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Protocols Page Title Index

• Added by Leighton Christiansen, last edited by Leighton Christiansen on Aug 02, 2009  (view change)

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Iowa Head and Neck Protocols Search: use box at upper right Home For Patients Visiting the Oto Clinic and Hospital Medical Information For Clinicians Nursing-(handouts, careplans)    Instrument lists For Speech Pathologists For Physicians   -Dentistry and Oral Surgery   -Facial Plastics   -General Otolaryngology   -Head and Neck   -Laryngology   -Otology and Neurotology   -Pediatric Otolaryngology   -Sinus and Rhinology Educational Pages   -Grand Rounds    -Pathology Teaching Modules    -Radiology Imaging     Protocols and Lectures The Protocols (Old style list, mirrors book.) Contact Us  at email address: iowaotoprotocols@uiowa.edu Our Story On-Line Donations Translations   -English   -Chinese 中文   -Espanol Protocols Page Title Index Contributing Authors  List of Donors KLS Martin, LP Lumenis KayPentax Jon and Veda Foster 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 benefactors recognize the University of Iowa's need for autonomy in the development of the content of the Iowa Head and Neck Protocols.

Space Index 0-9 ... 0 A ... 24 B ... 15 C ... 20 D ... 13 E ... 18 F ... 16 G ... 3 H ... 11 I ... 3 J ... 4 K ... 6 L ... 29 M ... 30 N ... 14 O ... 13 P ... 36 Q ... 0 R ... 14 S ... 63 T ... 48 U ... 3 V ... 7 W ... 5 X ... 3 Y ... 0 Z ... 5 !@#$ ... 0     0-9 A Acoustic Neuroma Instrument Tray protocols:Homehead and necl large.png align=center! Acoustic Neuroma Instrument Tray 1 Lucae University of Michigan (Spoon Shaped Jaw), Cup Bayonet, 14.6 cm 1 Satellight Micro Forceps, Counter Balance, Round Handle, Curved ... Acoustic Neuromas protocols:Homehead and necl large.png align=center! 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 hearing ... Adenocarcinoma Metastatic to Neck protocols:Homehead and necl large.png align=center! 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 unknown primary site (refers ... Adenoid Curette Instrument Tray protocols:Homehead and necl large.png align=center! Adenoid Curette Instrument Tray \\ 1 Adenoid Curette, Reverse Curve, 20.9 cm Size 0 Size 1 Size 2 Size 3 1 Barnhill Adenoid Curette, 21.5 ... Adult Airway in the Operating Room protocols:Homehead and necl large.png align=center! \\ Adult Airway Day\ October 20th, 2009 \\ Station #1: Direct laryngoscopy, jet ventilation, flexible fiberoptic intubation (Hoffman) ENT direct laryngoscopes ü    &nbsp ... Adult Flexible Bronchoscopy protocols:Homehead and necl large.png align=center! Adult Flexible Bronchoscopy \\ # GENERAL CONSIDERATIONS \\ ## Indications \\ ### Diagnostic uses #### To evaluate the upper and lower airways to confirm that they are normal, or that there is an abnormality present #### If an abnormality is present on examination of the airway: ##### to obtain appropriate ... Airway Monitoring protocols:Homehead and necl large.png align=center! Use of Continuous Pulse Oximeters with Otolaryngology Head and Neck Patients # POLICY ## Guidelines for the duration of continuous pulse oximetry for Otolaryngology—Head and Neck Surgery patients who require oximetry monitoring because ... Airway Monitoring Manangement Protocols Airway Monitoring Airway Monitoring Ann protocols:Homehead and necl large.png align=center Ann2 Anspach Drill Tray protocols:Homehead and necl large.png align=center! Anspach EMax Drill\\ 1 Motor, Anspach E Max, with attached cable; black cap must be attached for sterilization 2 Attachment, Anspach, angled, 8cm, 5½" 1 Attachment ... Anterior Craniofacial Resection with Formal Anterior Bifrontal Craniotomy protocols:Homehead and necl large.png align=center! Anterior Craniofacial Resection With Formal Anterior Bifrontal Craniotomy \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Tumors of the ethmoid sinus, frontal sinus, nasal cavity, orbits, and facial skin; ethmoid carcinoma, esthesioneuroblastoma, sinonasal ... Anterior Glottic Web 001.bmp width=245,height=200! !009.bmp width=246,height=200! !015.bmp width=251,height=214! !017.bmp width=253,height=230!  Refrerences: Endoscopic Laser Surgery of the Upper Aerodigestive Trach.  eds Steiner W and Ambrosch P ... Anterior Pericranial and Galeofrontalis-Pericranial Flap protocols:Homehead and necl large.png align=center! Anterior Pericranial and GaleofrontalisPericranial Flaps \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### The anterior pericranial and galeofrontalis flaps have been used extensively for anterior skull base and craniofacial reconstruction. ### These flaps may be turned inward ... Anterolateral Thigh Flap protocols:Homehead and necl large.png align=center! Anterolateral Thigh Flap \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### The thigh flap provides a tremendously versatile soft tissue flap. In selected patients, the skin paddle is as thin and pliable as in a radial forearm flap, with the advantage ... Antibiotic Prophylaxis in Head and Neck Surgery protocols:Homehead and necl large.png align=center! 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, no transection of gastroenteric, tracheobronchial ... Antibiotic Surgical Protocols Antibiotic Surgical Protocols Antibiotic Surgical Protocols Home Page Antibiotic Surgical Protocols Antibiotic Prophylaxis in Head and Neck Surgery appliances ARD- Arytenoid Repositioning Device protocols:Homehead and necl large.png align=center! ARD Arytenoid Repositioning Device !ARD01.jpg align=center! \\ Standard approaches to arytenoid ad and abduction require Neck incision Transection of muscles Removal of cartilage Mobilization of the pyriform sinus Dissection close ... Arnold-Bruening Intraoral Injection Tray protocols:Homehead and necl large.png align=center! ArnoldBruening Intraoral Injection Tray \\ 1 (ArnoldBruening) Adaptor, Luer Lock, 15.08 mm 1 (ArnoldBruening) Arnold Injection Needle, Straight 20.5 cm x 18G Tip and Stylet 20.5 ... Arterial Graft Instrument Tray protocols:Homehead and necl large.png align=center! Arterial Graft Instrument Tray 1 Potts Tenotomy Scissors, Curved, 13.9 cm 1 Diethrich Coronary Artery Scissors, 45°, 17.7 cm 1 Diethrich Circumflex Artery Scissors ... Arytenoid Adduction (Combined with Medialization Laryngoplasty through Type I Gore-Tex Thyroplasty) protocols:Homehead and necl large.png align=center! Arytenoid Adduction (Combined With Medialization LaryngoplastyThrough Type I GoreTex Thyroplasty) \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Symptomatic laryngeal paralysis #### Dysphonia #### Dysphagia ### Poor prognosis for spontaneous return of laryngeal function ### We ... ASC K28 Hall Microsagittal Saw Basket protocols:Homehead and necl large.png align=center! ASC K28Hall Microsagittal Saw Basket 2 Blades, Hall Microsagittal Saw, Fine, Straight, 0.18 in x 1.0 in, #505339 Authors boxes Otolaryngology, Nursing, Audiology, and Speech Pathology Editor: Henry Hoffman, MD Managing Editors: Ann Lawler and Kay Klein Illustrated by Timothy McCulloch, MD Chinese Translation: Jack Jiang MD, PhD Head and Neck Surgery Henry Hoffman ... B Basic Ear Room Setup protocols:Homehead and necl large.png align=center! 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 ... Basic soft tissue pack protocols:Homehead and necl large.png align=center! Basic Soft Tissue Pack Back table cover Medium drape Split sheet Mayo stand cover Instrument pouch Magnetic needle counter Cautery tip cleaner Unipolar cautery ... Basic Soft Tissue Room Setup protocols:Homehead and necl large.png align=center! 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 ... Benjamin Ryker Laryngoscope Tray protocols:Homehead and necl large.png align=center! 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 ... Bien Otologic Electric Drill Tray protocols:Homehead and necl large.png align=center! 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 ... Bipolar Forceps Trays protocols:Homehead and necl large.png align=center! Bipolar Forceps Trays and Single Package Items \\  I. Trays       a. Malis® Hardy Micro Bayonet Bipolar Forceps, 22.2 cm Long with cord ... Botox Injection for Freys Syndrome protocols:Homehead and necl large.png align=center! Intracutaneous Botulinum Toxin An injection for Frey's Syndrome (aka auriculotemporal syndrome or gustatory sweating) \\ \\ \\ # General Considerations ## Frey's syndrome is due to parasympathetic nerve fiber regrowth innervating sweat glands ... Botulinum Neurotoxin A Injection protocols:Homehead and necl large.png align=center! Botulinum Neurotoxin A Injection see: Laryngeal Movement Disorders Clinic (Neurolaryngology) protocols:Laryngeal Movement Disorders Clinic (Neurolaryngology) \\  # ADDUCTOR SPASMODIC DYSPHONIA ## Evaluation ### Voice clinic evaluation #### Otolaryngology #### Speech ... Branchial Cleft Cyst - Sinus - Fistula Excision protocols:Homehead and necl large.png align=center! Branchial Cleft Cyst/Sinus/Fistula Excision \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Infection ### Mass effect (dysphagia, dyspnea, pain) ### Cosmetic ## Contraindications ### Acute infection (treat prior to excision) ### Medical contraindication ... Branchial Cleft Fistual First Arch Case Example protocols:Homehead and necl large.png align=center! OPERATIVE PROCEDURE Multiple procedures including parotidectomy resulted in recurrent cyst formation with intermittent drainage. Revision parotidectomy and resection to include a segment of the cartilaginous ear canal was successfully performed without recurrence ... Bronchofiberscope, Olympus protocols:Homehead and necl large.png align=center! 