inadequate postoperative pain management may cause morbidity in the pediatric patient after tonsillectomy in the form of dec
Page: Powerpoint Photos of Otology Equipment and Setup with Instrument Lists
head and necl large.png Powerpoint Photos of Otology Equipemnt and Setup with Instrument Lists return to: Photos of Otology Equipment and Setup with Instrument Lists click to open powerpoint presentations: Step 1a of 3 Micro Ear Surgery.pptx Step 1
Page: Pre-irradiation Dental Evaluation
head and necl large.png Pre-Irradiation Dental Evaluation RATIONALE Attempt the establishment of a lifelong prognosis for those teeth to potentially be encompassed by the radiation portals. Recommend the preradiotherapeutic extraction of those
Page: Prechemotherapy Dental Evaluation
head and necl large.png Prechemotherapy Dental Evaluation RATIONALE FOR DENTAL EVALUATION ANTECEDING CHEMOTHERAPY A thorough oral evaluation is important in that some dental interventions can diminish the potential for oral and/or systemic com
Page: Preface
picture return to: Our Story Preface [to published hard copy version (book form) 1999] The Iowa Head and Neck Protocols organizes diagnostic and management preferences in an accessible manner. The protocols are constructed in outline form to provi
Page: Preoperative Patient Education Nursing Counselling
Preoperative Patient Education Nursing Counselling [Drain Management https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Drain+Management] [Nurses https://wiki.uiowa.edu/display/protocols/NursesHome Care Instruction Nursing Protocols https://i
Page: Prep and Drape Anterolateral Thigh Free Flap
head and necl large.png Prep and Drape Anterolateral Thigh, Pectoralis Major, and Radial Forearm Free Flap return to: Prep and Drape Free Flap (click on first photo to enlarge then on arrow to advance): Standard prep, 10% provodone iodine Drape -P
Page: Prep and Drape for Latissimus Dorsi Free and Pedicled Flap
head and necl large.png Prep and Drape for Latissimus Dorsi Free and Pedicled Flap return to: Prep and Drape Free Flap (click on first photo to enlarge then on arrow to advance): Prep and Drape for Latissimus Dorsi Free and Pedicled Flap Standa
Page: Prep and Drape Free Flap
return to: Microvascular Surgery Protocols Prep and Drape Free Flap Prep and Drape for Latissimus Dorsi Free and Pedicled Flap https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Prep+and+Drape+for+Latissimus+Dorsi+Free+and+Pedicled+Flap Pre
Page: Prep and Drape Osteocutaneous Fibula Free Flap
head and necl large.png Prep and Drape Osteocutaneous Fibula Free Flap return to: Prep and Drape Free Flap (click on first photo to enlarge then on arrow to advance): Standard prep, 10% providone iodine (circumferential to leg, from foot to groin)
Page: Prep and Drape Radial Forearm Free Flap
head and necl large.png Prep and Drape Radial Forearm and Pectoralis Major Free Flap return to: Prep and Drape Free Flap (click on first photo to enlarge then on arrow to advance): Standard prep, 10% provodone iodine Drape Prepare the head and ne
Page: Preservation of branch of Great Auricular Nerve
head and necl large.png return to:Parotidectomy with Facial Nerve Dissection External ear innervation Auriculotemporal (CN V)-- superior and external part of the ear and anterior ear canal; Inject anesthetic superiorly and anteriorly to the tragus
Page: Problems with wiki
head and necl large.png Feb 3 update Hoffman priorities for Iowa Protocols To show a large increase in the number of page visits in Google Analytics – fulfilling this goal would be a direct result of success in our work on the other goals ra
Page: Protocols and Procedures Nursing Protocols
Protocols/Procedures Nursing Protocols Home Page https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Protocols+and+Procedures+Nursing+Protocols Nutrition Assessment https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Nutrition+Assess
Page: Protocols Page Title Index
head and necl large.png {index}{index}
Page: Proton Pump Inhibitor Side Effects PPI Considerations
Proton Pump Inhibitor Side Effects PPI Considerations Counseling patients about side effects of drugs warrants a risk-reward assessment in the context of the consideration that "All drugs have adverse effects" and "clinicians must weigh the benefits vs th
Page: PTH and vitamin D protocol
head and necl large.png return to: Calcium Management in Thyroidectomy Patients - Hypocalcemia Postop PTH and vitamin D protocol This is an audit of PTH measurements and vitamin D to correlate with ionized calcium postop and we are planning to con
Page: Pulmonary Function Testing (PFT) made simple
head and necl large.png Pulmonary Function Testing (PFT) made simple under construction Return to: Spirometry PIF Peak Inspiratory Flow Pulmonary Function Testing Pulmonary function testing is a group of tests that provide objective data on a patient's
Page: Pulse Oximetry common misconceptions regarding use
Pulse Oximetry common misconceptions regarding use Return to: Difficult Airway see also: Pulse Oximetry Basic Principles and Interpretation “To know even one life has breathed easier because you have lived. This is to have succeeded.” Ralph Waldo Emers

Q

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Page: Radial Forearm Free Flap
head and necl large.png Radial Forearm Free Flap Return to: Microvascular Surgery Protocols GENERAL CONSIDERATIONS Indications The forearm flap has been used for just about everything imaginable in the area of head and neck reconstruction. Current
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head and necl large.png Comprehensive Neck Dissection (Levels I - V) (Radical Neck Dissection and Modifications - Sparing Cranial Nerve XI, Sternocleidomastoid Muscle and/or Internal Jugular Vein) return to: Cervical Lymphadenectomy- General Consi
Page: Radioiodine Sialadenitis RAI and Sialendoscopy Lecture 2016
Radioiodine Sialadenitis RAI and Sialendoscopy Lecture 2016 return to:LSU Sialendoscopy Course 2016 April 9 and 10 Hoffman Presentations
Page: Radiology Protocols
Radiology Protocols Radiology Protocols Home Page https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Radiology+Protocols Head and Neck CT Protocols https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Head+and+Neck+CT+Protocols Inter
Page: Ranula Rads
Ranula links to: Plunging Ranula Simple ranula: post-inflammatory retention cyst, epithelial lining, located above the mylohyoid muscle Diving ranula: extravasation pseudocyst, occurs when a large ranula ruptures into the submandibular space, no epith
Page: Reconstruction After Total Laryngectomy (Gastric Pull-Up)
head and necl large.png Gastric Pull-Up Reconstruction AfterTotal Laryngopharyngectomy return to: Laryngeal Surgery (Malignant Disease) Protocols or: Total Laryngectomy GENERAL CONSIDERATIONS Indications Oncologic Need for total laryngopharyngecto
Page: Reconstructive Procedures Protocols
Reconstructive Procedures Reconstructive Procedures Protocols Home Page https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Reconstructive+Procedures+Protocols Supraclavicular artery island flap https://iowaheadneckprotocols.oto.uiowa.edu/disp
Page: Rectus Abdominis Free Flap
head and necl large.png Rectus Abdominis Free Flap return to:Microvascular Surgery Protocols GENERAL CONSIDERATIONS Indications With the increased use of the forearm flap for intraoral and pharyngeal reconstruction, the rectus has been relegated t
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Recurrent laryngeal nerve injury anatomic considerations return to: Unilateral Laryngeal Paralysis or Vocal Cord Paralysis see: Laryngeal EMG (Electromyography) Anatomy and Video and: Nonrecurrent recurrent laryngeal nerve and: Immobile Vocal Cord Afte
Page: Recurrent neck swelling after ranula resection
Recurrent neck swelling after ranula resection return to: Plunging Ranula 2011 underwent transoral resection of left-sided ranula (sublingual gland resection) with development of a dry mouth coupled with painless swelling in left submandibular region two
Page: Recurrent Respiratory Papillomatosis (RRP) - General Information
head and necl large.png Recurrent Respiratory Papillomatosis (RRP) - General information See also: Pharmacotherapy for Recurrent Respiratory Papillomatosis; Microdebrider Suction Modulator for RRP Microdirect Laryngoscopy case example; Custom Dental G
Page: Recurrent Vocal Fold Polyp In-Clinic Treatment
head and necl large.png Former teacher - dysphonia associated with recurrent lesions of left vocal fold* 1996 and 1998: Surgical removal of superficial vocal fold lesions interpreted at the UIHC pathology dept: "benign laryngeal nodules" 2000 Re
Page: Referring a Cleft Clinic Patient
head and necl large.png Contact Deb Strike, RN (319-356-3345), O-HNS Scheduling (319-356-2201) or Karen Dondelinger (319-356-3499) return to: Cleft Lip and Palate Protocols
Page: Reflux Symptom Index (RSI)
Reflux Symptom Index return to: Extraesophageal reflux disease Within the last month, how did the following problems affect you? Circle the appropriate number that best applies to your symptoms. 0 = No Problem 5 = Severe Problem Hoarseness or a probl
Page: Reinnervation for Laryngeal Paralysis
head and necl large.png Reinnervation for Laryngeal Paralysis return to: Unilateral Laryngeal Paralysis or Vocal Cord Paralysis best.JPG Ansa cervicalis to recurrent laryngeal nerve GENERAL CONSIDERATIONS: Anatomical Considerations: Ansa cervic
Page: Relevant Anatomy for Sialendoscopy April 16 2015 Columbia Missouri
Page: Relevant Anatomy of Salivary Glands (Relevant to Sialendoscopy)
Relevant Anatomy of Salivary Glands (Relevant to Sialendoscopy) return to: Sialendoscopy Course LSU New Orleans Lectures (Hoffman) March 21-22, 2015 Sialendoscopy Course LSU New Orleans Lectures (Hoffman) Feb 1-2, 2014 see also: Salivary Gland Surgery Pro
Page: Reomle
Page: Resident Education of Billing and Coding for Physician Services
return to: Billing and Coding Billing-Coding
Page: Resources
Copyright safe image resources: Wikimedia Commons http://commons.wikimedia.org/wiki/Main_Page Google Custom Search http://www.google.com/cse/home?cx=015775560953662364258:jbn052ab538 (I have not fully investigated this) Wylio http://www.wylio.com/
Page: Resources for Laryngology Update - Innovative Approaches to Common Problems
Resources for Laryngology Update - Innovative Approaches to Common Problems return to: Wisconsin Society of Otolaryngology Meeting WSO Elkhart Lake Wisconsin October 18 19 2014 Lectures see also: Georgia Regents University Augusta Grand Rounds Nov 5 2013
Page: Resources for Salivary Swelling Lecture
Resources for Salivary Swelling Lectures return to: Wisconsin Society of Otolaryngology Meeting WSO Elkhart Lake Wisconsin October 18 19 2014 Lectures Salivary Gland Surgery Protocols Salivary Swelling Sjogren's Syndrome Sialolithiasis Sialograms and
Page: Resources for Total Laryngectomy in 2015
Resources for Total Laryngectomy in 2015 return to: Utahotolaryngology Update 21st Lectures (Hoffman) June 19-20, 2015 return to: Wisconsin Society of Otolaryngology Meeting WSO Elkhart Lake Wisconsin October 18 19 2014 Lectures see also: Georgia Rege
Page: Resources on the Iowa Protocols for Total Laryngectomy
head and necl large.png Resources on the Iowa Protocols for Total Laryngectomy return to: October 21 2011 Charleston South Carolina Head and Neck Oncology Lectureship
Page: Retained submandibular duct stone after gland removal with neck fistula
Retained submandibular duct stone after gland removal with neck fistula return to: Sialolithiasis Presentation1.jpg
Page: Retractor Tray, Large
head and necl large.png return to:Nursing Instrument Guide Retractor Tray, Large 2 Kelly Retractors, 24.1 cm, Blade, 3.8 cm x 6.3 cm 1 Kelly Retractor, 26.6 cm, Blade, 8.8 cm x 7.6 cm 1 Deaver Retractor #3, 2.5 cm x 31.6 cm #4, 3.8 cm x 32.9 cm
Page: Retractor Tray, Small
head and necl large.png Retractor Tray, Small 12 Backhaus Towel Forceps, 7.6 cm 3 Backhaus Towel Forceps, 13.3 cm 4 Gilles Converse Skin Hook, 18.4 cm x 3 mm 2 Pratt Rectal Hook, Style 4, Sharp, 22.8 cm 2 Volkmann Rake Retractor, Sharp 2 Prong 18.
