QC17 sunnie jing shen.docx - OPERATIVE REPORT(PLASTIC...

OPERATIVE REPORT (PLASTIC SURGERY)
Patient Name : Fern Dugan
Patient ID : 17-3990 Age : 63 Sex : Female
Admitting Physician : St. Patrick, MD
Date of Surgery : 03/14
Preoperative Diagnosis :
1. Right infraorbital mass
2. Fat pseudoherniation
3. Brows ptosis for upper eyelids
4. Dermatochalasis for lateral hooding and visual field defects.
5. Obstructive sleep apnea, mild.
Postoperative Diagnosis : The same
Operation Performed :
1. Excision of right infraorbital mass transconjunctival approach.
2. Bilateral lower eyelid transconjunctival blepharoplasty.
3. Bilateral upper eyelid blepharoplasty
4. Endoscopic brow lift.
5. Uvulopalatopharyngoplasty with tonsillectomy, UPPT
Specimen: Sent to pathology for examination
1. Mass passed off as permanent specimen
2. Bilateral faucial tonsils
3. Skin and fat.
Surgeons : Mark Swaffler, M.D.
Assistant Surgeon : Michelle Morphed, M.D.
Anaesthesia: General endotracheal performed by Stella Jloa, M.D.
Complications : None.
Blood Loss : Minimal, no transfusion needed.
INDICATIONS: Ms. Dugan a 63 years old Hispanic female has noticed and increasing right
infraorbital mass over past year. Initially, it was the size of a baby. And now it is about the
size of a marble. She desires excision of this. Additionally, she can plan of some fat
pseudoherniation in the right lower eyelids as well as excess skin with lateral hooding and
visual field defects. UPPER EYELIDS: Finally, the patient is snoring in some daytimes.
Hypersomnolence with AHI of 14 on her sleep study. She desires UPPPT to attempt to
correct this. And she does not tolerate CPAP.

DESCRIPTION OF OPERATION: Patient was brought to the operation room placed on the
operation table and supine position in general endotracheal anaesthesia what is induced. The
procedure was begun by removing the tonsils bilaterally. This was performance by Bovie
cautery dissection while retracted in the tonsil immediately. Dissection was carried out in the
peritonsillar faucial plane until the tonsil was delivered. Once it has been completed
bilaterally, hemostasis was obtained in tonsillar bed.