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 ... Bronchoscope Tray, Sharplan CO2 Laser Instrument Tray protocols:Homehead and necl large.png align=center! 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 ... Bronchoscopy Tray, Adult protocols:Homehead and necl large.png align=center! 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 ... Bronchoscopy Tray, Child protocols:Homehead and necl large.png align=center! 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 ... Buccal Mucosa Graft for Urethral Reconstruction protocols:Homehead and necl large.png align=center! Buccal Mucosa Graft for Urethral Reconstruction \\ \\ \\ # Communication with nursing and anesthesia Communication with nursing and anesthesia provide for the following: ## Endotracheal tube taped to the side opposite the dissection. ## Throat pack placed; brief oral ... C Calvarial Bone Graft protocols:Homehead and necl large.png align=center! Calvarial Bone Graft \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Bone grafts are used for a variety of purposes in facial skeletal surgery including trauma, oncologic, and congenital reconstructive cases. Calvarial bone grafts serve ... Canal Wall Reconstruction (Mastoidectomy) protocols:Homehead and necl large.png align=center! Canal Wall Reconstruction (Mastoidectomy) \\ \\ # General considerations ## Indications: Chronic otitis media with cholesteatoma in children and adults. We use this technique for most cholesteatomas as it provides visualization similar to a canal wall down ... Canal Wall Reconstruction in Chinese 外耳道壁重建术（乳突切除术） protocols:Homehead and necl large.png align=center! \\ If characters do not render below try this pdf PDFs HomeCanalWallReconstructionChinesePDF.pdf \\ \\ Iowa大学头颈部诊疗方案 P3M4. 　外耳道壁重 ... Carcinoma of External Auditory Canal and Middle Ear protocols:Homehead and necl large.png align=center! Carcinoma of the External Auditory Canal and Middle Ear \\ # GENERAL CONSIDERATIONS ## Demographics ### Rare cancer, approximately 250 cases per year in the USA. ### Usually history of outdoor occupations (increased sun exposure ... Carotid Artery Resection in Head and Neck Cancer Treatment protocols:Homehead and necl large.png align=center! 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 study ... Carotid Body Tumor Resection protocols:Homehead and necl large.png align=center! Carotid Body Tumor Resection \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Carotid body tumors ### Glomus vagale ## Contraindications ### Caution should be taken in the treatment of bilateral glomus tumor as blood pressure maintenance is compromised ... Carotid Rupture Precautions protocols:Homehead and necl large.png align=center! 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, masks, gowns) ### Bath ... Case example - Vocal Process Granuloma protocols:Homehead and necl large.png align=center!  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: Onset ... Cervical Lymphadenectomy- General Considerations protocols:Homehead and necl large.png align=center! Cervical Lymphadenectomy: General Considerations \\ # INDICATIONS FOR NECK DISSECTION: SQUAMOUS CELL CARCINOMA (SCC) ## N 0 Neck Disease ### When the risk of occult (undetectable) neck metastases is substantial and irradiation is not to be used ... Change of Tracheostomy Tube protocols:Homehead and necl large.png align=center! Change of Tracheostomy Tube\\ # PURPOSE ## To ensure the patency of the tube, promote hygiene, and minimize the potential for infection. \\ # EQUIPMENT ## Appropriate size sterile tracheostomy tube with ties/Velcro strap ## Sterile tracheostomy dressing ... Chinese Canal Wall Reconstruction in Chinese 外耳道壁重建术（乳突切除术 Clinical Bedside Swallowing Assessment protocols:Homehead and necl large.png align=center! Swallowing Disorders \\ \\ Assessment of patients suspected of having swallowing disorders is accomplished by both clinical/bedside and videofluoroscopic/videoendoscopic methods. Clinical/bedside evaluations ideally precede the physiologic examinations. Standardized methods ... Clinical Pathways Nursing Protocols Clinical Pathways Clinical Pathways Home Page Clinical Pathways Nursing Protocols Panendoscopy for Nurses and Patients Otolaryngology PostSurgical (Intensive Care) PDFs HomeOtolaryngologyPostsurgical.pdf Contact Us You may contact the Iowa Head and Neck Protocols editorial staff by emailing us at: iowaotoprotocols@uiowa.edu Your feedback is important to us. \\ We will endeavor to correct errors brought to our attention and will do our best to respond to queries ... Contributing Authors protocols:Homehead and necl large.png align=center! \\ \\ Recent Authors and Contributors \\ \\ Authors Prior to 2008 Bruce A. Abkes, MD Department of Otolaryngology University of Iowa Hospitals and Clinics Iowa City, Iowa Simon I. Angeli, MD Clinical Instructor ... contributors protocols:Homehead and necl large.png align=center contributors test protocols:Homehead and necl large.png align=center Coronal Approaches to the Upper Facial Skeleton protocols:Homehead and necl large.png align=center! Coronal Approach to the Upper Facial Skeleton \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Access to frontal sinus, nasal root, nasoethmoid compartment, superior orbits, and zygomatic arch for fracture repair or tumor extirpation ### Approach ... covering laryngectomy05.gif align=center! Fig. V.D.1.5. Stoma Covered With Allgauze Square Cricoarytenoid Arthritis protocols:Homehead and necl large.png align=center! Delete Unneeded Copy and paste extras Indenting and outdenting in richtext should work as well # GENERAL CONSIDERATIONS #   ##   # MANAGEMENT  # Consideration 1 (Evaluation) ## SubCon ### Subsubcon # Consideration 2 (Consent ... D Date Base Recording and Report Generation protocols:Homehead and necl large.png align=center! 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 IC1 (PDF PDFs Homedatabase1.pdf), a dataentry form ... Decannulation of Tracheostomy Tube protocols:Homehead and necl large.png align=center! Decannulation of Tracheostomy Tube \\ \\ # PURPOSE ## To reestablish a nasopharyngeal/oropharyngeal airway in preparation for removal of the tracheostomy tube. \\ # EQUIPMENT ## Shiley tubes: ### Decannulation cannula (Shiley fenestrated and cuffless tubes) ### 10 cc syringe ... Dedo Laryngoscope protocols:Homehead and necl large.png align=center! Dedo Laryngoscope !ScopeCrop0038.jpg width=300,height=300 Deltopectoral Flap protocols:Homehead and necl large.png align=center! Deltopectoral Flap \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Carotid coverage after pharyngocutaneous fistula formation ### Reconstruction of large cutaneous cervical defects ### Hypopharyngeal reconstruction ## Contraindications ### For most cases, other flaps are a better ... Dental Protocols protocols:Homehead and necl large.png align=center! Dental Protocols \\ (Click on table heading to resort links alpabetically Dentistry and Oral Surgery Surgical Protocols \\ (Click on table heading to resort links alpabetically.) \\ \\ Back to Top #Top \\ \\ Dental Protocols (Click on table heading to resort links alpabetically.) \\ Back to Top #Top \\ \\ Treatment Protocols \\ (Click on table heading to resort links alpabetically ... Dentistry Basic Instrument Tray protocols:Homehead and necl large.png align=center! 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 ... Description of Tracheostomy Tubes and Appliances protocols:Homehead and necl large.png align=center! 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 tracheostomy tube may ... Direct Laryngoscope Tray protocols:Homehead and necl large.png align=center! Direct Laryngoscope Tray 1 Scissors, Mayo, Dissecting, Curved, 5.5 in 3 Clips, Backhaus, Towel, 3 in 1 Forceps, Jackson, Laryngeal, Cup Angled, 4 mm x 28 ... Disclaimer Back to Top #Top 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, products, procedures, opinions, or other information ... Donors protocols:Homehead and necl large.png align=center! 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 benefactors recognize the University ... Donors disclaimer nbsp;List of Donors Donors KLS Martin, LP http://www.klsmartin.com Lumenis http://surgical.lumenis.com/wt/page/ent KayPentax http://www.kaypentax.com/ Jon and Veda Foster The Department of Otolaryngology and the University of Iowa wish to acknowledge the support of those who ... Dr. Richard Smith-Pediatric Clinic protocols:Homehead and necl large.png align=center! # 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&nbsp ... E Ear Basic Instrument Tray protocols:Homehead and necl large.png align=center! Ear Basic Instrument Tray 1 Gruenwald Ear Forceps, Bayonet Shape, 16.5 cm 2 Tissue Forceps, Delicate (Fine Tooth) 1 x 2 Teeth, 9.8 cm ... Ear Microsurgery Instrument Tray protocols:Homehead and necl large.png align=center! Ear Microsurgery Instrument Tray 1 Tabb Flap Knife, Double Ended, Angled at 25° and 45° (1), 15.2 cm 1 McCabe Flap Knife Dissector, Double Ended, Angled ... Educational Pages protocols:Homehead and necl large.png align=center! \\ \\ Grand Rounds protocols:Grand Rounds Pathology Teaching Module protocols:Pathology Teaching Modules (Click on table heading to resort links alpabetically.) \\ Back to Top #Top Endoscopic Frontal Sinus Instrument Tray protocols:Homehead and necl large.png align=center! 