Page: Retromolar Trigone SCCa - Rads
Retromolar Trigone Squamous Cell Carcinoma The fourth most common oral cavity and oropharynx malignancy (6% of cases), grouped with gingival SCCa due to similar history and management Most telling diagnostic clue is the obliteration of buccal fat behi
Page: Review By Topic
return to: Medical Student Instruction These are review topics are taken from the Course Objectives based on the course textbook: Primary Care Otolaryngology. http://www.entnet.org/content/primary-care-otolaryngology-onlineClick on the links to view th
Page: Rhino-Laryngo Fiberscope, Olympus Model
head and necl large.png Rhino-Laryngo Fiberscope, Olympus Model, ENF/ Type P4 1 Cap, ETO, Venting 7/8" , MB-156 ETO Cap m ust be on for sterilization (vm)
Page: Rhinology Service
head and necl large.png Rhinology Scott Graham Clinic: every patient that is seen for the first time, or has not been evaluated for several years is considered a new patient. All new patients must have a letter dictated to their consulting physic
Page: Rhinology/General Clinic Procedures
Flexible nasal endoscopy Verbal consent was obtained and the nose sprayed with topical anesthetic and vasoconstrictor. A flexible fiberoptic scope was then introduced into the patient's nose and the nose and examined. Rigid nasal endoscopy Verbal conse
Page: Rhinoplasty
head and necl large.png Rhinoplasty return to: Cosmetic Facial Surgery See: Rhinoplasty Case Examples Dr. Douglas Henstrom University of Iowa Facial Plastic and Reconstructive Surgeon Dr. Henstrom's profile page. http://www.uihealthcare.org/
Page: Rhinoplasty Case Examples
head and necl large.png Return to:Rhinoplasty Case examples provided by Dr. Douglas Henstrom, Director of University of Iowa Facial Plastic and Reconstructive Surgery, Department of Otolaryngology Dr. Henstrom's profile page. http://www.uihealthca
Page: Rhinoplasty Instrument Tray
head and necl large.png Rhinoplasty Instrument Tray 1 Tebbetts-Maxwell Septal Coagulating Forceps, 6'' 1 Tebbetts Micro Diamond Jaw Delicate Tissue Forceps, 0.5 mm and 0.9 mm 1 Tebbetts Micro Diamond Jaw Delicate Brown-Type Tissue Forceps, 4-3/4
Page: Rhinoplasty instrument tray 2014
1 Rasp, Foman, Fine, 8 1/2" 1 Rasp, Foman, Course, 8 1/2" 1 Rasp, Toriumi, 8 1/4" 1 Osteotome, 2mm, 6 1/4" 1 Osteotome, 3mm, 6 1/4" 1 Osteotome, 5mm, 6 1/4 1 Osteotome, Rubin, 14mm, 6 3/4" 1 Osteotome, Rubin, 16mm, 6 3/4" 1 Osteotome, Becker, Simple
Page: Rib Resection Tray, Adult
head and necl large.png Rib Resection Tray, Adult 1 Langenbeck Periosteal Elevator, 19.0 cm and Blunt 19.0 cm 1 Coryllos Doyen Rib Raspatory, 23.4 cm Left and Right 1 Alexander Periosteotome, Standard, 20.9 cm 1 Stille Double Action Bone Rongeur,
Page: Rongeur Tray, Large
head and necl large.png Rongeur Tray, Large 1 Kerrison Laminectomy Rongeur, Up Biting, 15.2 cm Shaft, Upbiting 5 mm Bite 1 Kerrison Rongeur Forceps, 13.9 cm Handle, WL 10.1 cm, Medium and Large 1 Kleinert-Kutz Rongeur, Double-Action, Light Curved,
Page: Rongeur Tray, Small
head and necl large.png Rongeur Tray, Small 1 Beyer Rongeur Forceps, 7'', cup 3/4 x 1/8''. 1 Citelli Rongeur Shaft, 2-3/4'' WL 1 Kerrison-Costen Rongeur Curved Handle, 11.4 cm, WL 9.8 cm 1 Kerrison Rongeur Forceps, 13.9 cm Handle, WL 10.1 cm Extra
Page: Routine Care of the Postoperative Head and Neck Patient
return to: Nursing Protocols (under revision) Purpose: To address essential components of the head and neck patient's post-operative care. I. Patient's pain must be addressed: A. Importance of how and when to report pain intensity using appropri
Page: Routine Preoperative Teaching for the Adult Patient
head and necl large.png Routine Preoperative Teaching for the Adult Patient PURPOSE To provide consistent teaching content for nursing personnel instructing the preoperative patient and provide standards for documentation in the medical record

S

Page: Saccular cyst of the larynx case example endoscopic removal
Saccular cyst of the larynx case example endoscopic removal (marsupialized) return to: Saccular Cysts and Laryngoceles
Page: Saccular Cysts and Laryngoceles
Saccular Cysts and Laryngoceles see:Saccular cyst of the larynx case example endoscopic removal and Endoscopic removal of laryngocoele with histopathology 1. General Considerations: Laryngoceles are uncommon congenital anomalies of the supraglottic l
Page: Salivary Cannulation and Infusion Techniques
head and necl large.png Salivary Cannulation and Infusion Techniques return to:Sialograms and Sialography; see also: Sialendoscopy; Salivary Swelling; Sjogren's Syndrome; Submandibular Gland Resection; Parotidectomy with Facial Nerve Dissection
Page: Salivary Duct Introducer Set for Stone Removal
Salivary Duct Introducer Set for Stone Removal return to: UCSF Sialendoscopy Nov 4 2015 Complex Cases
Page: Salivary Duct Stenosis
Salivary Duct Stenosis Return to Salivary Swelling see also: LSU Sialendoscopy Course 2016 April 9 and 10 Hoffman Presentations; UCSF Sialendoscopy Nov 4 2015 Stenoses RAI Sjogrens Evidence and Management see also: Sialograms and Sialography see also: P
Page: Salivary Duct Stenosis Classification and Management Lecture 2016
Salivary Duct Stenosis Classification and Management Lecture 2016 return to: LSU Sialendoscopy Course 2016 April 9 and 10 Hoffman Presentations
Page: Salivary Ductoplasty
head and necl large.png Salivary Ductoplasty Case Example - return to:Sialendoscopy return to: Sialogram Technique return to: Anatomy of submandibular gland and duct see also: Salivary Stone Removal with Ductoplasty from Submandibular Gland Left
Page: Salivary Gland Anatomic Anomalies and Foreign Bodies Lecture AHNS April 9 2013
head and necl large.png return to: Salivary Gland Surgery Protocols see also: Fixed Intermediate Sized Salivary Stones Lecture AHNS Salivary Endoscopy Course April 9 2013 Salivary Gland Anatomic Anomalies and Foreign Bodies Lecture AHNS April 9 20
Page: Salivary gland atrophy with chronic obstruction
head and necl large.png Salivary gland atrophy with chronic obstruction return to: Sialendoscopy return to: Endoscopic stone management: Intermediate Sized/Lasers/External Lecture LSU New Orleans (Hoffman) Feb 1-2 2014 see also: Fixed Intermediate
Page: Salivary Gland Preservation Surgery 13 mm Parotid Stone
Salivary Gland Preservation Surgery 13 mm Parotid Stone return to: Salivary Gland Surgery Protocols
Page: Salivary Gland Surgery Protocols
return to: UCSF Otolaryngology Update 2015 Nov 4 to 7 including Sialendoscopy Hoffman Presentations Salivary Gland Surgery Salivary Gland Surgery Protocols Home Page https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Salivary+Gland+Surgery+Pro
Page: Salivary Gland Swelling Patient Questionnaire
head and necl large.png Salivary Gland Swelling Questionnaire click to download (pdf): Salivary gland questionnaire 03232013.pdf click to download (word .doc): Salivary gland questionnaire 03232013.docx see also information about: Salivary Swell
Page: Salivary stone imaging correlates
Salivary stone imaging correlates return to: Salivary Ultrasound; Ultrasound CT Sialendoscopy and Gross Appearance of Submandbiular Stone Sialolithiasis
Page: Salivary Stone Removal with Ductoplasty from Submandibular Gland
head and necl large.png Salivary Stone Removal with Ductoplasty from Submandibular Gland return to: Salivary Gland Surgery Protocols see also: Anatomy of submandibular gland and duct; Sialendoscopy; Sialodochoplasty (complex) for right submandibul
Page: Salivary Stones and Lab Prep April 16 2015 Columbia Missouri
Salivary Stones and Lab Prep April 16 2015 Columbia Missouri return to: Sialendoscopy Course 2015 April 16 - 17 Midwest Head and Neck Cancer Consortium Columbia Missouri
Page: Salivary Stones and Lab Preparation Missouri Sialendoscopy Course April 16 2015
Salivary Stones and Lab Preparation Missouri Sialendoscopy Course April 16 2015 return to: Sialendoscopy Course 2015 April 16 - 17 Midwest Head and Neck Cancer Consortium Columbia Missouri powerpoint presentation:2015 Salivary Stones and Lab Prep 04162
Page: Salivary Swelling
Salivary Swelling (Parotid and Submandibular Glands) (downloadable questionnaire for patient information: Salivary Gland Swelling Patient Questionnaire) Differential Diagnosis Obstructive Sialadenitis Sialolithiasis (salivary stones) see also: S
Page: Salivary Swelling SOHN Otorhinolaryngology Update April 16 2016
Salivary Swelling SOHN (Society of Head and Neck Nursing) 21st Annual Otorhinolaryngology Update April 16 2016 return to: Courses at the University of Iowa image2016-4-15 16:11:30.png see also:Salivary Swelling https://iowaheadneckprotocols.oto.ui
Page: Salivary Ultrasound
Salivary Ultrasound see also: Salivary stone imaging correlates and Ultrasound CT Sialendoscopy and Gross Appearance of Submandbiular Stone Salivary Swelling Sialograms and Sialography Ultrasound Guided FNA Fine Needle Aspiration Biopsy Parotid Duct S
Page: Sarcoidosis
head and necl large.png Definitions Heerfordt's syndrome = "uveoparotid fever" - sarcoidosis manifest as unilateral facial nerve palsies and is characterized by parotid gland enlargement, fever, uveitis, and cranial nerve palsies. Löfgren's syndr
Page: Sarcoidosis (Laryngeal)
head and necl large.png SarcoidBanner.png IPVirtSlide.png For an interactive look at the Histology of Sarcoidosis, please click on the link below: Sarcoidosis Virtual Slide http://www.path.uiowa.edu/pathology_unknowns/ent/case17/case17_ent_answer.h
Page: Scans After Thyroidectomy
head and necl large.png Scans after Thyroidectomy INITIAL SCAN Patient may be scheduled for an I 131 scan approximately six weeks after thyroidectomy. Nuclear Medicine is consulted to explain scan, medications, and low iodine diet. A lead-line
Page: Sclerotherapy with Ultrasound Guidance for Lymphangioma with Doxycycline
head and necl large.png Sclerotherapy with Ultrasound Guidance for Lymphangioma with Doxycycline see also: Lymphatic Malformation Rads Prior to procedure Patient needs an order for doxycycline injection, 100 mg/10mL. This needs to come from pharmacy the
Page: Second Arch Branchial Cleft Fistula Case Example
head and necl large.png Second Arch Branchial Cleft Fistula Case Example return to: Branchial Cleft Cyst - Sinus - Fistula Excision see also: Branchio-oto-renal Syndrome (Melnick-Fraser Syndrome) 72 yo female with swelling noted in right upper nec
Page: Segmental and Rim Mandibulectomy
head and necl large.png Segmental and Rim Mandibulectomy see also: Lip Split with Mandibulotomy Approach for Oral and Pharyngeal Access GENERAL CONSIDERATIONS Indications The decision to perform either segmental or rim (either horizontal or lingua
Page: Selective Neck Dissection
head and necl large.png Selective Neck Dissection return to: Cervical Lymphadenectomy- General Considerations see also: Chyle leak; Marginal Mandibular Nerve Weakness (Ramus Mandibularis) Level I Neck Dissection (extended) recurrent pleomorphic ad
Page: Self Care Schedule for the Post OperativeTracheostomy Inpatient
return to: Nursing Protocols (under revision) Patient Self-Care of Tracheostomy: Patient education begins on admission to the inpatient postoperative unit. Throughout the typical course of stay, the patient must be taught to adequately perform self-cares
Page: Self Care Schedule for the Tracheostomy Patient on 3JPW
(under revision) return to: Nurses Patient Self-Care of Tracheostomy: Patient education begins on admission to the inpatient postoperative unit. Throughout the typical course of stay, the patient must be taught to adequately perform self-cares in order t
Page: Sensorineural and conductive hearing loss
Return to: General Clerkship Objectives Overview: Three major types of hearing loss: Conductive hearing loss (CHL) Sensorineural hearing loss (SNHL) Mixed: both CHL and SNHL components Hearing Fork Tests: Can help to determine type and laterality of
Page: Sentinel Lymph Node Biopsy
head and necl large.png Sentinel Lymph Node Biopsy (SLNB) see also: Case Example Sentinel Lymph Node Biopsy see also: Lymphoseek also called technetium Tc 99m tilmanocept see discussion re: Controversy Regarding Value of SLN Biopsy (at bottom of
Page: Septorhinoplasty with Fat Transfer
head and necl large.png GENERAL CONSIDERATIONS Consideration 1 (Indications) Sub-Con Sub-sub-con Consideration 2 (Contraindications) Sub Con PREOPERATIVE PREPARATIONS Consideration 1 (Evaluation) Sub-Con Sub-sub-con Consideration 2 (Consent for Surg
Page: Setup and Pack Index
head and necl large.png Setup and Pack Index Setup and Pack Index Basic Soft Tissue Room Setup https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Basic+Soft+Tissue+Room+Setup Panendoscopy Room Setup https://iowaheadneckprotocols.oto.uio
