OFFICE-BASED SURGICAL PROCEDURES IN OTOLARYNGOLOGY

Section 1. Office Site Considerations
1. Patient Safety and Anesthesia Considerations (checklist, dosing, toxicity, IC)
2. Patient Experience and Room Setup (eye mask, noise cancelling headphones, music, scented candles, Ativan or valium, MA or nurse or no assistant)
3. Billing and Coding for Office-Based Procedures
4. Scope Management and Reprocessing (rigid/flex/disposable)
5. Medical Emergencies (Anaphylaxis, HTN, pain)

Section 2. Comprehensive Otolaryngology/Pediatrics/Sleep
6. Sialendoscopy and Stone Removal
7. Sleep-Related In-Office Procedures (UP3, others)
8. In-Office Biopsy for the Otolaryngologist (needle, open – LN, mass, USS neck)
9. Frenotomy
10. Peritonsillar Abscess Drainage in the Office
11. Management of Epistaxis (cautery, HHT)
12. Pediatric Ear Tube Placement

Section 3. Rhinology
13. Sinus Balloon Dilation
14. In-Office Endoscopic Sinus Surgery
15. Addressing the Deviated Nasal Septum
16. Office-Based Polypectomy
17. Drug-Eluting Stent Placement and Steroid Injections
18. In-Office Surgical Navigation
19. Nasal Endoscopy and Sinus Debridement
20. Treatment of the Posterior Nasal Nerve (Cryoablation and Radiofrequency Neurolysis)
21. Nasal Valve Treatment: Vivaer/latera
22. Inferior Turbinate Procedures
23. In-Office Evaluation and Management of Lacrimal Obstruction (balloon, stent, etc.)
24. Allergy Testing and Immunotherapy for the Otolaryngologist

Section 4. Facial Plastics
25. Rhytidectomy
26. Upper Blepharoplasty
27. Skin Care and Laser Treatments
28. Neuromodulators
29. Aesthetic Fillers
30. Non-surgical Rhinoplasty
31. Energy-Based Facial Tightening
32. Hair Restoration Surgery
33. Lip Lift
34. Skin Cancer Management
35. Non-surgical Facial Palsy Management
36. Scar Revision

Section 5. Laryngology
37. Anesthesia and Patient Preparation for Awake Procedures
38. In-Office Diagnostics and Laryngopharyngeal Biopsies
39. In-Office Treatment of Respiratory Papillomatosis
40. In-Office Treatment of Leukoplakia.
41. Awake Injection Laryngoplasty
42. In-Office Injection of Steroids and 5-FU to Treat Dysphonia
43. Treatment for Laryngeal Dystonia
44. Transnasal Botulinum Toxin Injection of the False Vocal Folds for Adductor Laryngeal Dystonia
45. In-Office Treatment of Airway Stenosis
46. Awake Procedures for Swallowing Disorders
47. Office-Based Voice Procedures for Gender-Affirmation in Transgender and Non-Binary Individuals
48. Superior Laryngeal Nerve Block for Chronic Cough

Section 6. Otology
49. Office-Based Otoendoscopy
50. Pearls and Pitfalls in Office-based Myringotomy and Tympanostomy Tube Placement
51. Pediatric Tympanostomy Using Iontophoresis and Automated Tube Delivery System
52. Intratympanic Drug Delivery
53. Repair of Tympanic Membrane Perforations
54. Balloon Dilation of the Eustachian Tube

Recent advances in minimally invasive surgery have drastically increased the number of otolaryngological procedures that can now be offered in the office setting. Office-Based Surgical Procedures in Otolaryngology provides clear, highly illustrated discussions of in-office considerations and head and neck surgical procedures—all contributed by leading experts in the field of otolaryngology. Narrated companion videos help practicing otolaryngologists and otolaryngologists in training navigate each step of the procedure alongside experienced and knowledgeable surgeons.

Features:
• Provides concise, to-the-point guidance on the procedures that can be performed in the otolaryngology office setting, including those procedures that were once performed only in an operating room.
• Offers quick, easy-to-understand coverage of patient safety and anesthesia; billing and coding; pediatrics; sleep-related procedures; ultrasound-guided procedures; rhinology; facial plastic surgery; laryngology; otology; and more.
• Allows you to offer procedures in your office that pose less of a health threat to staff and patients, are less costly, and offer greater patient satisfaction and quicker recovery times than OR-based procedures.
• Shares the experience and knowledge of leading experts within each subspecialty of otolaryngology who provide up-to-date guidance alongside color illustrations, CT scans, endoscopic images, photographs, and narrated videos.
• An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date.

Author
Raj Sindwani, MD, FACS, FRCS(C), Section Head, Rhinology, Sinus and Skull Base Surgery, Quality Improvement Officer (QIO), Head and Neck Institute, Cleveland Clinic , Cleveland, Ohio, USA