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 ... Endoscopic Sinus Room Setup protocols:Homehead and necl large.png align=center! Endoscopic Sinus Room Setup coming soon Endoscopic Sinus Surgery protocols:Homehead and necl large.png align=center! Endoscopic Sinus Surgery \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Chronic sinusitis resistant to maximal appropriate medical treatment ### Multiple recurrent attacks of documented acute sinusitis ### Nasal polyposis ### Paranasal sinus mucoceles ... Endoscopy protocols:Homehead and necl large.png align=center! Endoscopy \\ \\ # ROUTINE PREOPERATIVE TEACHING OF THE ADULT PATIENT ## Objective: ### The patient/family will verbalize understanding of routine preoperative instructions. ## Content: ### Refer to clinic policy Routine Preoperative Teaching for the Adult Patient. \\ # DIET ... Endoscopy Management Protocols Endoscopy Panendoscopy Local Anesthesia for Rigid Endoscopy Adult Flexible Bronchoscopy Toluidine Blue Vital Staining Esophageal Perforation Treatment TransNasal Esophagoscopy (TNE ENT pack protocols:Homehead and necl large.png align=center! ENT Pack Back table cover Mayo stand cover Head drape Split sheet Suction tubing Unipolar cautery Cautery holster Instrument pouch Cautery tip cleaner Magnetic ... Enteral Therapy protocols:Homehead and necl large.png align=center! 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 24hour period via an enteral feeding ... Erich Arch Bars protocols:Homehead and necl large.png align=center! Intermaxillary Fixation: Erich Arch Bars \\ \\ # INDICATIONS ## Maxillofacial Fractures Requiring Occlusal Control ### Maxillomandibular fixation (MMF) ### Temporary occlusal orientation for placement of rigid internal fixation ## Extended Elastic Therapy ... Esophageal Dilating Tray, Plummer-Vinson protocols:Homehead and necl large.png align=center! KLS Level 1 Maxillofacial Implant/Instrument Tray Instrument Module 1 Retr, Cheek, 2.0 mm, #2547210 1 Drill Guide, 2.0 mm, #2547220 2 Screwdriver Handles ... Esophageal Perforation Treatment protocols:Homehead and necl large.png align=center! Esophageal Perforation Treatment \\ \\ # GENERAL ## This protocol is designed to aid in the management of identified or suspected esophageal perforations that can occur secondary to penetrating trauma; during esophageal, neck, or chest procedures; or are created by the placement ... Esophageal Reflux Precautions protocols:Homehead and necl large.png align=center! 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 that people ... Esophagoscopy Tray, Adult protocols:Homehead and necl large.png align=center! Esophagoscopy Tray, Adult 1 Forceps, Sam Roberts, Biopsy, Angled, 4 mm x 50 cm #505144 1 Forceps, Sam Roberts, Biopsy, Angled, 6 mm x ... Espanol protocols:Homehead and necl large.png align=center! Spanish translations to come Extraction Tray protocols:Homehead and necl large.png align=center! Extraction Tray 1 Cryer Exolever #30, 13.6 cm 1 Cryer Exolever #31, 13.6 cm 1 ClevDent Exolever #34, 14.6 cm 1 ClevDent Exolever #41 ... Extraoral Osseointegration protocols:Homehead and necl large.png align=center! Extraoral Osseointegration (Ear, Orbit, Maxilla) First Stage/Second Stage \\ \\ \\ # GENERAL CONSIDERATIONS (FIRST STAGE) ## A major commitment is needed from the patient and the health care team to successfully manage alloplastic ... F Facial Degloving Approach protocols:Homehead and necl large.png align=center! Facial Degloving Approach \\ \\ \\ # GENERAL CONSIDERATIONS ## The facial degloving technique as described here includes the elevation of the soft tissue of the external nose such that the nasal bony dorsum is completely exposed. ## Indications ### Approach to midface ... Facial Plastics Surgical Protocols \\ (Click on table heading to resort links alpabetically.) \\ \\ Back to Top #Top \\ \\ Treatment Protocols (Click on table heading to resort links alpabetically.) \\ Back to Top #Top \\ \\ Management Protocols (Click on table heading to resort links alpabetically ... Facial Reanimation protocols:Homehead and necl large.png align=center! Facial Reanimation \\ \\ \\ # INITIAL EVALUATION ## History and Physical ### Establish the etiology: Skull trauma, idiopathic, parotid surgery/tumor, CPA surgery/tumor, penetrating injuries, congenital ### Time from injury ### Degree ... Fascia Lata Harvest protocols:Homehead and necl large.png align=center! Fascia Lata Harvest \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Suspension of facial tissues in surgery for facial paralysis or ptosis correction. Consider alternatives: cadaver fascia lata or GoreTex ### Obliteration of the frontal sinus ### Dural ... Feder-Ossoff-Karlan Phonosurgery Instrument Tray (Frequent Use) protocols:Homehead and necl large.png align=center! FederOssoffKarlan Phonosurgery Instrument Tray (Frequent Use) 1 FederOssoff Microlaryngeal Sickle Knife, Shaft Tapered 3.21 mm, Blade 3 mm Straight, 27.3 cm TL, 24 cm ... Feder-Ossoff-Karlan Phonosurgery Instrument Tray (Seldom Use) protocols:Homehead and necl large.png align=center! FederOssoffKarlan Phonosurgery Instrument Tray (Seldom Use) 1 FederOssoff Microlaryngeal Blunt Scissors, 2 mm Diameter Shaft Angled Up Vertical Action, 31.7 cm TL, 24.1 cm ... Fiberoptic Endoscopic Examination of Swallowing (FEES) protocols:Homehead and necl large.png align=center! Fiberoptic Endoscopic Examination of Swallowing (FEES) \\ \\ # VELOPHARYNGEAL CLOSURE ## At the juncture of the velum and nasopharynx, view sphincteric closure as the patient swallows and phonates oral and nasal sounds and sentences. \\ # APPEARANCE OF HYPOPHARYNX AT REST ## Scan ... Fischer Bipolar Instrument Tray protocols:Homehead and necl large.png align=center! Fischer Bipolar Instrument Tray 1 Fischer Bipolar Coagulation Forceps Angled, Extra Delicate (Insulated) 16.0 cm Angled, Blunt (Insulated) 16.0 cm Bayonet, Extra Delicate (Insulated ... Fixation of Vascularized Bone Flaps protocols:Homehead and necl large.png align=center! Fixation of Vascularized Bone Flaps \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications Most osseous free tissue transfer flaps will require some contouring and subsequent fixation of the bone in place at the recipient site. In certain cases ... Forwards Last updated 1:26:10 PM 4/10/2007 by admin & admin 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 clinical conditions that present in the head and neck. Included ... Four-flap Epithelial Lined Tracheotomy protocols:Homehead and necl large.png align=center! Epitheliallined Tracheostomy (with anterior cervical lipectomy and thyroid isthmusectomy) \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications: Need for tracheotomy in patients with ### Anticipated need for long term tracheotomy #### Severe obstructive sleep apnea #### Other ### Obesity ... Fracture Tray protocols:Homehead and necl large.png align=center! Fracture Tray 1 Beaver Chuck Handle, Round Knurled 3K, 9.8 cm 2 Rochester "Diamond Jaw" Needle Holder, 18.4 cm or Microvascular Needle Holder, Tungsten Carbide ... Freche Monopolar Probe - Cord Instrument Tray protocols:Homehead and necl large.png align=center! 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 ... Free Flap Monitoring and Salvage protocols:Homehead and necl large.png align=center! the protocol will be added here Free Flap Room Setup protocols:Homehead and necl large.png align=center! 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 ... Frontal Sinus Osteoplastic Flap protocols:Homehead and necl large.png align=center! Frontal Sinus Osteoplastic Flap \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Frontal sinus fractures: nasofrontal duct involvement, anterior and posterior tables involved ### Frontal sinus disease unresponsive to more conservative approaches ... G Gantz Micro Forceps Instrument Tray protocols:Homehead and necl large.png align=center! 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 ... General Surgical Protocols \\ (Click on table heading to resort links alpabetically.) \\ \\ Back to Top #Top \\ \\ Dental Protocols (Click on table heading to resort links alpabetically.) \\ Back to Top #Top \\ Management Protocols (Click on table heading to resort links alpabetically ... Grand Rounds Grand Rounds   Where indicated (y) the attached presentations have been modified to remove figures/photos and other materials not specifically designed for the Iowa Protocols web site.  M & M = Morbidity and Mortality conference (no slide presentations ... H Hall Micro Sagittal Saw Tray (Pneumatic) protocols:Homehead and necl large.png align=center! 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 ... HaN Admin Pages HaN Admin Pages The Protocols Known Issues with pages Current Web Site http://www.healthcare.uiowa.edu/otolaryngology/protocols/index.htm User Guide HomeConfluence 2.10 User Guide (PDF) DOC20081203.pdf How To Do Things DOC:Examples Contact Leighton ... Harry Hoffman protocols:Homehead and necl large.png align=center Head and Neck Management Protocols (Click on table heading to resort links alpabetically.) \\ Back to Top #Top\\ \\ Surgical Protocols \\ (Click on table heading to resort links alpabetically.) \\ \\ Back to Top #Top\\ \\ Dental Protocols (Click on table heading to resort links alpabetically ... Head and Neck Cancer Surgery protocols:Homehead and necl large.png align=center! 