Page: Severe squamous dysplasia or Carcinoma in situ causing laryngeal leukoplakia
head and necl large.png Severe squamous dysplasia or Carcinoma in situ causing laryngeal leukoplakia Return to: Laryngeal leukoplakia white plaques on vocal cords Return to: Overview of squamous dysplasia Go to: Invasive squamous cell carcinoma c
Page: Shaw Hemostatic Scalp for Parotidectomy
head and necl large.png Shaw Hemostatic Scalp for Parotidectomy Return to: Parotidectomy with Facial Nerve Dissection Audio starts at 16 seconds; click to begin:
Page: Sialectasis
head and necl large.png Sialectasis GENERAL CONSIDERATIONS Definition "Dilation of a salivary duct" (ptyalectasis) from [sial- + Gr. ektasis, a stretching] A condition resulting from duct obstruction of the parotid or submandibular glands associ
Page: Sialendoscopy
head and necl large.png Sialendoscopy return to: Salivary Gland Surgery Protocols click to see: Sialendoscopy Course LSU New Orleans Lectures (Hoffman) March 21-22, 2015 Combined Open and Endoscopic Removal of Parotid Stone (sialendoscopy case exa
Page: Sialendoscopy Preoperative Counselling and Postoperative Management
Sialendoscopy Preoperative Counselling and Postoperative Management return to: UCSF Sialendoscopy Nov 4 2015 Postoperative Management I. Preoperative Counseling A. Key to Postoperative Management is Preoperative Counseling with involvement of the
Page: Sialendoscopy Course 2015 April 16 - 17 Midwest Head and Neck Cancer Consortium Columbia Missouri
Sialendoscopy Course April 16 - 17 2015 Midwest Head and Neck Cancer Consortium Columbia Missouri return to: Courses at the University of Iowa Sialograms and Sialography Sialendoscopy April 16 Lectures: Relevant Anatomy for Sialendoscopy April 16 2
Page: Sialendoscopy Course LSU New Orleans Lectures (Hoffman) April 9 and 10 2016
Sialendoscopy Course LSU New Orleans Lectures (Hoffman) April 9 and 10 2016 return to: Salivary Gland Surgery Protocols; Courses at the University of Iowa April 9, 2016 Saturday 8:00 - 8:15 am Surgical Anatomy & Physiology of Salivary Glands: Relevant
Page: Sialendoscopy Course LSU New Orleans Lectures (Hoffman) Feb 1-2, 2014
Sialendoscopy Course LSU New Orleans Lectures (Hoffman Lectures) Feb 1-2, 2014 return to: Salivary Gland Surgery Protocols; Courses at the University of Iowa Feb 1, 2014 Saturday 8:45 - 9:00 am Relevant Anatomy of Salivary Glands (Relevant to Sialendosc
Page: Sialendoscopy Course LSU New Orleans Lectures (Hoffman) March 21-22, 2015
Sialendoscopy Course LSU New Orleans Lectures (Hoffman) March 21-22, 2015 return to: Salivary Gland Surgery Protocols; Courses at the University of Iowa March 21, 2015 Saturday 8:30 am Relevant Anatomy of salivary glands March 21, 2015 Saturday 1:50
Page: Sialendoscopy Room Set Up for Submandibular Glands
Sialendoscopy Room Set Up for Submandibular Glands return to: Sialendoscopy see also:Parotid (right or left) sialendoscopy room setup Sialendoscopy Course LSU New Orleans Lectures (Hoffman) March 21-22, 2015 return to: UCSF Sialendoscopy Nov 4 2015 Comp
Page: Sialendoscopy Tray
picture Sialendoscopy Instrument Tray 1 Storz Angled serrated dissecting forceps, 6" 1 Storz Angled tissue forceps 1 x 2 Teeth, 6" 1 Delicate scissors angled with ball end, 5-12" 1 Salivary duct dilator, 5-1/2" 3 Bowman lacrymal probes (1/2, 3/4,
Page: Sialendoscopy with Stone Removal HOW I DO IT
Sialendoscopy with Stone Removal HOW I DO IT return to: Sialolithiasis for presentation at Triological Society Combined Sections Meeting January 19 2017 (Enlarge to full screen with arrows at right lower border - has audio narrative)
Page: Sialodochoplasty (complex) for right submandibular sialadenitis with stone (sialolithiasis)
Sialodochoplasty (complex) for right submandibular sialadenitis with stone (sialolithiasis) return to: Sialendoscopy see also Salivary Stone Removal with Ductoplasty from Submandibular Gland Submandibular Stone and Bartholin's duct References: Sanz
Page: Sialodochoplasty complex with duct scarring
Sialodochoplasty complex with duct scarring return to: Salivary Gland Surgery Protocols see also: UCSF Sialendoscopy Nov 4 2015 Complex Cases
Page: Sialogram Left Parotid Sjogrens Syndrome
head and necl large.png Sialogram Left Parotid Sjogrens Syndrome return to: Sialograms and Sialography , Sjogren's Syndrome , Salivary Swelling
Page: Sialogram Complications
head and necl large.png Sialogram and Associated Complications return to:Sialograms and Sialography Sialography is a plain radiographic modality used for both anatomical and functional evaluation of the salivary glands. Contrast medium is inj
Page: Sialogram showing distal ductal stricture treated with parotidectomy
Sialogram showing distal ductal stricture treated with parotidectomy return to: Sialograms and Sialography
Page: Sialogram Technique
head and necl large.png see:Checklist Steroid Insufflation to Salivary Glands in Clinic return to: Sialograms and Sialography, Salivary Swelling, Click on the first picture to enlarge and then advance with arrow that appears: GENERAL CONSIDERA
Page: Sialograms and Sialography
return to:Salivary Gland Surgery Protocols Sialograms and Sialography Sialogram Technique https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Sialogram+Technique Sialogram Complications https://iowaheadneckprotocols.oto.uiowa.edu/display/prot
Page: Sialolithiasis
head and necl large.png Sialolithiasis or Salivary Stone Salivary Stones return to: Salivary Swelling; Salivary Gland Surgery Protocols see also: Combined Open and Endoscopic Removal of Parotid Stone (sialendoscopy case example) and Salivary Sto
Page: Sialolithiasis Radiology
Sialolithiasis Sialolithiasis Parotid Sialogram Stone Submandibular gland stone removal sialendoscopy case example 80-90% of stones occur in the submandibular gland, 10-20% occur in the parotid gland 25% of patients with one stone with have multiple s
Page: Sialolithiasis with Chronic Sialadenitis
head and necl large.png IPVirtSlide.png For an interactive look at the Histology of Sialadenitis with Sialolithiasis, please click on the link below: Sialolithiasis with Chronic Sialadenitis http://www.path.uiowa.edu/cgi-bin-pub/vs/load_applet2.cgi
Page: Sialosis (Sialadenosis) Sialogram
head and necl large.png return to:Sialograms and Sialography Sialosis or Sialadenosis of the Salivary Glands Left parotid sialogram report: Enlargement of the left parotid gland with attenuation of the intraglandular ducts consistent with sialosis
Page: Sialosis - Rads
Sialosis return to:Salivary Swelling see also: Sialosis or Sialadenosis of the Salivary Glands and Sialosis or sialadenosis Case example of surgical treatment Diffuse, bilateral swelling of the major salivary glands Non-neoplastic, non-inflammatory,
Page: Sialosis or sialadenosis Case example of surgical treatment
head and necl large.png Sialosis or sialadenosis Case example of surgical treatment return to: Sialosis or Sialadenosis of the Salivary Glands or Salivary Swelling or Parotidectomy with Facial Nerve Dissection see also: Great auricular nerve pain
Page: Sialosis or Sialadenosis of the Salivary Glands
head and necl large.png Sialosis or Sialadenosis of the Salivary Glands see also: Sialosis or sialadenosis Case example of surgical treatment return to: Salivary Swelling Sialosis (Sialadenosis) Sialogram see also: Sialosis - Rads Sialosis (siala
Page: Silver nitrate use and toxicity
head and necl large.png Silver Nitrate Toxicity The use of silver nitrate and when it is considered a poison. return to: Common Call Problems Epistaxis; Lip biopsy; Panendoscopy Response from Pharmacy Information Service at UIHC re: possible
Page: SilverGlide Bipolar Oto Forceps Tray
2 Forceps, Cushing SilverGlide, 7 1/2"
Page: Singer's Nodule
head and necl large.png SNBanner.png Please click on the Slides below for a quick overview of Singer's Nodules/Vocal Cord Nodules (Use the right and left arrow keys to scroll) IPVirtSlide.png For an interactive look at the Histology of Singer's
Page: Sinonasal Lymphoma - Rads
Sinonasal Lymphoma Comes in two flavors: non-Hodgkin lymphoma and T/NK-cell lymphoma A destructive mass with soft tissue characteristics and features which tend to be non-specific Location in the nasal cavity/nasopharynx is most commonly the nasal ca
Page: Sinonasal Melanoma - Rads
Sinonasal Melanoma A malignant tumor arising from neural crest cells found in the nasal mucosa More common in the nasal cavity than the sinuses; more common on the left as opposed to the right On CT: non-contrast shows a lobular soft tissue mass and
Page: Sinoscopy Instrument Basket
head and necl large.png Sinoscopy Instrument Basket 1 Coakley Antrum Curette, Small Light Curved #4, 16.5 cm 1 Coakley Antrum Curette, Small Light Curved #4 Modified, 16.5 cm, Small Light Curve Modified Angle 1 (Storz) Blakesley Suction Punch Uptu
Page: Sinoscopy Instrument Tray
head and necl large.png Sinoscopy Instrument Tray Tissue Forceps 2 Gruenwald Ear Forceps, Bayonet Shape, 6-14" Knives/Knife Handles 1 Handle, Knife #3, 5 in 1 Handle, Knife #7, 6-12" 1 Knife, Sickle, pointed, 6 1/4 in 1 Knife, Sickle, pointed, 7 1
Page: Sinoscopy Telescope Instrument Basket
head and necl large.png Sinoscopy Telescope Instrument Basket 1 Eustachian Catheter, 12 cm Long Size 1 Size 2 Size 3 1 (Storz) Hopkins Telescope, Forward-Oblique 30°, Wide Angle, 2.7 mm Diameter, 17.5 cm WL 4 (Storz) Hopkins Telescopes, Forward-Ob
Page: Sinus and Rhinology
picture Surgical Protocols (Click on table heading to resort links alpabetically.) Antibiotic Surgical Protocols Paranasal Sinus Surgery Protocols Trachea Surgical Protocols Laser Surgery Protocols Back to Top Management Protocols (Click on table
Page: Sinus Irrigation Tray (Oto)
return to:Nursing Instrument Guide 2 Valve, two way automatic non-return, female luer lock tip to male luer lock 2/side hose end, 1 1/2" 1 Shield, Pomeroy, 2 1/4" 1 Tip, Fistula, Straight 1 Tip, Pomeroy, Ear, 1 1/2" 1 Tip, Catheter, 1 5/8" 1 Tip, Male Lu
Page: Sinus Room Setup
head and necl large.png Sinus Room Setup EQUIPMENT Operating room table in reverse orientation with arm boards Back table Gown table Mayo stand Fiberoptic light projectors with headlight x 2 Bipolar cautery Suction bottle machine x 2 IV stands
Page: Sinus Tray
head and necl large.png Sinus Tray Tissue Forceps 1 Gruenwald Ear Forceps, Bayonet Shape, 6¼ in. 1 Brown Adson Tissue Forceps, 4¾ in. 1 Adson Tissue Forceps, delicate, 4 7/8 in. Knife Handles 1 Knife Handle #7, 6½ in. 1 Beaver Chuck Handle 3A, 7½
Page: Sinus Videos Instruction for FESS Fiberoptic Endoscopic Sinus Surgery
head and necl large.png Fiberoptic Endoscopic Sinus Surgery (FESS) & Balloon Sinuplasty see also CT Navigation Setup for Image Guided Surgery-Sinus and Skull Base Video instructions video #1 = nasal preparation for sinus surgery video #2 = fiberop
Page: Sjogren's Syndrome
Return to: Salivary Swelling see also: Sjogrens Syndrome Foundation http://www.sjogrens.org/home/about-sjogrens-syndrome http://www.sjogrens.org/home/about-sjogrens-syndrome see also: Management of Xerostomia Sialograms and Sialography head and n
Page: Skin Graft Donor Site Care
head and necl large.png Skin Graft Donor Site Care see: Split Thickness Skin Graft and: Case Example Split Thickness Skin Graft STSG Zimmer Dermatome PURPOSE To outline care of the transparent film dressing used in the treatment of split thickness
Page: Sleep Study with Tracheotomy
Sleep Study with Tracheotomy Return to:Tracheotomy - Tracheostomy Under Construction The presence of an occluded ('corked') tracheotomy tube may impair airflow even when the patient can breath and speak around it. The practice of performing a sleep s
Page: Slide 01 Common Voice Disorders Dysphonia What is your diagnosis
return to:Videos for Common Voice Disorders Mary Greeley Medical Center Grand Rounds August 12, 2015 Hoffman Grand Rounds Mary Greeley Medical Center 'Common Voice Disorders' August 10, 2015 or Common Voice Disorders Videos April 6 2010 Hoffman
Page: Slide 02 Common Voice Disorders Diagnosis and Treatment
return to: Videos for Common Voice Disorders Mary Greeley Medical Center Grand Rounds August 12, 2015 Hoffman videos of preop and post: Case Example Vocal Fold Nodule Surgery return to: Videos for Common Voice Disorders Mary Greeley Medical Center Gran
Page: Slide 03 Common Voice Disorders Postop
head and necl large.png return to: Videos for Common Voice Disorders Mary Greeley Medical Center Grand Rounds August 12, 2015 Hoffman Two weeks after nodule removal: postop Postop 6 months later (after full semester teaching) 6 mo postop retu
Page: Slide 04 Common Voice Disorders Normal Videostrobosocpy
head and necl large.png Normal Videostroboscopy: Normal adult female return to:Videos for Common Voice Disorders Mary Greeley Medical Center Grand Rounds August 12, 2015 Hoffman see also: Videostroboscopy Grand Rounds Mary Greeley Medical Center
Page: Slide 05a Common Voice Disorders Dysarthria
head and necl large.png 76 yo woman with dysarthria. cvd dysarthria return to: Videos for Common Voice Disorders Mary Greeley Medical Center Grand Rounds August 12, 2015 Hoffman Grand Rounds Mary Greeley Medical Center 'Common Voice Disorders
Page: Slide 05b Common Voice Disorders Asthenia and Tremor
cvd asthenia and tremor return to: Videos for Common Voice Disorders Mary Greeley Medical Center Grand Rounds August 12, 2015 Hoffman Common Voice Disorders Videos April 6 2010 Hoffman
Page: Slide 05c Common Voice Disorders Bilateral Vocal Cord Paralysis
return to: Bilateral Vocal Cord Paralysis Videos for Common Voice Disorders Mary Greeley Medical Center Grand Rounds August 12, 2015 Hoffman see also: Tracheotomy, Tracheostomy & Modifications Bilateral Vocal Cord Paralysis with near normal voicing but a
Page: Slide 05d Bilateral Vocal Cord Paralysis with Dysphonia and Dysphagia
head and necl large.png return to: Bilateral Vocal Cord Paralysis Videos for Common Voice Disorders Mary Greeley Medical Center Grand Rounds August 12, 2015 Hoffman Slide 5d Bilateral Vocal Cord Paralysis with Dysphonia and Dysphagia cvd bil vcp
Page: Slide 06a Common Voice Disorders Voice Without Vocal Cords
10 years after supracricoid laryngectomy for removal of vocal cord cancer: supracricoid return to: Videos for Common Voice Disorders Mary Greeley Medical Center Grand Rounds August 12, 2015 Hoffman Common Voice Disorders Videos April 6 2010 Hoffman
Page: Slide 06b Common Voice Disorders Acute Viral Laryngitis
head and necl large.png 41 yo healthy female with 7 days of rhinorrhea, cough and breathy dysphonia cvd viral laryngitis Common Voice Disorders Videos April 6 2010 Hoffman return to: Videos for Common Voice Disorders Mary Greeley Medical Center
Page: Slide 07 Common Voice Disorders Fungal Laryngitis
60+-year-old man with chronic obstructive pulmonary disease and need for inhaled steroids was seen in the past with candidiasis about his larynx that responded to Diflucan as well as nystatin swish and swallow. He still uses the inhaled steroids, but ha
Page: Slide 08 Common Voice Disorders Laryngeal Paralysis
head and necl large.png S Injection Laryngoplasty Annotated A return to: Videos for Common Voice Disorders Mary Greeley Medical Center Grand Rounds August 12, 2015 Hoffman Common Voice Disorders Videos April 6 2010 Hoffman or return to: Injecti
Page: Slide 09 Common Voice Disorders Muscle Tension Dysphonia
head and necl large.png return to: Botulinum Toxin Protocols Videos for Common Voice Disorders Mary Greeley Medical Center Grand Rounds August 12, 2015 Hoffman Sudden onset of dysphonia beginning 8 months ago upon awakening in the morning with a s
Page: Slide 10 Diagnosis
head and necl large.png History to tobacco use and significant vocal demands: pre cvd polyps post return to: Videos for Common Voice Disorders Mary Greeley Medical Center Grand Rounds August 12, 2015 Hoffman Common Voice Disorders Videos A
Page: Slide 4 Common Voice Disorders Nodule Treatment
head and necl large.png
Page: Speech Pathologists
picture Management Protocols (Click on table heading to resort links alpabetically.) Voice Clinic Management Protocols Swallowing Disorders Management Protocols Endoscopy Management Protocols Airway Monitoring Manangement Protocols Surgical Protoc
Page: Sphenoid Punch Tray
head and necl large.png Sphenoid Punch Tray 1 Gruenwald Nasal Punch, Oval Size #3 5-7/16" 1 Wagner Antrum Punch, Forward, Small 5-1/2' and Large 5-1/2" 1 Hajek-Skillern Sphenoid Punch, 6-1.2" 1 Wagner Antrum Punch, Backward, 6-5/8" 1 Hajek-Kofl
Page: Spirometry PIF Peak Inspiratory Flow
head and necl large.png Spirometry - PIF - Peak Inspiratory Flow return to: Subglottic stenosis; Tracheostomy and Upper Airway Management Symposium July 30 2016 IAO and SOHN Iowa City Iowa see also: Pulmonary Function Testing (PFT) made simple an
Page: Spitz Nevus
head and necl large.png Spitz Nevus return to: Melanoma (Evaluation and Management) see also: Case Example Atypical Spitz Nevus Affirmed at Melanoma Tumor Board on 1-24-11 by Hoffman H, Swick B, Liu V, and Stone M I. Definition of Spitz Nevus A
Page: Split Thickness Skin Graft
head and necl large.png Split-Thickness Skin Graft (STSG) For more images and videos of techinque of harvest, care of donor site: Case Example Split Thickness Skin Graft STSG Zimmer Dermatome 052 xstsg.jpg see also: Skin Graft Donor Site Care retu
Page: Squamous Cell Carcinoma (Evaluation and Management)
head and necl large.png Squamous Cell Carcinoma (Evaluation and Management) INITIAL EVALUATION History Identify timing and nature of symptoms. Determine if the patient will need an urgent/emergent procedure (eg, tracheotomy for airway obstruct
Page: Squamous Cell Carcinoma - Base of Tongue Rads
Squamous Cell Carcinoma - Base of Tongue Also known as lingual tonsil squamous cell carcinoma (SCCa) Epithelial tumor of epidermoid origin arising in the lingual tonsilar area of the oropharyngeal mucosal space Lingual tonsils are part of the Waldeye
Page: Squamous Cell Carcinoma - Tonsillar Fossa Rads
Squamous Cell Carcinoma - Tonsil Epithelial tumors of epidermoid lineage arising in the oropharynx mucosa Most commonly noted as an enhacing mass with deep invasive margins Size at discovery is highly variable, from clinically inapparent to enormous
Page: Squamous Cell Carcinoma Metastatic to Neck
head and necl large.png Unknown Primary Cancer (Evaluation and Management) Squamous Cell Carcinoma Metastatic to Neck GENERAL CONSIDERATIONS Definition The "unknown primary" refers to cancer identified in the neck suspected to represent metast
Page: Squamous hyperplasia causing laryngeal leukoplakia
head and necl large.png Squamous hyperplasia Return to: Laryngeal leukoplakia white plaques on vocal cords Go to: Parakeratosis causing laryngeal leukoplakia The normal laryngeal squamous mucosa usually ranges from 5 to 25 cells in thickness and
Page: Stage 0 TisN0M0 Melanoma in situ lentigo maligna
Stage 0 TisN0M0 Melanoma in situ, lentigo maligna return to: Melanoma (Evaluation and Management) Definition: Histopathologic diagnosis based on criteria of melanoma cells being confined to the epidermis above the basement membrane. Histopathologic anal
Page: Stage IA T1aN0M0 no adverse features Breslow ≤ 1mm T1a no ulceration (U-) mitotic rate less than 1 mm2
head and necl large.png Stage IA T1aN0M0 Breslow ≤ 1mm T1a: no ulceration (U-), mitosis <1mm2 5 yr survival = 97% (ref Edge 2010) no adverse features (AJCC 7th edition, 2010) Margins Mohs? SLN bx PET CT Radiation Adjuvant
Page: Stage IB T1bN0M0 Breslow ≤ 1mm T1b with ulceration or mitotic rate greater than or equal to 1 mm2
head and necl large.png Stage IB T1bN0M0 (AJCC 7th edition) Breslow ≤ 1mm T1b:with ulceration or mitotic rate ≥1m2 5 yr survival = 94% (ref Edge 2010) Margins Mohs? SLN bx PET CT Radiation Adjuvant ESMO 1 cm no no no no no no NCCN
Page: Stage IB T2aN0M0 Breslow 1.01-2.0 mm T2a no ulceration
head and necl large.png 10 yr survival = 91% (ref Edge 2010) Margins Mohs? SLN bx PET CT Radiation Adjuvant ESMO NCCN 1 - 2 cm no yes no# no# no no U of Iowa 1 -2 cm* no** yes*** no# no# consider: PNI, desmoplastic no
Page: Stage IIA T2bN0M0 Breslow 1.01-2.0 mm T2b with ulceration
head and necl large.png 5 yr survival = 82% (ref Edge 2010) Margins Mohs? SLN bx PET CT Radiation Adjuvant ESMO NCCN 1 - 2 cm no yes no# no# no no U of Iowa 1 -2 cm* no** yes*** no# no# consider: PNI, desmoplastic no
Page: Stage IIA T3aN0M0 Breslow 2.01-4.0 mm T3a no ulceration
head and necl large.png 5 yr survival = 79% (ref Edge 2010) Margins Mohs? SLN bx PET CT Radiation Adjuvant ESMO NCCN 2 cm no yes no# no# no no U of Iowa 2 cm* no** yes*** no# no# consider: PNI, desmoplastic no
Page: Stage IIB T3bN0M0 Breslow 2.01-4.0 mm T3b with ulceration
head and necl large.png 5 yr survival = 68% (ref Edge 2010) Margins Mohs? SLN bx PET CT Radiation Adjuvant ESMO NCCN 2 cm no yes no# no# no no U of Iowa 2 cm* no** yes*** no# no# consider: PNI, desmoplastic no
Page: Stage IIB T4aN0M0 Breslow more than 4.0 mm T4a no ulceration
head and necl large.png 5 yr survival = 71%% (ref Edge 2010) Margins Mohs? SLN bx PET CT Radiation Adjuvant ESMO NCCN 2 cm no yes no# no# no no U of Iowa 2 cm* no** yes*** yes yes consider: PNI, desmoplastic no
Page: Stage IIC T4bN0M0 Breslow more than 4.0 mm T4b with ulceration
head and necl large.png 5 yr survival = 53% (ref Edge 2010) Margins Mohs? SLN bx PET CT Radiation Adjuvant ESMO NCCN 2 cm no yes no# no# no no U of Iowa 2 cm* no** yes*** yes yes consider: PNI, desmoplastic no
Page: Stage III T - any known N - positive M - 0
head and necl large.png Margins Mohs? SLN bx PET CT Radiation Adjuvant ESMO NCCN per T no no yes yes consideration is appropriate consideration is appropriate U of Iowa per T* no** no yes yes yes*** yes
Page: Stage III T - unknown primary N - positive M - 0
head and necl large.png GENERAL CONSIDERATIONS - "UNKNOWN PRIMARY" = T0 N>0 Staging (7th edition AJCC Cancer Staging Manual) T0 = No evidence of primary tumor N1 Metastasis in one lymph node N1a Clinically occult (microscopic) metastases N1b Clinica
Page: Stage IV T - any N - any M - 1
head and necl large.png Margins Mohs? SLN bx PET CT Radiation Adjuvant ESMO NCCN per T no no yes yes yes yes U of Iowa per T* no** no yes yes yes yes *comment: margins are not inviolate and may be mo
Page: Stammberger Bipolar Forceps Tray
1 Forceps, Stammberger Bipolar Angled 15 degree 1 Forceps, Stammberger Bipolar Angled 45 Degree 1 Cord, Stammberger Bipolar NonDisposable
Page: Standard Positioning
head and necl large.png Standard Positioning Supine on 3080 operating room table in reverse orientation Scrolled towel or donut under head Shoulder roll may be placed to hyperextend the neck depending on the surgical procedure Arms may be placed o
Page: Stapedectomy Instrument Tray
1 Scissors, Fisch, Crurotomy, Left 2 3/4" WL 1 Scissors, Fisch, Crurotomy, Right 2 3/4" WL 1 Forceps, Richards, Alligator, Very Small, Straight 3" WL 1 Forceps, McGee, Wire Closure, Moderate 2 3/4" WL 1 Block, Fisch, Cutting 1 5/8" x 1 1/4" x 1/4" 1 Meas
Page: Stapedotomy
Stapedotomy return to: Otology - Neurotology picture GENERAL CONSIDERATIONS Indications Reversal of conductive hearing loss caused by a fixed stapes footplate Contraindications General medical condition of the patient Cannot lay flat Cannot toler
Page: Stealth Fusion ENT Instrument Tray
1 Suction, Straight 7 1/2" WL 1 Suction, Curved 70 Degree 6" 1 Suction, Curved 90 Degree 5 1/4" 1 Pad Silicone Head 1 Frame Head 1 Head Strap, Medtronic 21" 1 Ostium Seeker 7 1/4" 1 Probe Registration 6 1/4" 1 Probe Straight 9"
Page: Stealth Landmarx Framelock Tray
1 Assembly, Medtronic Landmarx Framelock 3" Consists of: 1 Reference Arc Screw 1 1/8" 1 Reference Arc Mount 1 1/8" 1 Open Cannulation Nut 5/8" 1 Wing Nut w/legs and anchor tube 1 1/2" 1 Screwdriver, Medtronic Landmarx Framelock 6 3/8" 1 Pin, Medtronic
Page: Steroids Side Effects Systemic Corticosteroid Therapy Adverse Effects
head and necl large.png Systemic Corticosteroid Therapy (Prednisone, Decadron, Hydrocortisone) Adverse Effects Oral and intravenous corticosteroids (such as prednisone, Decadron and hydrocortisone) are frequently prescribed to address inflammatory
Page: Storz 0-Degree Telescope 4x30 Pediatric 48 Tray
head and necl large.png Storz® 0° Telescope 4x30 Pediatric 48 Tray 1 Telescope, Storz-Hopkins, Straight 0°, 4 mm x 30 cm, #27015A or #27005AA 1 Stortz Telescope Adapter, 1 Adapter, For Storz/Wolf FO Cable #495F Adapters should be attached for sterili
Page: Storz 0-Degree Telescope 5.5 Wide-Angle 48A Tray
head and necl large.png Storz 0° Telescope 5.5 Wide-Angle 48A Tray 1 Telescope, Storz-Hopkins, Straight 0°, 5.5 mm x 8 in, #8700A 1 Storz Telescope Adapter 1 Adapter, For Storz/Wolf FO Cable # 495F
Page: Storz 30-Degrees Telescope 4x30 Pediatric 42 Tray
head and necl large.png Storz 30° Telescope 4x30 Pediatric 42 Tray 1 Telescope, Storz-Hopkins, 30°, 4 mm x 30 in, #27015B 1 Storz Telescope Adapter 1 Adapter for Storz/Wolf FO Calbe #495G
Page: Storz 70-Degrees Telescope 4x30 Pediatric 45 Tray