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 Preoperative Teaching ... Head and Neck Tumor Board (Multidisciplinary Treatment Planning Conference) protocols:Homehead and necl large.png align=center! Head and Neck Tumor Board (Multidisciplinary Treatment Planning Conference) \\ \\ # GENERAL CONSIDERATIONS ## Purpose A regularly scheduled formal meeting between physicians who manage cancer patients is useful to ensure that the highest ... Hemilaryngectomy protocols:Homehead and necl large.png align=center! Hemilaryngectomy(Or Vertical Partial Laryngectomy) \\ \\ \\ # GENERAL CONSIDERATIONS ## Definitions ### Hemilaryngectomy is defined as an operation to remove the anterior soft parts of the larynx in continuity with the underlying thyroid cartilage. Vertical partial laryngectomy is similarly ... Home HaN Admin Pages \\ \\ \\ \\ \\ \\ Wiki Instructions and tools Wiki Instructions http://wiki.uiowa.edu/display/DOC/Examples Home Care Instruction Nursing Protocols Home Care Instruction Home Care Instruction Home Page Home Care Instruction Nursing Protocols Laryngectomy Home Care Booklet Tracheostomy Home Care Booklet Direct Laryngoscopy With or Without Laser PDFs HomeDirectLaryngoscopy.pdf Esophageal Reflux Precautions ... House-Urban Middle Fossa Retractor Tray protocols:Homehead and necl large.png align=center! HouseUrban Middle Fossa Retractor Tray 1 HouseUrban Middle Fossa Retractor, 7.6 cm x 7.6 cm 1 HouseUrban Middle Fossa Retractor Blade, 12.7 cm x ... Hyperbaric Oxygen Therapy protocols:Homehead and necl large.png align=center! 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 synthesis. A partial ... I Iliac Crest-Internal Oblique Free Flap protocols:Homehead and necl large.png align=center! Iliac CrestInternal Oblique Free Flap \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### This flap has been used extensively for oromandibular reconstruction. It is particularly well suited for this purpose due to the natural contour of the bone, the excellent ... Injection Laryngoplasty for Vocal Fold Paralysis and Glottic Incompetence protocols:Homehead and necl large.png align=center! \\ \\ Injection Laryngoplasty for Vocal Cord Paralysis and Glottic Incompetence see videos:  Transnasal Endoscopic Vocal Fold Augmentation http://wiki.uiowa.edu/display/protocols/TransnasalEndoscopicVocalFoldAugmentation\\ \\   \\ 1. GENERAL CONSIDERATIONS ... Ivy Loops protocols:Homehead and necl large.png align=center! Intermaxillary Fixation: Ivy Loops \\ \\ # INDICATIONS ## Maxillofacial Fractures Requiring Occlusal Control ### Maxillomandibular fixation (MMF) ### Temporary occlusal orientation for placement of rigid internal fixation \\ # ADVANTAGES ## Simple and Quick to Apply ... J Jackson Laryngeal Dilator Tray protocols:Homehead and necl large.png align=center! Jackson Laryngeal Dilator Tray 1 Jackson Laryngeal Dilator #16 Fr #18 Fr #20 Fr #22 Fr #24 Fr #26 Fr #28 Fr #30 Fr ... Jannetta Posterior Fossa Retractor Tray protocols:Homehead and necl large.png align=center! 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 ... Jugular Foramen Tumors protocols:Homehead and necl large.png align=center! Jugular Foramen Tumors \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Glomus jugulare tumor ### Nerve sheath tumor ### Meningioma ### Epidermoid ### Chordoma ## Contraindications ### Asymptomatic (nonenlarging) nerve sheath tumor or meningioma ### Poor surgical ... Juvenile Nasopharyngeal Angiofibroma protocols:Homehead and necl large.png align=center! Juvenile Nasopharyngeal Angiofibroma (Evaluation and WorkUp) \\ \\ \\ # GENERAL The juvenile nasopharyngeal angiofibroma is a benign neoplasm that occurs exclusively in adolescent males. It is a highly vascular tumor, which may be locally destructive through pressure ... K Kallie protocols:Homehead and necl large.png align=center kay protocols:Homehead and necl large.png align=center KLS Free Flap Implant - Instrument Tray protocols:Homehead and necl large.png align=center! KLS Free Flap Implant/Instrument Tray 1 Retractor, Cheek, 2.0 mm, #2547110 1 Drill Guide, 2.0 mm, #2547120 1 Forceps, Plate Cutting, TC 6.5 ... KLS Locking Reconstruction Threadlock Instrument Tray protocols:Homehead and necl large.png align=center! KLS Locking Reconstruction Threadlock Instrument Tray LOWER TRAY 1 Depth Gauge, Chatkowski Plate Holding Drill Guide, #5009500 (consists of) Guide 6.25 in Depth Gauge, 2.5 in Calibrated ... KLS Oto Trauma Implant - Instrument Tray protocols:Homehead and necl large.png align=center! KLS Oto Trauma Implant/Instrument Tray 1 Retractor, 2.0 mm, #2547110 1 Drill Guide, 2.0 mm, #2547120 1 Forceps, Plate Cutting, TC 6.5 in, #2542016 ... Known Issues with pages protocols:Homehead and necl large.png align=center! Known Issues This page helps us communicate during development. This page lists each page that has a comment at the bottom, so we can track which pages have problems. As you ... L larygectomy before and after pics laryngectomy01.gif align=center! Fig. V.D.1.1. Airway Before Surgery !laryngectomy02.gif align=center! Fig. V.D.1.2. Airway After Surgery Laryngeal EMG protocols:Homehead and necl large.png align=center! Laryngeal EMG \\ \\ # PREOPERATIVE PREPARATION ## Evaluation ### Head and neck exam to include indirect or fiberoptic laryngoscopy. ### Videostroboscopy (preferable preoperatively, optimal to have video recording concomitant with electromyography EMG and voice recording ... Laryngeal Fat Injection for Vocal Cord Paralysis and Glottic Incompetence protocols:Homehead and necl large.png align=center! Laryngeal Fat Injection for Vocal Cord Paralysisand Glottic Incompetence \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Symptomatic glottic insufficiency #### Laryngeal paralysis or laryngeal paresis in patient whom recovery of vocal cord mobility ... Laryngeal Lesions Pathology Teaching Module PUT TEXT HERE DELETE THIS BOX Laryngeal Movement Disorders Clinic (Neurolaryngology) NeuroLaryngology Clinic (Movement Disorders) Protocols Home Page IMG0989.JPG  NeuroLaryngology Clinic History Form Finalhistoryform101309.doc \\ Evaluation forms: 1.  Muscle Tension Dysphonia vs Spasmodic Dysphonia Laryngeal Movement Disorders Clinic (Neurolaryngology)MTD ... Laryngeal Reinnervation protocols:Homehead and necl large.png align=center! Laryngeal Reinnervation \\ \\ \\ This protocol is currently being developed Laryngeal Surgery (Benign Disease) Protocols Laryngeal Surgery (Benign Disease) Laryngeal Surgery (Benign Disease) Protocols Home Page Laryngeal Surgery (Benign Disease) Protocols Suspension Microlaryngoscopy Injection Laryngoplasty for Vocal fold Paralysis and Glottic Incompetence protocols:Injection Laryngoplasty for Vocal Fold ... Laryngeal Surgery (Malignant Disease) Protocols Laryngeal Surgery (Malignant Disease) Laryngeal Surgery (Malignant Disease) Protocols Home Page Laryngeal Surgery (Malignant Disease) Protocols Hemilaryngectomy Supraglottic Laryngectomy Total Laryngectomy Tracheoesophageal Puncture Reconstruction After Total Laryngectomy (Gastric PullUp) Supracricoid ... Laryngectomy protocols:Homehead and necl large.png align=center! Laryngectomy \\ \\ # ROUTINE PREOPERATIVE TEACHING OF THE ADULT PATIENT ## Objective: ### Patient/family will verbalize understanding of routine preoperative instructions. ## Content: ### Refer to clinic policy Routine Preoperative Teaching for the Adult Patient. ### Speech ... Laryngectomy Home Care Booklet protocols:Homehead and necl large.png align=center! LARYNGECTOMY HOME CARE The University of Iowa UIHC Hospitals and Clinics Department of Nursing The University of Iowa Hospitals and Clinics Iowa City, Iowa  \\   INTRODUCTION Your larynx or voice box is located ... Laryngology Surgical Protocols \\ (Click on table heading to resort links alpabetically.) \\ Back to Top #Top \\ \\ Management Protocols (Click on table heading to resort links alpabetically.) \\ Back to Top #Top \\ \\ Treatment Protocols (Click on table heading to resort links alpabetically ... Laryngopharyngectomy protocols:Homehead and necl large.png align=center! Under construction # GENERAL CONSIDERATIONS ## Consideration 1 (Indications) ### SubCon #### Subsubcon ## Consideration 2 (Contraindications) ### Sub Con \\ # PREOPERATIVE PREPARATIONS ## Consideration 1 (Evaluation) ### SubCon #### Subsubcon ## Consideration 2 (Consent ... Laryngoscope Instrument Tray, Microscopic Direct protocols:Homehead and necl large.png align=center! Laryngoscope Instrument Tray, Microscopic Direct 1 Jako Microlaryngeal Cup Forceps Angled Left, 2 mm x 22 cm, #506460 Angled Right, 2 mm x 22 ... Laryngoscope Weerda protocols:Homehead and necl large.png align=center! 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 ... Laryngotracheal Reconstruction with Costal Cartilage Grafting protocols:Homehead and necl large.png align=center! Laryngotracheal Reconstruction With Costal Cartilage Grafting (Laryngotracheoplasty) \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Symptomatic patients with greater than 50% stenosis ### Grade of stenosis determined endoscopically, preferably by determining size of endotracheal tube ... Laser Instrument Tray, Adult protocols:Homehead and necl large.png align=center! Laser Instrument Tray, Adult 1 Bellina Coagulation Forceps, 30.4 cm TL, 22.8 cm WL 1 Jako Laser Retractor, Adult, 30.4 cm TL, 22.8 cm ... Laser Surgery Protocols Laser Surgery Laser Surgery Home Page Laser Surgery Protocols Microscopic Laser Laryngoscopy (CO2) LaserAssisted Uvulopalatoplasty Laser-Assisted Uvulopalatoplasty protocols:Homehead and necl large.png align=center! LaserAssisted Uvulopalatoplasty \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Heroic and habitual snoring refractory to conservative measures (ie, weight loss, positional therapy, and elimination of sedatives and alcohol) ### Upper airway resistance syndrome ### Patient ... Latissimus Free Flap and Pedicled Flap protocols:Homehead and necl large.png align=center! Latissimus Free Flap and Pedicled Flap \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### The flap may be used either as a free or pedicled flap. Initially, the procedure for harvesting the flap is the same. If the flap is used as a free flap ... Leech Therapy Protocol protocols:Homehead and necl large.png align=center! Medicinal Leech Therapy on Head and Neck Patients \\ \\ \\ # Theory Behind Using Leeches \\ Venous congestion occurs when the veins that drain blood from a tissue are unable to do their job because of clotted ... LeFort I Approach protocols:Homehead and necl large.png align=center! The LeFort I Approach \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Juvenile nasopharyngeal angiofibroma ### Nasopharyngeal, sphenoid, clivus tumors #### Inverting papilloma, Myxoma, adenoma ### Pterygomaxillary space tumors #### Neuroma ## Contraindications ### Young children ... Leighton protocols:Homehead and necl large.png align=center Leighton2 protocols:Homehead and necl large.png align=center! GO Lewy Laryngoscope Holder Tray protocols:Homehead and necl large.png align=center! Lewy Laryngoscope Holder Tray 1 Lewy Laryngoscope Holder, 30 cm (vm Lindolm Laryngoscope protocols:Homehead and necl large.png align=center! \\ !LindholmAdoles0032.jpg width=473,height=275! Adolescent Lindholm Laryngoscope \\ \\ !LindholmAdolescent0031.jpg width=472,height=422! \\ \\ &nbsp Lingual Release Approach to the Oral Cavity and Pharynx protocols:Homehead and necl large.png align=center! 