head and necl large.png Storz 70° Telescope 4x30 Pediatric 45 Tray 1 Telescope, Storz-Hopkins, 70°, 4 mm x 30 in, #27015C or #27005CA 1 Storz Telescope Adapter 1 Adapter for Storz/Wolf FO Cable #495F
Page: Storz Bronchoscopy 40 cm Adolescent 11A Tray
head and necl large.png Storz Bronchoscopy 40 cm Adolescent #11A Tray 1 Scissors, Mayo, Dissecting, Straight, 5-1/2 in
Page: Storz Bronchoscopy 43 cm Adolescent 11B Tray
head and necl large.png Storz Bronchoscopy 43 cm Adolescent #11B Tray 1 Scissors, Mayo, Dissecting, Straight, 5-1/2 in
Page: Storz Endo Forceps f/Adolescent Tray #35B
1 Forceps, Optical Adolescent Alligator, 16 1/2" 1 Forceps, Optical Adolescent Biopsy, 16 1/2" 1 Forceps, Peanut, Optical Adolescent, 16 1/2" 1 Storz Guide, Rubber 5/8" x 9/16" w/2.6mm sealing cap 1 Cap, Sealing 1/4"
Page: Storz Endo Forceps f/Adolescent Tray #35C
1 Scissors, Optical Adult, 20 1/2" 1 Forceps, Grasping, Optical Adult Alligator, Large Jaw 1 Forceps, Optical Adult Biopsy, Circular Cup 1 Forceps, Optical Adult Universal, 18" 1 Guide, Telescope, Rubber 1 Cap, Sealing 1/4"
Page: Storz Endo Forceps Peds Tray #36
1 Forceps, Storz Grasping, Alligator, 1.5mm x 35cm 1 Forceps, Storz Biopsy, Double Action, Circ. Cup, 1.5mm x 35 cm 1 Forceps, Peanut Grasping, Double Action, 1.5mm x 35cm 1 Forceps, Alligator, Mini, 1mm x 14" 1 Forceps, Storz biopsy, Mini, 1mm x 14" 1
Page: Storz Endoclip Applier Right and Left Tray
1 Clip Forceps Jaw Curved Right 22cm, 12 1/2" 1 Clip Forceps Jaw Curved Left 22 cm, 12 1/2"
Page: Storz Laryngoscopey Peds (Parsons) Tray, #25
1 Scissors, Mayo, Straight 5 1/2" 1 Forceps, Crile, Curved 6 1/4" 2 Towel Clips 1 Laryngoscope, Peds, 8cm 1 Laryngoscope, Peds, 9.5cm 1 Laryngoscope, Peds, 11cm 1 Laryngoscope, Storz Slotted Peds 5 1/4" , 14 x 15mm id, 15 x 16mm od 1 Prismatic Light Def
Page: Storz Telescope Tray 0 Degree 2.8mm x 30 cm, #47
1 Telescope , Storz Hopkins, Straight 0 Degree, 2.8mm x 30 cm 1 Adapter, Storz Telescope 1 Adapter for Storz/Wolf FO Cable
Page: Storz Telescope Tray 0 Degree 4mm x 18cm, #47A
1 Telescop, Storz Hopkins, straight Forward 0 degree 4mm x 18cm 1 Adapter, Storz Telescope 1 Adapter, For Storz/Wolf FO Cable
Page: Storz Telescope Tray 0 Degree 5.5mm x 50cm, #50
1 Telescope, Storz Hopkins, 0 Degree, 5.5mm x 48cm 1 adapter 1 adapter for Storz/Wolf FO Cable
Page: Storz Telescope Tray 120 Degree, 4mm x 18cm, #45A
1 Storz Telescope, Hopkins, Retrospective, 120 degree, 4mm x 18cm 1 adapter, Storz Telescope 1 Adapter, For Storz/Wolf FO Calbe 1 Retractor, Uvula 7 1/4"
Page: Storz Telescope Tray 30 Degree 2.7mm x 18.5cm , #40
1 Storz Telescope Forward Oblique, 30 degree 1 adaptor, Storz Telescope 1 Adapter for Storz/Wolf FO Cable
Page: Storz Telescope Tray 30 Degree 5.5mm x 50 cm, #51
1 Telescope, Hopkins, Forward Oblique, 30 degree, 5.5mm x 49.5cm 1 Adapter 1 Adapter for Storz/wolf FO Cable
Page: Storz Telescope Tray 30 degree, 2.8mm x 30 cm, #41
1 Storz Telescope , Hopkins, 30 degree, 2.8mm x 30cm 1 adapter, storz Telescope 1 Adapter, for Storz/Wolf FO Cable
Page: Storz Telescope Tray 70 Degree, 2.7mm x 18.5cm , # 43
1 Storz Telescope, Hopkins, 70 degree, 2.7mm x 18.5cm 1 Adapter, Storz Telescope 1 Adapter, for Storz/Wolf FO Cable
Page: Storz Telescope Tray 70 Degree, 4mm x 18cm, #45AA
1 Telescope, Storz Hopkins, Lateral, 70 degree, 4mm 1 adapter, Storz Telescope 1 Adapter, For Storz/Wolf FO Cable
Page: Storz Telescope Tray, 0 Degree 2.7mm x 18cm, #46
1 Telescope, Storz Hopkins, Straight 0 Degree, 2.7mm x 18 cm 1 adapter, Storz Telescope 1 Adapter, for Storz/Wolf FO Cable
Page: Subglottic stenosis
head and necl large.png Subglottic stenosis return to: Management of Specific Voice Disorders see: operating room setup for subglottic stenosis For video/photos click on: Subglottic Stenosis - Example Cases and CRE Balloon Dilation andSpirometry
Page: Subglottic Stenosis - Example Cases
head and necl large.png Return to: Subglottic Stenosis Protocol other examples:Case Example 1: Subglottic Stenosis due to Wegener's Granulomatosis Case Example Subglottic Stenosis and Relapsing Polychondritis Case Example Posterior Scar Band Idi
Page: Subglottic Stenosis - Upper Tracheal Stenosis CRE Balloon Dilation
head and necl large.png Return to Subglottic stenosis Protocol Sequence preceding balloon dilation: 1. Dedo Laryngoscope in place with jet anesthesia (after custom guards placed, mask anesthesia leading to full relaxation) 2. 4% lidocaine spray
Page: Subglottic Stenosis Grading
head and necl large.png Cotton-Myer subglottic stenosis grading Cotton-Myer subglottic stenosis.jpg If leak at 5-10 cm H20, upsize. If no leak > 25 cm H20, downsize ET tube size for children: (Age + 16)/ 4 i.e. 2 year old: 2+16=18/4= 4.5 ET tube
Page: SUBLINGUAL GLAND EXCISION (Peds)
head and necl large.png SUBLINGUAL GLAND EXCISION under development # GENERAL CONSIDERATIONS Consideration 1 (Evaluation) Sub-Con Sub-sub-con Consideration 2 (Consent for Surgery) Sub Con PREOPERATIVE PREPARATIONS Printed copy of the
Page: Submandibular Duct Foreign Body (retained salivary stent)
head and necl large.png Submandibular Duct Foreign Body (retained salivary stent) return to: Sialendoscopy SEE IMAGES AND VIDEO BELOW see also: Salivary Gland Anatomic Anomalies and Foreign Bodies Lecture AHNS April 9 2013 History: Retained
Page: Submandibular Gland Resection
head and necl large.png Submandibular Gland Excision return to: Salivary Gland Surgery Protocols see: Case example Submandibular Gland Resection see: Case Example of Submandibular Gland Resection with Sialendoscopy to Avoid Retained Stone in Duct
Page: Submandibular gland stone removal sialendoscopy case example
head and necl large.png Submandibular gland stone removal sialendoscopy case example ( return to protocol: Sialendoscopy) see also:Sialendoscopy equipment Case History: 41 yo female with right submandibular gland swelling occuring several time
Page: Submandibular Sialogram Normal
head and necl large.png Submandibular Sialogram - Normal Case #1 return to: Sialograms and Sialography Click on first to enlarge then use arrow to advance:
Page: Submandibular Stone and Bartholin's duct
Submandibular Stone and Bartholin's duct return to: Sialendoscopy Course LSU New Orleans Lectures (Hoffman) March 21-22, 2015
Page: Submandibular stone difficult access with sialendoscopy treated with sialadenectomy
Submandibular stone difficult access with sialendoscopy return to: Sialendoscopy Course LSU New Orleans Lectures (Hoffman) March 21-22, 2015
Page: Submental Flap
head and necl large.png GENERAL CONSIDERATIONS Indications The submental flap may be used for intraoral reconstruction and repair of cutaneous facial defects. See Case example Submental flap for oral cavity defect Advantages of a submental flap in
Page: Subtotal Petrousectomy
033.jpgSubtotal Petrousectomy return to: Otology - Neurotology .xxxx Sample Operative Note Informed consent was obtained. The patient was brought to the operating room. Anesthesia was induced. The patient was intubated and turned 180 degrees. A
Page: suction control vent
laryngectomy03.gif Fig. V.D.1.3.- Thumb off the Suction Control Vent
Page: Suctioning of Tracheostomy Tube
head and necl large.png Suctioning of Tracheostomy Tube PURPOSE To ensure the patency of an altered airway and to minimize pulmonary complications. EQUIPMENT Sterile tracheostomy suction kit Suction source with connecting tubing Sterile saline s
Page: Sulcus vocalis
head and necl large.png Sulcus Vocalis (see video below) see: Sulcus Vocalis case example response to Radiesse voice gel injection return to: Laryngeal Surgery (Benign Disease) Protocols Sulcus Vocalis is a groove on the medial side of the true vo
Page: Sulcus Vocalis case example response to Radiesse voice gel injection
head and necl large.png return to: Sulcus vocalis see also: Injectable substances for injection laryngoplasty and: Injection Laryngoplasty for Vocal Fold Paralysis and Glottic Incompetence Case History for Sulcus Vocalis: Follow-up 2 1/2 months af
Page: Supraclavicular artery island flap
head and necl large.png return to: Reconstructive Procedures Protocols GENERAL CONSIDERATIONS Indications The supraclavicular flap is a thin, axial, fasciocutaneous flap that may be used for reconstruction of tracheal-stomal, mandible, intra-oral,
Page: Supracricoid Laryngectomy case example
head and necl large.png return to protocol Supracricoid Laryngectomy with Cricohyoidopexy (CHP) and Cricohyoidoepiglottopexy (CHEP) 73 yo male who 9 1/2 years previously underwent a planned endoscopic laser resection of a T3N2aM0 supraglottic SCC
Page: Supracricoid Laryngectomy with Cricohyoidopexy (CHP) and Cricohyoidoepiglottopexy (CHEP)
head and necl large.png Supracricoid Laryngectomy with Cricohyoidopexy (CHP) and Cricohyoidoepiglottopexy (CHEP) return to: Laryngeal Surgery (Malignant Disease) Protocols see also: Supracricoid Laryngectomy case example and Laryngeal leukopl
Page: Supraglottic False Vocal Cord Healing after Resection of Lipoma
Supraglottic False Vocal Cord Healing after Resection of Lipoma return to: Microdirect Laryngoscopy case example
Page: Supraglottic Laryngectomy
head and necl large.png Supraglottic Laryngectomy or Horizontal Partial Laryngectomy return to: Laryngeal Surgery (Malignant Disease) Protocols GENERAL CONSIDERATIONS Definitions Supraglottic laryngectomy or horizontal partial laryngectomy is an
Page: Supraglottic Stenosis
head and necl large.png Supraglottic Stenosis return to: Laryngeal Surgery (Benign Disease) Protocols Etiology 1.Acute swelling of the supraglottic larynx is most often bacterial (supraglottitis / epiglottitis) or traumatic 2. Chronis swelling an
Page: Sural Nerve Graft Harvest
head and necl large.png Sural Nerve Graft Harvest see images of surgical procedure at bottom of page -Provided by Dr. Douglas K Henstrom MD University of Iowa Facial Plastic and Reconstructive Surgeon, Director of Facial Nerve Center Dr. Henstrom'
Page: Surgical Anatomy & Physiology of Salivary Glands Lecture 2016
Surgical Anatomy & Physiology of Salivary Glands Lecture 2016 return to: LSU Sialendoscopy Course 2016 April 9 and 10 Hoffman Presentations
Page: Surgical Dental Protocols
Surgical Intermaxillary Fixation Erich Arch Bars https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Erich+Arch+Bars Ivy Loops https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Ivy+Loops Tooth Extraction with Alveoplasty https://io
Page: Surgical Margins for Squamous Cell Carcinoma
head and necl large.png Return to:Cancer Management Principles Return to: Surgical Margins General Concepts Surgical Margins for Squamous Cell Carcinoma Powerpoint presentation - What is a Positive Margin and How to Avoid It Where indicated the a
Page: Surgical Margins General Concepts
head and necl large.png return to: Cancer Management Principles see specific histologic types: Surgical Margins for Squamous Cell Carcinoma (includes powerpoint presentation addressing margins) Melanoma (Evaluation and Management) (m
Page: Surgical Smoke - Proper Handling
head and necl large.png Surgical Smoke - Intra-operative patient and personnel safety. See also Standard Positioning for more intro-operative safety I. Introduction A. Surgical smoke refers to any aerosolized substance produced by high-energy dev
Page: Suturing Technique Soft Tissue Reapproximation Instructional Video
head and necl large.png Sutures Tissue Handing Technique Return to:Medical Student Instruction Suturing Instructional Video: So You Think You Can Sew
Page: Swallowing Disorders Management Protocols
Swallowing Disorders Clinical Bedside Swallowing Assessment https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Clinical+Bedside+Swallowing+Assessment Management of Swallowing Disorders https://iowaheadneckprotocols.oto.uiowa.edu/display/proto
Page: Swallowing management during chemo-radiation (chemoradiation) to the head and neck
head and necl large.png Swallowing management during chemo-radiation to the head and neck return to:Swallowing Disorders Management Protocols information on pdf: Management of Swallowing during Chemo-radiation.pdf
Page: Synovial Sarcoma - Rads
Synovial Sarcoma Non-contrast CT.jpg MPNST_CTwithout_0727.jpg T1-weighted MR.jpg MPNST_T1_0727.jpg T2-weighted MR.jpg MPNST_T2_0727.jpg TI post-con fat-sat.jpg MPNST_T1post_0727.jpg
Page: Synovis Clip Applier Micro Tray
1 Clip Applier GEM Superfine Micro 15cm, 6" 1 Clip Applier, GEM Superfine Micro 19cm, 7 1/2"
Page: Synovis Clip Applier Tray, Long
head and necl large.png Synovis Clip Applier Tray, Long 2 Applier, Synovis Clip 19cm, 7½ inch..
Page: Synovis Clip Applier Tray, Short
head and necl large.png Synovis Clip Applier Tray, Short 2 Applier, Synovis Clip 15cm, 6 inch.