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 of the lateral wall ... Lip Split with Mandibulotomy Approach for Oral and Pharyngeal Access protocols:Homehead and necl large.png align=center! Lip Split With Mandibulotomy Approach for Oral and Pharyngeal Access \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### This approach allows access to the oral cavity and pharynx for excision of mucosal and submucosal tumors. ### In conjunction with a transcervical extension, this approach ... Local Anesthesia for Rigid Endoscopy protocols:Homehead and necl large.png align=center! Local Anesthesia for Rigid Endoscopy \\ # GENERAL CONSIDERATIONS ## The great majority of rigid endoscopy procedures done at the University of Iowa in the early 1980s were done under local anesthesia with sedation administered by the surgeon ... Lower Island Trapezius Flap protocols:Homehead and necl large.png align=center! 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 ... M Mahorner Thyroid Retractor Tray protocols:Homehead and necl large.png align=center! 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 Major Instrument Tray 1, Otolaryngology protocols:Homehead and necl large.png align=center! Major Instrument Tray #1, Otolaryngology Forceps 1 Gruenwald Ear Forceps, Bayonet Shape, 15.8 cm 2 Tissue Forceps, Delicate (Fine Teeth) 1 x 2 Teeth ... Major Instrument Tray 2, Otolaryngology protocols:Homehead and necl large.png align=center! Major Instrument Tray #2, Otolaryngology 1 Tyrell Iris Hook, Sharp, 12.0 cm 2 Skin Hooks, Two Prong, 13.0 cm x 2 mm 2 Joseph ... Maloney Esophageal Bougie Instrument Tray protocols:Homehead and necl large.png align=center! Maloney Esophageal Bougie Instrument Tray 1 Maloney Tapered Mercury Filled Esophageal Bougie 75 cm 20 Fr 22 Fr 24 Fr 26 Fr 28 Fr ... Management of Swallowing Disorders protocols:Homehead and necl large.png align=center! Management of Swallowing Disorders \\ \\ # INDICATIONS ## Swallowing dysfunction (dysphagia) is often associated with patients who have head and neck cancer, as well as patients who are elderly or who have neurological involvement. These instructions ... Management of Xerostomia protocols:Homehead and necl large.png align=center! 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 ... Management Protocols protocols:Homehead and necl large.png align=center! Management Protocols \\ (Click on table heading to resort links alpabetically Mastoid Instrument Tray protocols:Homehead and necl large.png align=center! Mastoid Instrument Tray 2 Schuknecht SelfRetaining Postauricular Mastoid Retractors, 12.7 cm 1 Wullstein Retractor, 12.7 cm, Angled Shafts 2 Richards Adjustable Double Fork Retractors ... Mastoid Pack protocols:Homehead and necl large.png align=center! Steristrips Suction tubing Irrigation pouch Monopolar pencil Maxillary Prostheses protocols:Homehead and necl large.png align=center! 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 surgery or trauma. ### The prosthodontist should ... Maxillectomy protocols:Homehead and necl large.png align=center! Maxillectomy \\ \\ \\ # 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 that extend into the hard palate ### As part of the treatment of fulminant invasive ... Medialization Laryngoplasty- Type I Thyroplasty with ePTFE (Gore-Tex) protocols:Homehead and necl large.png align=center! Medialization Laryngoplasty: Type I Thyroplasty With ePTFE (GoreTex®) \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Symptomatic laryngeal paralysis:glottic incompetence associated with incomplete vocal fold approximation #### Dysphonia #### Dysphagia #### Poor cough ... medic alert laryngectomy08.gif Medical Care of the Irradiated Patient protocols:Homehead and necl large.png align=center! Medical Care of the Irradiated Patient \\ \\ # GENERAL CONSIDERATIONS OF RADIOTHERAPY FOR HEAD AND NECK CANCER ## Indications ### Primary radiotherapy #### Definitive course of treatment for earlystage cancer #### Definitive course of treatment for surgically lessassessable sites ... Medical Management of Sinusitis protocols:Homehead and necl large.png align=center! Medical Management of Sinusitis: Acute and Chronic \\ \\ # DIAGNOSIS ## Sinusitis may be clinically defined as the condition manifested by an inflammatory response involving the mucous membranes of the nasal cavity and paranasal sinuses, fluids within ... Melanoma (Evaluation and Management) protocols:Homehead and necl large.png align=center! \\ Melanoma (Evaluation and Management) \\ \\ Univ of Iowa Stage Specific Management per AJCC 6th Edition\ Clinical Stage      (Note 7th edition staging to be implemented January ... Melanoma Pathology Reporting Template protocols:Homehead and necl large.png align=center! Pathology Reporting: \\ Dermatopathology Melanoma Template  Histologic subtype \\ Clark level \\ Breslow thickness \\ Ulceration \\ Regression \\ Mitotic rate \\ Vascular/lymphatic invasion \\ Neurotropism \\ Microsatellites \\ Margins \\ Pathologic stage &nbsp ... melanoma picture 1 melanoma1.jpg align=center! Treatment Summary Micro Neurotology Instrument Tray protocols:Homehead and necl large.png align=center! 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 ... Microendoscopy of Reinke's Space (MERS) protocols:Homehead and necl large.png align=center! Microendoscopy of Reinke's Space (MERS) \\ \\ \\ # Introduction Microendoscopy of Reinke's space is a surgical procedure under development. It is an extension of the 'minithyrotomy' approach to Reinke's space developed by Steve Gray and successfully employed by Randy ... Microscopic Laser Laryngoscopy (CO2) protocols:Homehead and necl large.png align=center! Microscopic Laser Laryngoscopy Surgery (CO2) \\ \\ \\ # GENERAL CONSIDERATIONS ## The addition of a laser component to a procedure automatically increases the complexity of the process. Resources are expended for additional instrumentation, added safety measures, and an extra ... Microsurgery Instrument Tray, Otolaryngology protocols:Homehead and necl large.png align=center! Microsurgery Instrument Tray, Otolaryngology 1 Forceps, S&T, Acland, Dilator, Angled Tip, 43/8 in, 0.2 mm Tip, #STD5AZ or #STD5A 3 Forceps, S&T, Jeweler, Straight, 71/8 in, #STJF318 ... Microvascular Anastomotic Techniques protocols:Homehead and necl large.png align=center! Microsurgical technique Arterial anastomosis (endtoend)   Fibula free flap: peroneal artery to facial artery, 90 nylon, N. Pagedar & J. Hill, 2009. \\ Arterial anastomosis \\ # 80 ... Microvascular Skills Training PUT TEXT HERE !DSC0045.JPG thumbnail Microvascular Surgery General Considerations protocols:Homehead and necl large.png align=center! Microvascular Surgery General Considerations \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### As the ease of performance of microsurgery has increased over the past 10 years, the number of clinical situations suitable for these procedures has increased as well ... Microvascular Surgery Protocols Microvascular Surgery Microvascular Surgery Protocols Home Page Microvascular Surgery Protocols Microvascular Surgery General Considerations Osteocutaneous Scapula Free Flap Radial Forearm Free Flap Rectus Abdominis Free Flap Iliac CrestInternal Oblique Free ... Midas Rex Drill Tray protocols:Homehead and necl large.png align=center! MidasRex Medtronic Platinum Oto Tray 1 Motor, MidasRex Legend Platinum, w/ Lubricant/Diffuser Housing, 12 ft, #PM200 (motor head is platinum in color; no product number visible ... Minor Instrument Tray, Otolaryngology protocols:Homehead and necl large.png align=center! Minor Instrument Tray, Otolaryngology Pickups 1 Gruenwald Ear Forceps, Bayonet Shape, 15.8 cm 2 Paufique Suturing Forceps, 8.7 cm 2 Tissue Forceps, Delicate, 10.1 ... Montgomery Canula protocols:Homehead and necl large.png align=center! Tracheotomy Montgomery Canula example: posterior glottic scarring in patient not 100% trach dependant. (Click image to start gallery slide show Myringotomy Tray protocols:Homehead and necl large.png align=center! Myringotomy Tray 1 Beaver Chuck Handle #3K, 10.1 cm 1 Devon Drape Clamp, 13.3 cm 1 Boucheron Speculum, Round Size #1, 3 mm Size ... N Nasal Irrigation protocols:Homehead and necl large.png align=center! Nasal Irrigation \\ # PURPOSE ## To remove discharge and prevent crusting in the nose. \\ # EQUIPMENT ## To be placed at the bedside: ### Ear bulb syringe (2 oz) or gavage feeding bag ### Saline solution or other irrigants as ordered ... Nasal Prep Tray protocols:Homehead and necl large.png align=center! Nasal Prep Tray 1 Gruenwald Ear Forceps, Bayonet Shape, 15.8 cm 1 Stevens Tenotomy Scissors, Standard Curved, 10.4 cm 1 Vienna Nasal Speculum, Standard ... Nasal Sharp Tray protocols:Homehead and necl large.png align=center! Nasal Sharp Tray 1 Freer Septum Knife, 15.8 cm 1 ea Ballenger Swivel Knife, 3 mm x 19.6 cm, Straight Cutting End, and 4 mm ... Nav Panel nbsp;Iowa Head and Neck Protocols Search: use box at upper right Home For Patients Visiting the Oto Clinic and Hospital protocols:Patient Welcome Medical Information http://wiki.uiowa.edu/display/protocols/Patients For Clinicians Nursing Nurses\(handouts ... Navigation Iowa Head and Neck Protocols Home protocols:Home For Patients For Physicians \\   \Otology/Neurotology  \\   \Laryngology \\   Head and Neck protocols:Head and Neck  \\   \Facial Plastics \\   \Sinus/Rhinology  \\   \Pediatric\\   \General ... Near-Field Laryngectomy Case protocols:Homehead and necl large.png align=center! Case \  Near field laryngectomy for supraglottic cancer.  