T

Page: Tea with the Residents Clinical Competency Case May 23 2016
Tea with the Residents Clinical Competency Case May 23 2016 return to: Salivary Gland Surgery Protocols Modified Operative Note: Combined open/endoscopic removal of right parotid stone Procedure: Sialodochoplasty (complex) with open approach
Page: Temporal Arteritis aka Giant Cell Arteritis and Temporal Artery Biopsy Technique
head and necl large.png Temporal Arteritis aka Giant Cell Arteritis and Temporal Artery Biopsy Technique Case Example Temporal Arteritis with Tongue Necrosis GENERAL CONSIDERATIONS Definition Temporal Arteritis (TA) aka Giant Cell Arteritis (GCA)
Page: Temporal Bone Harvest
head and necl large.png GENERAL CONSIDERATIONS The Department of Otolaryngology at the University of Iowa Hospitals and clinics is a proud collaborator with the NIDCD National Temporal Bone, Hearing & Balance Pathology Resource Registry. (Nationa
Page: Temporoparietal Fascia Flap
head and necl large.png Temporoparietal Fascia Flap GENERAL CONSIDERATIONS Indications If harvested to the midline, the temporoparietal flap provides a thin well-vascularized fascial flap that is easily rotated to cover orbital defects extending t
Page: test
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Page: The Evaluation of Stridor in Pediatric Patients
The Evaluation of Stridor in Pediatric Patients UIHC.jpg Return to: Pediatric Airway See also: Laryngomalacia General: Stridor is derived from the latin word stridulus, meaning a harsh, shrill sound. Stridor is described as a high-pitched,
Page: The Future of Sialendoscopy March 22 2015 LSU Sialendoscopy Course lecture
The Future of Sialendoscopy March 22 2015 LSU Sialendoscopy Course lecture return to: Sialendoscopy Course LSU New Orleans Lectures (Hoffman) March 21-22, 2015
Page: The Protocols
picture Contributing Authors Part I: Management Protocols (Click on table heading to resort links alpabetically.) Airway Monitoring Manangement Protocols Endoscopy Management Protocols Swallowing Disorders Management Protocols Treatment of Alcohol
Page: The Voice Clinic
head and necl large.png The Voice Clinic (see also: Voice Clinic Management Protocols) FORMAT The Voice Clinic is an intensive evaluation of patients with organic and/or functional voice disorders (voice problems). The goals of this program are to
Page: Thornwaldt Cyst
Thornwaldt Cyst UIHC.jpg General: A common, benign midline nasopharyngeal mucosal cyst Often found incidentally during flexible fiberoptic endoscopy Although typically asymptomatic, infected cysts can cause hal
Page: Three Flap Palatoplasty
head and necl large.png GENERAL CONSIDERATIONS Three-flap palatoplasty is appropriate when the cleft is bilateral and includes the secondary palate posterior to the incisive foramen. OPERATIVE PROCEDURE Examination of the ears is performe
Page: Thumb Covering the Suction Control Vent to Suction
larygectomy04.gif Fig. V.D.1.4. - Thumb Covering the Suction Control Vent to Suction
Page: Thyroglossal Duct Cyst Excision
head and necl large.png Thyroglossal Duct Cyst Excision see: Case Example of Thyroglossal duct cyst excision standard approach see also: Case example thyroglossal duct cyst with tract through to oropharynx see also: Thyroglossal Duct Cyst Radiolog
Page: Thyroglossal Duct Cyst Rads
Thyroglossal Duct Cyst see also:Thyroglossal Duct Cyst Excision Also known as thyroglossal duct remnant Most common congenital tongue base and neck lesion 7% on autopsy will be found to have cyst Rarely associated with thyroid carcinoma of the cyst
Page: Thyroid Cancer (Evaluation and Management)
head and necl large.png see also: Thyroidectomy and Thyroid Lobectomy and I131 sialadenitis (Radioiodine Sialadenitis) see also: Thyroid nodule evaluation and: Thyroid Hormone Replacement TSH free T4 Thyroid Cancer (Evaluation and Management) "
Page: Thyroid Hormone Replacement TSH free T4
head and necl large.png Thyroid Hormone Replacement TSH free T4 hypothyroid hyperthyroid return to: Thyroidectomy and Thyroid Lobectomy return to: Thyroid Cancer (Evaluation and Management) Background General Thyroid hormone (T4 an
Page: Thyroid nodule evaluation
Nav Panel Donors disclaimer head and necl large.png Thyroid Nodule Evaluation return to: Thyroidectomy and Thyroid Lobectomy see also: I131 sialadenitis (Radioiodine Sialadenitis) and Thyroid Cancer (Evaluation and Management) See: Thyroid Ultrasound
Page: Thyroid Operative Notes Modified
return to: Modified Operative Notes by Organ Site The sample dictations below are not intended to be used as templates. They are variations on procedures and should not substitute for the surgeon's own dictation. They are provided to help visualize the p
Page: Thyroid Ultrasound
see also: Thyroid nodule evaluation Salivary stone imaging correlates Ultrasound CT Sialendoscopy and Gross Appearance of Submandbiular Stone Salivary Swelling; Salivary Ultrasound Sialograms and Sialography Ultrasound Guided FNA Fine Needle Aspiration
Page: Thyroidectomy and Thyroid Lobectomy
head and necl large.png Thyroidectomy and Thyroid Lobectomy see: Thyroid nodule evaluation see also: Thyroid Cancer (Evaluation and Management) and I131 sialadenitis (Radioiodine Sialadenitis) and Parathyroidectomy and Thyroid Hormone Replacement
Page: Thyroidectomy Preop Teaching
head and necl large.png Thyroidectomy (Preop Teaching by Nursing) See Surgical Protocol:Thyroidectomy and Thyroid Lobectomy ROUTINE PREOPERATIVE TEACHING OF THE ADULT PATIENT Objective: Patient/family will verbalize understanding of routine preoperati
Page: Tinnitus Management (Ringing in the Ears)
return to: Otology and Neurotology Tinnitus Management Ringing in the Ears http://www.uihealthcare.com/depts/med/otolaryngology/clinics/tinnitus/index.html http://www.uihealthcare.com/depts/med/otolaryngology/clinics/tinnitus/index.html
Page: Tobacco Cessation
head and necl large.png Tobacco Cessation nosmoke.jpg PURPOSE: To identify and facilitate tobacco cessation interventions for patients in the Otolaryngology--Head and Neck Surgery Clinic PROCEDURE Tobacco status will be identified and documented. A
Page: Toluidine Blue Vital Staining
head and necl large.png Toluidine Blue Vital Staining GENERAL CONSIDERATIONS The yield from panendoscopy to identify cancer of the upper aerodigestive tract varies substantially between institutions. Identification of second primaries associated w
Page: Tonsil and Oropharynx Operative Notes Modified
return to: Modified Operative Notes by Organ Site The sample dictations below are not intended to be used as templates. They are variations on procedures and should not substitute for the surgeon's own dictation. They are provided to help visualize the
Page: Tonsillectomy and Adenoidectomy
head and necl large.png return to: Pediatrics see also: Peritonsillar Abscess Management; Tonsils and Adenoids, Maximum allowable blood loss GENERAL CONSIDERATIONS: Although the incidence of the tonsillectomy and adenoidectomy has decreased in recent
Page: Tonsillectomy Tray
head and necl large.png Tonsillectomy Tray 1 Cushing Dressing Forceps, 7'', Finely Serrated Jaw 1 Cushing Tissue Forceps, Fine 7'' w/1/2 teeth 1 Knife/dissector, Fischer Tonsil, 8-1/4" 1 Knife Handle #7, 6-1/2'' 1 Trusler-Dean Dissecting Scissors,
Page: Tonsils - Adenoids Surgical Protocols-GO-alt
head and necl large.png
Page: Tonsils and Adenoids
Tonsils / Adenoids Tonsillectomy and Adenoidectomy https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Tonsillectomy+and+Adenoidectomy Peritonsillar Abscess Management https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Peritonsillar
Page: Tonsils and Adenoids Surgical Protocols-PO-alt
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Page: Tooth Extraction with Alveoplasty
head and necl large.png Tooth Extraction With Alveoloplasty INDICATIONS Caries/Periodontal Disease Infection/Abscess Periapical pathosis Osteomyelitis Trauma Dentoalveolar: nonsalvageable Mandibular: tooth in line of fracture Tumors Benign Mali
Page: Total Laryngectomy
head and necl large.png Total Laryngectomy return to: Laryngeal Surgery (Malignant Disease) Protocols (see alsoResources for Total Laryngectomy in 2015; Tracheoesophageal Puncture; Near-field laryngectomy for aspiration; Near-Field Laryngectomy Ca
Page: Total Laryngectomy Counselling (Speech Pathology)
head and necl large.png ROUTINE PREOPERATIVE TEACHING OF THE ADULT PATIENT see also: Laryngectomy Home Care Booklet Total laryngectomy (surgical protocol) Tracheoesophageal puncture (video attached) -Click here for a word document of this p
Page: Trachea and Subglottis Operative Notes Modified
return to: Modified Operative Notes by Organ Site The sample dictations below are not intended to be used as templates. They are variations on procedures and should not substitute for the surgeon's own dictation. They are provided to help visualize the
Page: Trachea Surgical Protocols
Trachea Tracheotomy - Tracheostomy https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Tracheotomy+-+Tracheostomy Use of Tracheostomy Tube Cuff https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Use+of+Tracheostomy+Tube+Cuff Laryngo
Page: Tracheal Sleeve Resection with Suprahyoid and Infrahyoid Release
re head and necl large.png Transcervical Tracheal Sleeve Resection With Suprahyoid and Infrahyoid Release return to:Trachea Surgical Protocols; Tracheostomy and Upper Airway Management Symposium July 30 2016 IAO and SOHN Iowa City Iowa Subglottic steno
Page: Tracheal Tug after Tracheotomy
head and necl large.png Tracheal Tug After Tracheotomy return to: Tracheotomy - Tracheostomy References Nazaneen G, Davison SP: Management of the Post-Tracheostomy Scar Laryngoscope 117: December 2007 pp 2107-2109 Skigen AL, Bedrock RD, Stopperic
Page: Tracheo-cutaneous fistula closure
picture Tracheo-cutaneous fistula closure return to: Trachea Surgical Protocols PROCEDURE: 1 – Local anesthetic (1% lidocaine with 1:100,000 epinephrine) is injected into the surgical site and lidocaine (4% lidocaine) is sprayed into the trachea via
Page: Tracheoesophageal Puncture
head and necl large.png Tracheoesophageal Puncture return to: Total Laryngectomy; Laryngeal Surgery (Malignant Disease) Protocols; Case Example Tracheoesophageal puncture with Cigla Percutaneous Trach set Atos TEP inserter see also: Esophageal Speech
Page: Tracheoesophageal Puncture (TEP) Technique with Voice Training
head and necl large.png (return to Tracheoesophageal Puncture) Tracheoesophageal puncture with Cigla percutaneous tracheotomy set 11-18-09 Initial voicing in clinic 6 days later 11-24-09 Initial voice training with In-Health Manometer
Page: Tracheoesophageal Puncture-TEP video
head and necl large.png return to: Tracheoesophageal Puncture please note the technique below has been further refined to an improved, less traumatic approach see: Case Example Tracheoesophageal puncture with Ciagla Percutaneous Trach set Atos TE
Page: Tracheostomy
head and necl large.png Tracheostomy see also: Tracheotomy, Tracheostomy & Modifications Tracheostomy Home Care Booklet ROUTINE PREOPERATIVE TEACHING OF THE ADULT PATIENT Objective: Patient/family will verbalize understanding of routine preoperativ
Page: Tracheostomy and Upper Airway Management Symposium July 30 2016 IAO and SOHN Iowa City Iowa
see also: links below for protocols relevant to each presentation such as: Difficult Airway; Adult Airway in the Operating Room; Emergency Airway Cart; Heliox for the difficult airway Click to Register On-Line https://www.iowamedical.org/iowa/Iowa_Pub
Page: Tracheostomy Home Care Booklet
head and necl large.png TRACHEOSTOMY HOME CARE See also surgical protocol: Tracheotomy - Tracheostomy; return to: Tracheostomy and Upper Airway Management Symposium July 30 2016 IAO and SOHN Iowa City Iowa see also: Tracheotomy stoma care with betadin
Page: Tracheostomy Indications and Timing
Tracheostomy Indications and Timing return to: Tracheotomy, Tracheostomy & Modifications I. Definitions A. Conventional (Cheung 2014) 1. 'Tracheotomy' = any procedureinvolving opening the trachea (temporarly opening) 2. Tracheostomy; = tracheal
Page: Tracheostomy Patient Education Video
** Click here to go to the Survey https://spreadsheets.google.com/viewform?formkey=dDktT2ptZ2hjM1V4NWF2Y0NqU1M4TUE6MQ after watching the video note excellent animations by clicking on video showing some of the negative impact of tracheotomy: Clinical Comp
Page: Tracheostomy Site Care - Tie-Dressing Care and Inner Cannula Care
head and necl large.png Tracheostomy Site Care: Tie/Dressing Change and Inner Cannula Care PURPOSE To ensure patency of the altered airway and minimize potential for infection. EQUIPMENT Tracheostomy tube disposable inner cannula (use with Shiley
Page: Tracheotomy (epithelial lined tracheostomy) with laryngeal suspension for ankylosing spondylitis
head and necl large.png Tracheotomy (tracheostomy) with laryngeal suspension for ankylosing spondylitis return to: Tracheotomy - Tracheostomy 56 yo with ankylosing spondylitis with neck flexion and retrosternal larynx/cricoid. Need for prolonged in
Page: Tracheotomy - Tracheostomy
head and necl large.png Tracheotomy/Tracheostomy return to: Tracheostomy and Upper Airway Management Symposium July 30 2016 IAO and SOHN Iowa City Iowa Trachea Surgical Protocols see also: Tracheotomy Clinic see also instructions for patients: Trac
Page: Tracheotomy Change in Clinic Videos
Tracheotomy Change in Clinic Videos return to: Tracheotomy - Tracheostomy 003 trach change.jpg Video of preparation, personel, equipment and process of in-clinic tracheotomy change: (pending placement) Video of tracheotomy change: Video instruction to