Total laryngectomy done 5 years after a comprehensive neck dissection (sparing CN XI) and endoscopic laser resection of a supraglottic ... Neck Surgery Protocols Neck Surgery Neck Surgery Protocols Home Page Neck Surgery Protocols Cervical Lymphadenectomy General Considerations Neck Dissection Radical Neck Dissection and Minor Modifications Selective Neck Dissection Posterolateral Neck Dissection Carotid Artery Resection ... Needle Cricothyroidotomy protocols:Homehead and necl large.png align=center! \\ \\ {}Needle cricothyroidotomy{}\1\ http://wiki.uiowa.edu/#ftn1\   This bag is in the oto ER cart should someone need it. This could potentially serve as a bridge for oxygenating a patient with a lost airway while ... Nerve Grafting and Neurorraphy protocols:Homehead and necl large.png align=center! Nerve Grafting and Neurorrhaphy \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Segmental loss of either a sensory or motor nerve is a potential indication for nerve grafting and neurorrhaphy. ### The benefits of a functional nerve graft versus other methods ... Non-Surgical Dental Protocols NonSurgical Preirradiation Dental Evaluation Prechemotherapy Dental Evaluation Maxillary Prostheses Palatal Lifts Nurses nbsp; Nursing Protocols (Click on table heading to resort links alpabetically.) \\ Back to Top #Top Nursing Instrument Guide protocols:Homehead and necl large.png align=center! Nursing Tray Protocols Nursing Tray Protocols Nursing Instrument Guide Home Page Nursing Instrument Guide Acoustic Neuroma Instrument Tray Adenoid Curette Instrument Tray XomedTrease Injection ... Nursing Protocols protocols:Homehead and necl large.png align=center! Nursing Protocols \\ (Click on table heading to resort links alpabetically Nutrition Assessment protocols:Homehead and necl large.png align=center! 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 to assess and provide ... O Obwegeser Retractor Tray 1 protocols:Homehead and necl large.png align=center! Obwegeser Retractor Tray 1 Retractor, ObwegeserRamus, #166, 81/4 in, 6.9 cm x 1 mm, #010106 Obwegeser Retractor Tray 2 protocols:Homehead and necl large.png align=center! 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 ... Olympus Gastrointestinal Videoscope GIF 100 Tray protocols:Homehead and necl large.png align=center! Olympus Gastrointestinal Videoscope GIF 100 Tray Ring Handled Clamps Oral Cavity and Oropharynx Protocols Oral Cavity and Oropharynx Oral Cavity and Oropharynx Protocols Home Page Oral Cavity and Oropharynx Protocols Lip Split with Mandibulotomy Approach for Oral and Pharyngeal Access Lingual Release Approach to the Oral Cavity and Pharynx Segmental and Rim Mandibulectomy Uvulopalatopharyngoplasty Osseointegration Fixture Installation Instrument Tray, Stage I protocols:Homehead and necl large.png align=center! 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 ... Ossoff-Karlan Laryngoscope Instrument Tray protocols:Homehead and necl large.png align=center! OssoffKarlan Laryngoscope Instrument Tray 1 OssoffKarlanJako Adult MicroLaryngoscope, 17.7 cm TL, 14.6 cm WL, 10.6 mm ID, 29.8 mm OD 1 OssoffKarlanJako Adult Light ... Osteocutaneous Fibula Free Flap protocols:Homehead and necl large.png align=center! Osteocutaneous Fibula Free Flap \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications The fibula flap has been used extensively for oromandibular reconstruction. A long segment of bone up to approximately 22 cm is available for harvest ... Osteocutaneous Scapula Free Flap protocols:Homehead and necl large.png align=center! Osteocutaneous Scapula Free Flap \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### The scapula fasciocutaneous flap is now used infrequently due to the emergence of the forearm flap for oral and pharyngeal soft tissue reconstruction. ### The osteofasciocutaneous flap ... Oto Extraction Traya protocols:Homehead and necl large.png align=center! Oto Extraction Tray 1 Trusler Dean Dissecting Scissors, 6¾" 1 Minnesota Retractor, 5½" 2 Shearer Retractors, 5¼" 1 Clev Dent Elevator, #301, 5¾" 1 ... Oto Silverglide Bipolar Tray 2 Test protocols:Homehead and necl large.png align=center! PUT TEXT HERE DELETE THIS BOX Otology - Neurotology Otology Neurotology Otology Neurotology Home Page Otology Neurotology Carcinoma of External Auditory Canal and Middle Ear Jugular Foramen Tumors Acoustic Neuromas Canal Wall Reconstruction (Mastoidectomy) Canal Wall Reconstruction (Mastoidectomy) Temporal Bone Resection ... Otology and Neurotology Surgical Protocols \\ (Click on table heading to resort links alpabetically.) \\ \\ Back to Top #Top \\ \\ Treatment Protocols \\ Back to Top #Top \\ \\ Management Protocols \\ Back to Top #Top Our Story Our Story Protocols History Forwards Preface P Padgett Dermatome Instrument Tray protocols:Homehead and necl large.png align=center! BAD Link Palatal Lifts protocols:Homehead and necl large.png align=center! 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 exhibiting hypernasality secondary to velopharyngeal incompetence ... Palate-Pharyngeal Tray protocols:Homehead and necl large.png align=center! PalatePharyngeal Tray 1 Gruenwald Ear Forceps, Bayonet Shape, 15.8 cm 1 PottsSmith Dressing Forceps, 24.1 cm Serrated Tip 2 Adson Tissue Forceps Special, Delicate ... Panendoscopy protocols:Homehead and necl large.png align=center! Panendoscopy \\ \\ # GENERAL CONSIDERATIONS ## Definitions ### "Panendoscopy" of the head and neck refers to combined rhinoscopy, nasopharyngoscopy, inspection of the oral cavity and oropharynx, direct laryngoscopy and hypopharyngoscopy, esophagoscopy, and bronchoscopy. Most cases of squamous cell ... Panendoscopy for Nurses and Patients protocols:Homehead and necl large.png align=center! Panendoscopy University of Iowa Hospitals and Clinics MedicalSurgical Services I Nursing Division Otolaryngology Head and Neck Surgery Clinic TO THE PATIENT HAVING A PANENDOSCOPY This booklet is designed to help you know what ... Panendoscopy Pack protocols:Homehead and necl large.png align=center! Suction tubing Fred telfa irrigating basin abbocath syrings Panendoscopy Room Setup protocols:Homehead and necl large.png align=center! Panendoscopy Room Setup \\ \\ EQUIPMENT Operating room table in reverse orientation with arm boards Audiovideo unit (for telescope) Telescope camera Fiberoptic luminator (scope compatible light source) Double shelf ... Paranasal Sinus Surgery Protocols Paranasal Sinus Surgery Paranasal Sinus Surgery Protocols Home Page Paranasal Sinus Surgery Protocols Facial Degloving Approach LeFort I Approach Transpalatal Approach to Nasopharynx Maxillectomy Juvenile Nasopharyngeal Angiofibroma Anterior Craniofacial Resection with Formal ... Parathyroidectomy protocols:Homehead and necl large.png align=center! Parathyroidectomy \\ \\ \\ # Protocol Under Development Parotid Sialogram - Sialectasis protocols:Homehead and necl large.png align=center! \\ Left Parotid Sialogram Image taken after removal of angiocath: Irregularity and dilatation of intra and extraglandular parotid duct suggestive of sialectasis protocols:Sialectasis. Persistent 4 cm long distal duct ... Parotidectomy protocols:Homehead and necl large.png align=center! Parotidectomy \\ \\ # ROUTINE PREOPERATIVE TEACHING OF THE ADULT PATIENT ## Objective: ### Patient/family will verbalize understanding of routine preoperative instructions. ## Content: ### Refer to clinic policy Routine Preoperative Teaching for the Adult Patient. \\ # DIET ... Parotidectomy with Facial Nerve Dissection protocols:Homehead and necl large.png align=center! Parotidectomy with Facial Nerve Dissection \\ \\ # GENERAL CONSIDERATIONS \\ ## Indications ### Parotid neoplasm: The presence of an unexplained mass in the parotid gland warrants consideration for parotidectomy to be done both for diagnosis and treatment. ### Chronic parotitis ... Pathology Teaching Modules Pathology Teaching Modules \\ Pathology Teaching Modules Management Home Page protocols:Pathology Teaching Modules \\ Thyroid Pathology Teaching Module Thyroid Pathology Teaching Module Salivary Gland Pathology Teaching Module Salivary Gland Pathology Teaching ... Patient Teaching and Education Information Nursing Protocols Patient Teaching/Education Information Patient Teaching/Education Information Home Page Patient Teaching and