Page: Tracheotomy Clinic
head and necl large.png return to: Tracheotomy - Tracheostomy see also: Tracheostomy Home Care Booklet see also: Tracheotomy stoma care with betadine Tracheostomal care with povidone iodine Tracheostomy stomal care UIHC OTOLARYNGOLOGY & HEAD AND NECK
Page: Tracheotomy Home Care Instruction Video
head and necl large.png Tracheotomy Home Care Instruction Video return to: Tracheotomy - Tracheostomy access currently restricted to U of Iowa Otolaryngology: Copy and paste extras Indenting and outdenting in richtext should work as well discl
Page: Tracheotomy stoma care with betadine Tracheostomal care with povidone iodine Tracheostomy stomal care
head and necl large.png Tracheotomy stoma care Tracheostomal care Tracheostomy stomal care Dilute betadine (povidone-iodine) applied to tracheostomal drain sponge download handout below (word document) to print to give to patients: Betadine stoma c
Page: Tracheotomy template
head and necl large.png return to: Tracheotomy - Tracheostomy Standardized template for tracheotomy dictation: (inferiorly based Bjork flap employing third tracheal ring) Editors note: Every patient and therefore every procedure is unique. The foll
Page: Tracheotomy Tray
head and necl large.png Tracheotomy Tray 2 Brown Adson Tissue Forceps, 12.0 cm 2 Adson Tissue Forceps, Special Delicate Model 1 x 2 Teeth, 12.3 cm 2 DeBakey Thoracic Tissue Forceps, 1 x 2 Atraugrip Serrations, 15.2 cm 1 Knife Blade #11 and #15 2 Knife
Page: Tracheotomy tube with suction port above cuff Portex Blue Line Ultra Suctionaid BLUS
Tracheotomy tube with suction port above cuff Portex Blue Line Ultra Suctionaid (BLUS) return to: Tracheotomy, Tracheostomy & Modifications Tracheotomy - Tracheostomy Video describing tracheotomy use is located below photos Other 'suction-above-the-cuff"
Page: Tracheotomy, Tracheostomy & Modifications
Resources for Tracheotomy, Tracheostomy & Modifications return to: Tracheostomy and Upper Airway Management Symposium July 30 2016 IAO and SOHN Iowa City Iowa UCSF Otolaryngology Update 2015 Nov 4 to 7 including Sialendoscopy Hoffman Presentations see al
Page: Trans-Nasal Esophagoscopy (TNE)
head and necl large.png Transnasal Esophagoscopy (TNE) Return to: Head and Neck GENERAL CONSIDERATIONS Indications To evaluate the upper airway and esophagus. To assess for structural or physiologic abnormality associated with dysphagia or GERD
Page: Transcutaneous (percutaneous transcricothyroid membrane) Injection Laryngoplasty for Vocal Cord Paralysis
head and necl large.png Transcutaneous (percutaneous transcricothyroid membrane) Injection Laryngoplasty for Vocal Cord Paralysis return to: Injection Laryngoplasty for Vocal Fold Paralysis and Glottic Incompetence 010.jpg Room Set-up Transcutaneous
Page: Transdermal scopolamine and glycopyrrolate for sialorrhea and salivary fistula
Transdermal scopolamine for sialorrhea and salivary fistula return to: Hypersalivation Ptyalism Sialorrhea Drug Information: Scopolamine is an alkaloid that inhibits the muscarinic receptors for acetylcholine. It produces both peripheral anti-muscarinic
Page: Transilluminating Obturator
Transilluminating Obturator return to: Laryngeal Needle Localization with Transillumination ARD- Arytenoid Repositioning Device Microendoscopy of Reinke's Space (MERS) Cymetra Injection to Paralyzed Vocal Cord In the Clinic Technical Points for Percutaneo
Page: Translabyrinthine approach to cerebellopontine angle (translab)
head and necl large.png return to: Otology - Neurotology OPERATIVE PROCEDURE Incision and Elevation of Skin Flaps Large postauricular parabolic incision. SEE FIGURE Raise skin and subcutaneous tissue flaps anteriorly to level of ear canal in the pl
Page: Transnasal Endoscopic Vocal Fold Augmentation
head and necl large.png Transnasal Endoscopic Vocal Fold Augmentation: The indications for transnasal fiberoptic vocal cord injection are the same as for vocal cord injection by the percutaneous or transoral route. In some cases, this technique may be
Page: Transnasal Flexible Laryngoscopy Office Procedures with Two Nostril Steerable Sheath Technique
Transnasal Flexible Laryngoscopy Office Procedures with Two Nostril Steerable Sheath Technique return to: Flexible Fiberoptic Exam Transnasal Fiberoptic Laryngoscopy Instruction Video Procedures done on Mannequin - click to activate video Clinical proced
Page: Transnasal Transsphenoidal Approach to Pituitary
Transnasal Transsphenoidal Approach to Pituitary head and necl large.png Transnasal Transsphenoidal Approach to Pituitary Trans-nasal Trans-sphenoidal (Transphenoidal) Approach to Pituitary See: Case Example Transphenoidal Approach to Pituita
Page: Transoral injection laryngoplasty with videostroboscopy
head and necl large.png return to: Injection Laryngoplasty for Vocal Fold Paralysis and Glottic Incompetence Technique for injection laryngoplasty employing stroboscopy see also protocol for: Videostroboscopy and Injection Laryngoplasty for Presb
Page: Transoral Robotic Surgery
head and necl large.png Transoral Robotic Surgery (TORS) return to:Cancer Management Principles or: Oropharyngeal Cancer Management GENERAL CONSIDERATIONS/INDICATIONS Originally cleared by the FDA in December 2009 for use in surgical procedures to tr
Page: Transpalatal Approach to Nasopharynx
head and necl large.png Transpalatal Approach to Nasopharynx (Without Palatal Split) return to:Paranasal Sinus Surgery Protocols GENERAL CONSIDERATIONS Indications Juvenile nasopharyngeal angiofibroma (JNA), stage I Small nasopharyngeal tumors Contrai
Page: Treatment of Alcohol Withdrawal
head and necl large.png Treatment of Alcohol Withdrawal Alcoholism is defined as a pattern of uncontrolled drinking leading to medical, legal, and psychosocial adverse consequences. It is a major public health problem costing well over a $100 billio
Page: Treatment of Alcohol Withdrawal Management Protocols
Treatment of Alcohol Withdrawal Treatment of Alcohol Withdrawal https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Treatment+of+Alcohol+Withdrawal
Page: Treatment of Stomal Recurrence
head and necl large.png Treatment of Stomal Recurrence return to: Laryngeal Surgery (Malignant Disease) Protocols see also:Mediastinal tracheostomy for total laryngectomy with resection of manubrium GENERAL CONSIDERATIONS Stomal recurrence occurs in a
Page: Treatment of sublgottic stenosis with sialoballoon salivary balloon dilation
Treatment of sublgottic stenosis with sialoballoon salivary balloon dilation return to: Subglottic stenosis see also: Copy of Parotid Duct Stricture Dilation with Salivary Balloon and Ultrasound Guidance for 2016 LSU Sialendoscopy Course Modified Ope
Page: Trucut Sinoscopy Instrument Tray
head and necl large.png Benjamin-Weerda Diverticuloscope Tray 1 Diverticuloscope, Weerda, 9 in, #12067V 1 Diverticuloscope, Hollinger-Benjamin, 9-3/4 in, #12068B 2 Light Carrier, Storz w/ Storz Adapter Attached, #8590GH 1 Tube Suction, 8-3/8 in, #8
Page: Tumors of Parapharyngeal Space
Return to: Neck Surgery Protocols See also: Case Example Deep Lobe Parotid Tumor Parapharyngeal Space Pleomorphic Adenoma Pleomorphic Adenoma Vagal Schwannoma - Rads Anatomy: (Price, 2016)(Bozza, 2009) Inverted pyramid space, base centered on small por
Page: Tympanostomy and tube placement
Sample dictation template Informed consent was reviewed. The patient was taken to OR ***. General anesthesia was induced, and a mask airway was maintained. Under the operating microscope, cerumen was cleared using an appropriately sized speculum, curett
Page: Type I Thyroplasty (Gore-tex) case examples
Type I Thyroplasty (Gore-tex) case examples return to: Medialization Laryngoplasty- Type I Thyroplasty with ePTFE (Gore-Tex) Unilateral Laryngeal Paralysis or Vocal Cord Paralysis goretex thyroplasty09302013.jpg Modified Operative Note The patient w

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Page: UCSF Otolaryngology Update 2015 Nov 4 to 7 including Sialendoscopy Hoffman Presentations
UCSF Otolaryngology Update 2015 Nov 4 to 7 including Sialendoscopy Hoffman Presentations return to: Courses at the University of Iowa Sialendoscopy Workshop Nov 4 2015 November 4, 2015 Wedesday 10:20 - 10:40 Stenoses, RAI, Sjogrens: Evidence and Man
Page: UCSF Sialendoscopy Nov 4 2015 Complex Cases
return to:UCSF Otolaryngology Update 2015 Nov 4 to 7 including Sialendoscopy Hoffman Presentations return to: UCSF Sialendoscopy Nov 4 2015 Postoperative Management Parotid Sialendoscopy Surgery Parotid (right or left) sialendoscopy room setup C
Page: UCSF Sialendoscopy Nov 4 2015 Lecture Stenoses RAI Sjogrens Evidence and Management
return to: UCSF Otolaryngology Update 2015 Nov 4 to 7 including Sialendoscopy Hoffman Presentations
Page: UCSF Sialendoscopy Nov 4 2015 Lecture Stenoses RAI Sjogrens Evidence and Management a
Page: UCSF Sialendoscopy Nov 4 2015 Postoperative Management
return to: USCF Otolaryngology Update 2015 Nov 4 to 7 including Sialendoscopy Hoffman Presentations return to: UCSF Sialendoscopy Nov 4 2015 Complex Cases General Management (In-Clinic Salivary Infusion; Sialograms; Sialensocopy) Sialograms and Sialogr
Page: UCSF Sialendoscopy Nov 4 2015 Stenoses RAI Sjogrens Evidence and Management
return to: LSU Sialendoscopy Course 2016 April 9 and 10 Hoffman Presentations USCF Otolaryngology Update 2015 Nov 4 to 7 including Sialendoscopy Hoffman Presentations UCSF Sialendoscopy Nov 4 2015 Lecture Stenoses RAI Sjogrens Evidence and Management R
Page: Ultrasound aided parotid ductoplasty - sialodochoplasty
Ultrasound aided parotid ductoplasty - sialodochoplasty return to: Salivary Gland Surgery Protocols see also: Salivary Duct Stenosis; Parotid Duct Stricture Dilation with Salivary Balloon and Ultrasound Guidance
Page: Ultrasound CT Sialendoscopy and Gross Appearance of Submandbiular Stone
Ultrasound CT Sialendoscopy and Gross Appearance of Submandbiular Stone return to: Salivary Ultrasound see also: Salivary stone imaging correlates References: Potash A http://www.ncbi.nlm.nih.gov/pubmed/?term=Potash%20A%5BAuthor%5D&cauthor=true&caut
Page: Ultrasound Guided FNA Fine Needle Aspiration Biopsy
Ultrasound Guided FNA Fine Needle Aspiration Biopsy return to: Salivary Ultrasound I. Background II. Technique A. Begin with diagnostic ultrasound evaluation B. Needle placement with ultrasound guidance May or may not instill lidocaine with epinephr
Page: Unilateral Brow Lift for Facial Paralysis
head and necl large.png Unilateral Brow Lift for Facial Paralysis return to: Facial Paralysis (surgery for facial nerve paralysis weakness) under construction Indenting and outdenting in richtext should work as well
Page: Unilateral Cheiloplasty
return to: Cleft Lip and Palate Protocols https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Cleft+Lip+and+Palate+Protocols TECHNIQUE Fisher Anatomic Subunit Technique Preferred technique of our craniofacial surgeons at UIHC The incisions a
Page: Unilateral Laryngeal Paralysis or Vocal Cord Paralysis
head and necl large.png return to: Management of Specific Voice Disorders see also: Vocal Fold Paralysis (Vocal Cord Paralysis) Etiologies Vocal Cord Paralysis Evaluation and Etiology Type I Thyroplasty (Gore-tex) case examples (includes sample op no
Page: University of Iowa Otolaryngology Alumni
head and necl large.png University of Iowa Otolaryngology Alumni Network I. Description This is an alumni network for present and past residents, fellows, and staff in the Department of Otolaryngology at University of Iowa Hospitals and Clinics. It
Page: Unknown Primary Squamous Cell Cancer (Evaluation and Management)
head and necl large.png General considerations Definition The "unknown primary" refers to cancer identified in the neck suspected to represent metastasis from a primary site not readily determined. This discussion is limited to squamous cell carcinoma
Page: Upper Blepharoplasty
head and necl large.png Upper Blepharoplasty return to:Cosmetic Facial Surgery Copy and paste extras Indenting and outdenting in richtext should work as well
Page: Use of Tracheostomy Tube Cuff
head and necl large.png Use of Tracheostomy Tube Cuff see also: Tracheotomy - Tracheostomy; Montgomery Canula Tracheotomy Montgomery Cannula Canula insertion in clinic; Four-flap Epithelial Lined Tracheotomy PURPOSE To form a seal between the tracheos
Page: Utahotolaryngology Update 21st Lectures (Hoffman) June 19-20, 2015
Utahotolaryngology Update 21st Lectures (Hoffman) June 19-20, 2015 return to: Courses at the University of Iowa June 19, 2015 Friday 1:30 pm: Laryngology Update - Innovative Approaches to Common Problems Aryt
Page: Uvulopalatopharyngoplasty
head and necl large.png Uvulopalatopharyngoplasty GENERAL CONSIDERATIONS Indications Obstructive sleep apnea (OSA) demonstrated by polysomnography that is refractive to conservative measures (CPAP, positional therapy, dental devices, weight loss)

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Page: VA Otolaryngology
head and necl large.png VA Calling To call the VA from UIHC: 158 + 4-digit VA extension (or 158-0 for operator) To call VA from outside number: 338-0581, extension 1-800-637-0128 To call UIHC from VA: 2+ 5-digit UIHC extension Paging Page at VA:
Page: Vagal Paraganglioma - Rads
Vagal Paraganglioma Also known as glomus vagale paraganglioma, vagal body tumor, vagle chemodectoma, glomus vagale Benign tumor arising from neural crest cells of the nodose ganglia of the vagus nerve Look for enhancement on CT with contrast and "sa
Page: Vagal Schwannoma - Rads
Vagal Schwannoma Also called carotid space schwannoma, neuroma, or neurilemmoma Benign tumor of the CN X Schawnn cells in the carotid space Look for fusiform carotid space mass without flow voids on MR, can occur anywhere from skull base to aortic ar
Page: Vallecular Cyst unusual cause of lump in throat sensation (globus)
return to: Globus Syndrome head and necl large.png Vallecular Cyst unusual cause of 'lump in throat sensation' (globus sensation) return to: Laryngeal Surgery (Benign Disease) Protocols October 2011 she noted a sensation of a fullness in her throat,
Page: Valleylab Bipolar Forceps Oto Tray
1 Forceps, Valleylab Yasargil BP bayonet 0.5mm, 7 1/2" 1 Forceps, Valleylab Yasargil Fine BP Bayonet 0.5mm, 8" 1 Forceps, Valleylab Yasargil BP Bayonet 1.0mm, 8" 1 Forceps, Valleylab Bayonet BP Angle Up 0.5mm Insulated Tip 8 3/4"
Page: Velopharygeal Diagnostics
head and necl large.png Velopharyngeal Diagnostics Diagnosis and documentation of hypernasal speech and velopharyngeal function for speech involves both perceptual and objective measures. The protocol used for these evaluations by the speech-languag
Page: Venous Malformation -Rads
Venous Malformation Also known as cavernous malformation, cavernous hemangioma, venous vascular malformation A slow-flow post-capillary lesion with endothelial lined sinusoids Appears as a lobulated soft tissue mass with phleboliths Most common in
Page: Verrucous Carcinoma
head and necl large.png VerrCaBanner.png see also: Verrucous squamous carcinoma causing laryngeal leukoplakiaIPLinks.png IPVirtSlide.png For an interactive look at the Histology of Verrucous Carcinoma, please click on the link below: Verrucous
Page: Verrucous squamous carcinoma causing laryngeal leukoplakia
head and necl large.png Verrucous squamous carcinoma Return to: Laryngeal leukoplakia white plaques on vocal cords Return to: Overview of squamous dysplasia Verrucous carcinoma is a special variant of exceedingly well-differenatied squamous carcinoma
Page: Vertical Partial Laryngectomy Case Example
head and necl large.png 55 yo (in 1997) with progressive dysphonia for 2 years. Vocal fold lesion identified as affecting anterior commissure. return to: Hemilaryngectomy Click on pictures to enlarge and then on arrow on right side of image to advanc
Page: Vertigo
http://iowaheadneckprotocols.oto.uiowa.edu/download/attachments/10911874/Iowa%20Head%20and%20Neck%20Protocols.png?version=1&modificationDate=1456717305483&api=v2 Return to: Vertigo Under Construction Dizziness is a common chief complaint seen by oto
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Page: Video example
head and necl large.png Support Lab10-28-08 PartB
Page: Videos for Common Voice Disorders Mary Greeley Medical Center Grand Rounds August 12, 2015 Hoffman
head and necl large.png Videos for Common Voice Disorders Mary Greeley Medical Center Grand Rounds August 12, 2015 Hoffman return to: Grand Rounds Mary Greeley Medical Center 'Common Voice Disorders' August 10, 2015 see also Bloomington Indiana Vis
Page: Videostroboscopy
redirects head and necl large.png Videostroboscopy Rigid Transoral Videostroboscopy: return to:Flexible Fiberoptic Laryngoscopy (written instruction) or: Flexible Fiberoptic Exam Transnasal Fiberoptic Laryngoscopy Instruction Video Videostrob VIDEOS
Page: Viral sialadenitis
head and necl large.png Viral Sialadenitis return to: Salivary Swelling Under construction General Viral infection with more generalized signs and symptoms as occur with HIV and HCV can also cause a focal sialadenitis that may not be appreciated in
Page: Vocal Cord Paralysis Complication with thyroplasty
head and necl large.png return to: Laryngology Indenting and outdenting in richtext should work as well
Page: Vocal Cord Paralysis Evaluation and Etiology
Vocal Cord Paralysis Evaluation and Etiology return to: Unilateral Laryngeal Paralysis or Vocal Cord Paralysis I. Etiology A. Population based study from Germany (Djugai 2014) 1. 1430 patients with vocal cord paralysis (VCP) - both uni- and bi-later
Page: Vocal Cord Paralysis Lateral Manual Compression Test
Vocal Cord Paralysis Lateral Manual Compression Test click on video below to activate - demonstration of medialization of paralyzed left vocal cord to produce voice: References Blaugrund SM, Taira T, el-Assuooty A, Lin PT, Isshiki N, Gould WJ: Effe
Page: Vocal Cord Surgery
head and necl large.png Vocal Cord Surgery ROUTINE PREOPERATIVE TEACHING OF THE ADULT PATIENT Objective: Patient/family will verbalize understanding of routine preoperative instructions. Content: Refer to clinic policy Routine Preoperative Teachin
Page: Vocal Fold Cysts (intracordal)
head and necl large.png Vocal Fold Cysts (intracordal) Return to: Management of Specific Voice Disorders; Laryngeal Surgery (Benign Disease) Protocols Also see: Case Example Vocal Fold Cyst Surgery DEFINITIONS and ETIOLOGY: subepidermal epithe
Page: Vocal Fold Paralysis (Vocal Cord Paralysis) Etiologies
Vocal Fold Paralysis (Vocal Cord Paralysis) Etiologies return to: Unilateral Laryngeal Paralysis or Vocal Cord Paralysis Bloomington Indiana Visit 03062014 "Vocal fold paralysis is not a rare clinical entity." Sulica and Blitzer 2006 A. Extent of Pro
Page: Vocal Fold Polyps (polypoid corditis) case example of surgical treatment
head and necl large.png Vocal Fold Polyps (polypoid corditis) case example of surgical treatment return to: Laryngology or Polyps Nodules Cysts
Page: Vocal Nodules (vocal fold nodules, vocal cord nodules, singer's nodes)
head and necl large.png Vocal Nodules (vocal fold nodules, vocal cord nodules, singer's nodes) see related sections:Case Example Vocal Fold Nodule Surgery; Pathology section: Singer's nodule; Management of Specific Voice Disorders, Polyps Nodules Cy
Page: Vocal Process Granuloma
head and necl large.png Vocal Process Granuloma return to: Management of Specific Voice Disorders see: Case example - Vocal Process Granuloma see also anatomy of laryngeal muscles: Laryngeal EMG (Electromyography) Anatomy and Video also: Vo
Page: Voice Clinic Management Protocols
Voice Clinic The Voice Clinic https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/The+Voice+Clinic Videostroboscopy https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Videostroboscopy Date Base Recording and Report Generation https://
Page: Voice Clinic Management Protocols-GO-alt
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Page: Voice Clinic Management Protocols-HN-alt
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Page: Voice Clinic Management Protocols-L-alt
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Page: Voiceserve-Discussion Forum
head and necl large.png VOICESERVE This discussion forum is sponsored by the University of Iowa Department of Otolaryngology-Head and Neck Surgery. Its purpose is to promote discussion among health care professionals, scientists, and professional

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Page: Wallenberg Syndrome PICA Syndrome Lateral Medullary Infarction
head and necl large.png Wallenberg Syndrome (PICA Syndrome or Lateral Medullary Infaction) return to:Unilateral Laryngeal Paralysis or Vocal Cord Paralysis Wallenberg syndrome = Lateral medullary syndrome (aka 'PICA' syndrome Posterior Inferior Cer
Page: Warthin Tumor Rads
Warthin Tumor Also known as: papillary cystadenoma lymphomatosum, adenolymphoma, or lymphomatous adenoma Benign, slow-growing, with histopath demonstrating papillary structures with mature lymphocytic infiltrate and cystic structures Look for: sharpl
Page: Warthin's Tumor
head and necl large.png WTBanner.png Please click on the Slides below for a quick overview of Warthin's Tumor (Use the right and left arrow keys to scroll) IPVirtSlide.png For an interactive look at the Histology of Warthin's Tumor, please click
Page: Warthins tumor 'shell out' with facial nerve monitoring
Warthins tumor 'shell out' with facial nerve monitoring return to: Parotidectomy with Facial Nerve Dissection Modified Operative Note: The patient was brought back to the operating room where induction checklist was performed confirming the left side
Page: Weerda Laryngoscope
Nav Panel Donors disclaimer head and necl large.png Weerda_0066.jpg Weerda Laryngoscope WeerdaScope_0067.jpg disclaimer
Page: Wegeners Granulomatosis
head and necl large.png Wegeners Granulomatosis return to: Management of Specific Voice Disorders Case Example 1: Subglottic Stenosis due to Wegener's Granulomatosis GENERAL CONSIDERATIONS Definitions Wegeners Granulomatosis (W
Page: wehrle
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Page: Weight Loss
How do I lose weight? To lose one (1) pound per week, you must eat 500 fewer calories or burn 500 more calories per day!! THE KEYS: 1) Understand WHAT you eat 2) BURN more calories Understand WHAT you eat
Page: Welcome presentation
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Page: Wisconsin Society of Otolaryngology Meeting WSO Elkhart Lake Wisconsin October 18 19 2014 Lectures
Wisconsin Society of Otolaryngology Meeting WSO Elkhart Lake Wisconsin October 18 19 2014 Lectures return to: Courses at the University of Iowa Saturday October 18 7:45 am Laryngology: Innovative Management of Common Problems see: Resources for Laryng
Page: Woodruff Screw Implant - Instrument Tray
head and necl large.png Woodruff Screw Implant/Instrument Tray 2 Zimalite Twist Drills, 12.7 cm x 2.8 mm 1 Adjustable Screwdriver Handle, 4 1/2 inches 1 Adjustable Screwdriver Woodruff Bit, 7" 1 Universal Screwdriver (Self Retaining) with Woodruff
Page: Work-up or Follow-up Management Protocols
Cancer Work-Up/Follow-Up/Management Cancer Management Principles https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Cancer+Management+Principles Head and Neck Tumor Board (Multidisciplinary Treatment Planning Conference) https://iowaheadneckp

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Page: Xerostomia Management Protocols
Xerostomia Management of Xerostomia https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Management+of+Xerostomia Salivary Swelling https://iowaheadneckprotocols.oto.uiowa.edu/display/protocols/Salivary+Swelling
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Page: Xerostomia Management Protocols-HN-alt
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Page: Xomed StraightShot Handpiece
1 Handpiece Xomed M4 Straightshot
Page: Xomed-Treace Injection Tray
head and necl large.png Xomed-Trease Injection Tray return to: Transoral injection laryngoplasty with videostroboscopy Gun, Xomed-Trease Injection, #16-50000, includes: 1 Handle 1 Retaining Nut 1 Needle, 22 cm Curved, Threaded Tip 1 Needle, 22 mm St
Page: Xomed-Trease Injection Tray
1 Xomed-Trease Injection Gun Includes: 1 Handle 1 Retaining Nut 1 Needle, 22cm Cvd. Threaded Tip 1 Needle, 22cm Straight, Threaded Tip
Page: XPS Straightshot Resector Tray
head and necl large.png XPS Straightshot Resector Tray 1 XPS Straightshot Handpiece, 14.6 cm 1 XPS Straightshot Motor, 7.6 cm 1 XPS Straightshot Motor Loading Guide, 7.6 cm Wide x 3.8 cm Long 1 XPS Straightshot Handpiece Cable 1.1 m 1 XPS Straight

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Page: Zenker's Diverticulectomy
head and necl large.png See Example Cases: Zenker's Diverticulectomy - Open approach Zenker's Diverticulectomy (Harmonic Scalpel) - Case Examples Zenker's Diverticulectomy - Case Examples (CO2 Laser) Zenker's Diverticulectomy - Flexible Fiberoptic
Page: Zenker's Diverticulectomy (Harmonic Scalpel) - Case Examples
head and necl large.png (return to Zenker's Diverticulectomy) Indications for usage of Harmonic scalpel for Zenker’s diverticulum: _1. Can be particularly useful for treatment of smaller diverticuli - not amenable to stapler technique _2. Can
Page: Zenker's Diverticulectomy - Case Examples (CO2 Laser)
head and necl large.png return to:Zenker's Diverticulectomy Zenkers2.JPG Zenkers1.JPG Zenkers3.JPG Video 1: Placement of expanding Zenker's diverticula scope followed by small laser incision in mucosa and dissection of cricopharyngeus. z
Page: Zenker's Diverticulectomy - Flexible Fiberoptic Approach with Diathermy - Case Example
head and necl large.png return to: Zenker's Diverticulectomy Zenker's Diverticulectomy - Flexible Fiberoptic Approach with Diathermy - Case Example courtesy of Dr. Henning Gerke Gastroenterology University of Iowa ### SUGGESTED READING Readin
Page: Zenker's Diverticulectomy - Open approach
Zenker's Diverticulum - Open Approach return to:Zenker's Diverticulectomy Anatomy All 3 constrictors pass around and insert into a midline raphe on the posterior pharynx and vary in where they originate. This raphe suspends the pharynx from the base o
Page: Zenkers Diverticulectomy - Open approach case example
Zenkers Diverticulectomy - Open approach case example Video: Rigid cervical esophagoscope showing posterior diverticulum and notable cricopharyngeal bar. Following esophagoscopy that should identify and characterize diverticulum and the appropriate t
Page: Zimmer Air Dermatome Instrument Tray
head and necl large.png see:Case Example Split Thickness Skin Graft STSG Zimmer Dermatome settings Zimmer Air Dermatome Instrument Tray 1 Screwdriver, Air Dermatome, 5 in, #8803
Page: Zygomatic Complex Fracture (Tripod Fracture)
head and necl large.png https://medicine.uiowa.edu/iowaprotocols/zygomatic-complex-fracture-tripod-fracture https://medicine.uiowa.edu/iowaprotocols/zygomatic-complex-fracture-tripod-fracture UNDER CONSTRUCTION https://medicine.uiowa.edu/iowaprotocols/zy

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