Education Information Nursing Protocols Routine Preoperative Teaching for the Adult Patient Endoscopy Head and Neck Cancer Surgery Total Laryngectomy (Nursing) Parotidectomy ... Patient Welcome protocols:Homehead and necl large.png align=center! \\ How to get to University of Iowa Hospitals http://www.uihealthcare.com/infofor/patients/directions/regionalmap.html http://www.uihealthcare.com/infofor/patients/directions/regionalmap.html  Parking Ramps at University of Iowa Hospitals (UIHC ... Patients Nursing and Home Care Protocols and Instructions PDFs home protocols:Homehead and necl large.png align=center! needed code: link alias pagetitleattachment.ext Pectoralis Major Myocutaneous Flap and Myofascial Flap protocols:Homehead and necl large.png align=center! Pectoralis Major Myocutaneous Flap and Myofascial Flap \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### The pectoralis major myocutaneous flap and myofascial flap variation are utilized in a large variety of head and neck reconstructive procedures that can ... Pediatrics Surgical Protocols \\ (Click on table heading to resort links alpabetically.) \\ \\ Back to Top #Top \\ \\ Treatment Protocols (Click on table heading to resort links alpabetically.) \\ Back to Top #Top Pedicled Flaps Protocols Pedicled Flaps Pedicled Flaps Protocols Home Page Pedicled Flaps Protocols Deltopectoral Flap Pectoralis Major Myocutaneous Flap and Myofascial Flap Lower Island Trapezius Flap Platysma Flap Temporoparietal Fascia Flap Anterior Pericranial and GaleofrontalisPericranial ... Pharmacotherapy for Recurrent Respiratory Papillomatosis protocols:Homehead and necl large.png align=center! Pharmacotherapy for Recurrent Respiratory Papillomatosis (RRP) \\  \\ # GENERAL CONSIDERATIONS \\ ## Indication ### Patient with moderate to severe recurrent respiratory papillomatosis requiring frequent excisions of papillomas (at least three annually)  agree to undergo ... Physicians Surgical Protocols \\ (Click on table heading to resort links alpabetically.) \\ \\ Back to Top #Top \\ \\ Dental Protocols (Click on table heading to resort links alpabetically.) \\ Back to Top #Top \\ Management Protocols (Click on table heading to resort links alpabetically ... picture head and necl large.png align=center Platysma Flap protocols:Homehead and necl large.png align=center! 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, depending ... Plunging Ranula protocols:Homehead and necl large.png align=center! Under construction see photos below # GENERAL CONSIDERATIONS ## Consideration 1 (Indications) ### SubCon #### Subsubcon ## Consideration 2 (Contraindications) ### Sub Con \\ # PREOPERATIVE PREPARATIONS ## Consideration 1 (Evaluation) ### SubCon #### Subsubcon ... Polyps Nodules Cysts protocols:Homehead and necl large.png align=center! under constructions (photos/videos in place) # GENERAL CONSIDERATIONS ## Polyps ## Nodules ## Cysts # PREOPERATIVE PREPARATIONS ## Voice Evaluation (see Voice Clinic protocols:The Voice Clinic) \\ # NURSING CONSIDERATIONS ## as per Suspension ... Posterior Glottic Stenosis protocols:Homehead and necl large.png align=center! Posterior Glottic Stenosis \\   # GENERAL CONSIDERATIONS ## Definitions ### 'Posterior glottis' (1): #### Posteior 1/3 of vocal cords (cartilaginous) #### posterior commissure with interarytenoid muscle #### cricoid lamina #### cricoartyenoid joints #### arytenoids ... Posterolateral Neck Dissection protocols:Homehead and necl large.png align=center! Posterolateral Neck Dissection \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Elective treatment of the N0 neck at significant risk for regional metastasis due to primary malignant skin tumors located posterior to a coronal plane through ... Postoperative Neck Dissection Shoulder Dysfunction protocols:Homehead and necl large.png align=center! 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 strength in postoperative neck ... Pre-irradiation Dental Evaluation protocols:Homehead and necl large.png align=center! PreIrradiation 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 teeth whose lifelong prognoses are questionable, as the extraction ... Prechemotherapy Dental Evaluation protocols:Homehead and necl large.png align=center! 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 complications secondary to the stomatotoxic and hematotoxic ... Preface Preface The Iowa Head and Neck Protocols organizes diagnostic and management preferences in an accessible manner. The protocols are constructed in outline form to provide a brief and directed approach to diseases of the head and neck. The protocols should be considered helpful guidelines reflecting biases ... Prep and Drape for Free Flap protocols:Homehead and necl large.png align=center! Delete Unneeded Copy and paste extras Indenting and outdenting in richtext should work as well # GENERAL CONSIDERATIONS ## Consideration 1 (Indications) ### SubCon #### Subsubcon ## Consideration 2 (Contraindications) ### Sub Con \\ # PREOPERATIVE ... Preservation of branch of Great Auricular Nerve protocols:Homehead and necl large.png align=center! Tail of parotid 1.3 cm pleomorphic adenoma resected with clear margins. Note retrograde dissection of the facial nerve permitted limiting the extent of the skin incision and parotid dissection. (click on photos to enlarge ... Protocols and Procedures Nursing Protocols Protocols/Procedures Nursing Protocols Home Page Protocols and Procedures Nursing Protocols Nutrition Assessment Tobacco Cessation Tracheotomy Description of Tracheostomy Tubes and Appliances Tracheostomy Site Care TieDressing Care and Inner Cannula Care Use of Tracheostomy Tube ... Protocols Page Title Index protocols:Homehead and necl large.png align=center Q R Radial Forearm Free Flap protocols:Homehead and necl large.png align=center! Radial Forearm Free Flap \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### The forearm flap has been used for just about everything imaginable in the area of head and neck reconstruction. Currently, we prefer this flap ... Radical Neck Dissection and Minor Modifications protocols:Homehead and necl large.png align=center! Comprehensive Neck Dissection (Levels I V) (Radical Neck Dissection and Modifications Sparing Cranial Nerve XI, Sternocleidomastoid Muscle and/or Internal Jugular Vein) \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Comprehensive neck ... Reconstruction After Total Laryngectomy (Gastric Pull-Up) protocols:Homehead and necl large.png align=center! Gastric PullUp Reconstruction AfterTotal Laryngopharyngectomy \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Oncologic #### Need for total laryngopharyngectomy #### Extensive hypopharyngeal cancers #### Extensive laryngeal cancers with hypopharyngeal extension #### Surgical treatment of stomal recurrence ... Reconstructive Procedures Protocols Reconstructive Procedures Reconstructive Procedures ProtocolsHome Page Reconstructive Procedures Protocols Calvarial Bone Graft Coronal Approaches to the Upper Facial Skeleton Sural Nerve Graft Harvest Fascia Lata Harvest Extraoral Osseointegration Buccal Mucosa Graft for Urethral ... Rectus Abdominis Free Flap protocols:Homehead and necl large.png align=center! Rectus Abdominis Free Flap \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### With the increased use of the forearm flap for intraoral and pharyngeal reconstruction, the rectus has been relegated to a secondline choice for reconstruction of these areas. The flap may ... Recurrent Vocal Fold Polyp In-Clinic Treatment protocols:Homehead and necl large.png align=center! \\ 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 ... Retractor Tray, Large protocols:Homehead and necl large.png align=center! 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 ... Retractor Tray, Small protocols:Homehead and necl large.png align=center! 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 ... Rhino-Laryngo Fiberscope, Olympus Model protocols:Homehead and necl large.png align=center! RhinoLaryngo Fiberscope, Olympus Model Olympus RhinoLaryngo Fiberscope Model ENF/Type P, 3.7 mm OD, 300 mm WL, 475 mm TL (vm Rhinoplasty Instrument Tray protocols:Homehead and necl large.png align=center! Rhinoplasty Instrument Tray 1 TebbettsMaxwell Septal Coagulating Forceps, 15.2 cm 1 Tebbetts Micro Diamond Jaw Delicate Tissue Forceps, 12.0 cm, 0.5 mm and 0.9 mm ... Rib Resection Tray, Adult protocols:Homehead and necl large.png align=center! 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 ... Rongeur Tray, Large protocols:Homehead and necl large.png align=center! 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 ... Rongeur Tray, Small protocols:Homehead and necl large.png align=center! Rongeur Tray, Small 1 Beyer Rongeur Forceps, 17.7 cm Long 1 Citelli Rongeur Shaft, 6.9 cm, Handle 14.6 cm 1 KerrisonCosten Rongeur Curved Handle ... Routine Preoperative Teaching for the Adult Patient protocols:Homehead and necl large.png align=center! 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. \\ # POLICY ## Inform outpatients during ... S Salivary Gland Pathology Teaching Module Acinic Cell Adenocarcinoma Acinic Cell Adenocarcinoma Under Construction.pdf Adenoid Cystic Carcinoma Adenoid Cystic Under Construction.pdf Mucoepidermoid Carcinoma Mucoepidermoid Carcinoma Under Construction.pdf Pleomorphic Adenoma Pathology of Pleomorphic Adenoma.pdf Warthin Tumor WT.pdf (see ... Salivary Gland Surgery Protocols Salivary Gland Surgery Salivary Gland Surgery Protocols Home Page Salivary Gland Surgery Protocols Parotidectomy with Facial Nerve Dissection Submandibular Gland Resection Nerve Grafting and Neurorraphy Facial Reanimation Botox Injection for Freys Syndrome Sialendoscopy ... Salivary Swelling protocols:Homehead and necl large.png align=center! Salivary Swelling (Parotid and Submandibular Glands) \\   # Differential Diagnosis ## Obstructive Sialadenitis ### Sialolithiasis protocols:Sialolithiasis (salivary stones) ### Ductal stenosis (stricture or narrowing of drainage tubes) ### Sialectasis protocols:Sialectasis ... Scans After Thyroidectomy protocols:Homehead and necl large.png align=center! 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 ... Segmental and Rim Mandibulectomy protocols:Homehead and necl large.png align=center! Segmental and Rim Mandibulectomy \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### The decision to perform either segmental or rim (either horizontal or lingual plate) resection of the mandible has attracted much attention in the literature over the last ... Selective Neck Dissection protocols:Homehead and necl large.png align=center! Selective Neck Dissection \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Elective treatment of N0 neck with significant risk of regional metastasis. See Table IIIE1 (PDF PDFs Home LocationAndSize Of PrimaryTumors.pdf) and Cervical Lymphadenectomy ... Sentinel Lymph Node Biopsy protocols:Homehead and necl large.png align=center! Sentinel Lymph Node Biopsy \\ # GENERAL CONSIDERATIONS ## INDICATIONS ### Malignant melanoma (see TNM specific indications at: Melanoma (Evaluation and Management) protocols:Melanoma (Evaluation and Management) #### Greater than 1mm (?0.75 ... Setup and Pack Index protocols:Homehead and necl large.png align=center! Setup and Pack Index Setup and Pack Index Basic Soft Tissue Room Setup Panendoscopy Room Setup Free Flap Room Setup Sinus Room Setup Basic Soft Tissue ... Sialectasis protocols:Homehead and necl large.png align=center! 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 associated with pain ... Sialendoscopy protocols:Homehead and necl large.png align=center! Sialendoscopy  Note excellent resources for information and training in Salivary Disorders and Sialendoscopy: European Sialendoscopy Training Center http://www.sialendoscopy.com/ \\  Established multidisciplinary society designed to advance the science of Salivary ... sialendoscopy picture 1 sialendoscopy1roomsetupsialendoscopy.jpg align=center! Sialendoscopy Room Setup make sure excerptinclude code looks like sialendoscopy picture 2 sialendoscopy2IMG0454000.JPG align=center! Luminus Holmium Laser Settings make sure excerptinclude code looks like Sialendoscopy Tray Sialendoscopy Instrument Tray 1 Angled serrated dissecting forceps 1 Angled tissue forceps  1 Delicate scissors angled with ball end 1 Salivary duct dilator 3 Bowman lacrymal probes (1/2, 3/4, 5/6 ... Sialendoscopy Traya protocols:Homehead and necl large.png align=center Sialolithiasis protocols:Homehead and necl large.png align=center! Sialolithiasis \\ # GENERAL CONSIDERATIONS ## Definition:  Sialolithiasis = "Salivary stone"      (see also: Salivary Swelling http://wiki.uiowa.edu/display/protocols/SalivarySwelling) ###  Sialolith ... Sinoscopy Instrument Basket protocols:Homehead and necl large.png align=center! 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 ... Sinoscopy Instrument Tray protocols:Homehead and necl large.png align=center! Sinoscopy Instrument Tray 1 Handle, Knife, #3, 5 in 1 Forceps, Kelly, Straight, 5.5 in 1 ea Microfrance Antrostomy PushPull, 7 mm and 9 mm 2 Gruenwald ... Sinoscopy Telescope Instrument Basket protocols:Homehead and necl large.png align=center! Sinoscopy Telescope Instrument Basket 1 Eustachian Catheter, 12 cm Long Size 1 Size 2 Size 3 1 (Storz) Hopkins Telescope, ForwardOblique 30°, Wide Angle ... Sinus and Rhinology Surgical Protocols \\ (Click on table heading to resort links alpabetically.) \\ \\ Back to Top #Top \\ \\ Management Protocols \\ (Click on table heading to resort links alpabetically.) \\ Sinusitis Management Medical Management of Sinusitis \\ Back to Top #Top \\ \\ Treatment Protocols (Click ... Sinus Room Setup protocols:Homehead and necl large.png align=center! 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 ... Sinus Tray protocols:Homehead and necl large.png align=center! Sinus Tray 1 Gruenwald Ear Forceps, Bayonet Shape, 15.8 cm 1 Hartman Nasal Dressing Forceps, 19.0 cm 1 Knife Handle #7, 16.5 cm 1 ... Sjogren's Syndrome Sjogrens Syndrome FoundationSjogrens Syndrome Foundation !protocols:Homehead and necl large.png align=center! # Sjogren's Syndrome: ## Autoimmune disorder classically characterized by xerostomia and xerophtalmia (keratoconjunctivitis sicca KCS) ### Variable clinical presentation #### Peripheral neuropathy #### Pulmonary insufficiency #### Joint ... Skin Graft Donor Site Care protocols:Homehead and necl large.png align=center! Skin Graft Donor Site Care \\ \\ # PURPOSE ## To outline care of the transparent film dressing used in the treatment of split thickness skin graft donor sites. \\ # EQUIPMENT ## Fluid aspiration: ### 20gauge sterile ... Speech Pathologists nbsp; Management Protocols \\ (Click on table heading to resort links alpabetically.) \\ \\ Surgical Protocols \\ (Click on table heading to resort links alpabetically.) \\ \\ Back to Top #Top Sphenoid Punch Tray protocols:Homehead and necl large.png align=center! Sphenoid Punch Tray 1 Gruenwald Nasal Punch, Oval Size #3, 13.8 cm 1 Wagner Antrum Punch, Forward, Small 13.9 cm and Large 13.9 cm 1 ... Squamous Cell Carcinoma (Evaluation and Management) protocols:Homehead and necl large.png align=center! 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 obstruction, carotid ... Squamous Cell Carcinoma Metastatic to Neck protocols:Homehead and necl large.png align=center! 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 metastasis from a primary ... Stage IA T1aN0M0 no adverse features Breslow ≤ 1mm T1a no ulceration (U-) Clark level ≤ III protocols:Homehead and necl large.png align=center! Stage IA   T1aN0M0         no adverse features Breslow     ≤ 1mm T1a: no ulceration (U), Clark level ... Stage IA T1aN0M0 with adverse features mitotic rate greater than 1 mm2, LVI Breslow ≤ 1mm T1a no ulceration (U-), Clark level ≤ III protocols:Homehead and necl large.png align=center! Stage IA   T1aN0M0          \\ adverse features: mitotic rate >1 mm2, LVI Breslow     ≤ 1mm ... Stage IB T1bN0M0 Breslow ≤ 1mm T1b with ulceration or Clark level IV or V protocols:Homehead and necl large.png align=center! Stage IB T1bN0M0 Breslow     ≤ 1mm T1b:with ulceration or Clark level IV or V Margins Mohs? SLN bx PET CT Radiation Adjuvant ESMO 1 ... Stage IB T2aN0M0 Breslow 1.01-2.0 mm T2a no ulceration protocols:Homehead and necl large.png align=center! 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 \comment ... Stage IIA T2bN0M0 Breslow 1.01-2.0 mm T2b with ulceration protocols:Homehead and necl large.png align=center! 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 \comment ... Stage IIA T3aN0M0 Breslow 2.01-4.0 mm T3a no ulceration protocols:Homehead and necl large.png align=center! 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 \comment: margins are not inviolate ... Stage IIB T3bN0M0 Breslow 2.01-4.0 mm T3b with ulceration protocols:Homehead and necl large.png align=center! 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 \comment: margins are not inviolate ... Stage IIB T4aN0M0 Breslow more than 4.0 mm T4a no ulceration protocols:Homehead and necl large.png align=center! 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 \comment ... Stage IIC T4bN0M0 Breslow more than 4.0 mm T4b with ulceration protocols:Homehead and necl large.png align=center! 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 \comment ... Stage III T - any known N - positive M - 0 protocols:Homehead and necl large.png align=center! 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 ... Stage III T - unknown primary N - positive M - 0 protocols:Homehead and necl large.png align=center! # GENERAL CONSIDERATIONS "UNKNOWN PRIMARY" = T0 N>0 ## Staging (6th edition AJCC Cancer Staging Manual) ### T0 = No evidence of primary tumor ### N1 Metastasis in one lymph node #### N1a ... Stage IV T - any N - any M - 1 protocols:Homehead and necl large.png align=center! 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 ... Standard Positioning protocols:Homehead and necl large.png align=center! 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 ... Stapedectomy PUT TEXT HERE DELETE THIS BOX Storz 0-Degree Telescope 4x30 Pediatric 48 Tray protocols:Homehead and necl large.png align=center! Storz® 0° Telescope 4x30 Pediatric 48 Tray 1 Telescope, StorzHopkins, Straight 0°, 4 mm x 30 cm, #27015A or #27005AA Storz 0-Degree Telescope 5.5 Wide-Angle 48A Tray protocols:Homehead and necl large.png align=center! Storz 0° Telescope 5.5 WideAngle 48A Tray 1 Telescope, StorzHopkins, Straight 0°, 5.5 mm x 8 in, #8700A Storz 30-Degrees Telescope 4x30 Pediatric 42 Tray protocols:Homehead and necl large.png align=center! Storz 30° Telescope 4x30 Pediatric 42 Tray 1 Telescope, StorzHopkins, 30°, 4 mm x 30 in, #27015B Storz 70-Degrees Telescope 4x30 Pediatric 45 Tray protocols:Homehead and necl large.png align=center! Storz 70° Telescope 4x30 Pediatric 45 Tray 1 Telescope, StorzHopkins, 70°, 4 mm x 30 in, #27015C or #27005CA Storz Bronchoscopy 40 cm Adolescent 11A Tray protocols:Homehead and necl large.png align=center! Storz Bronchoscopy 40 cm Adolescent #11A Tray 1 Scissors, Mayo, Dissecting, Straight, 51/2 Storz Bronchoscopy 43 cm Adolescent 11B Tray protocols:Homehead and necl large.png align=center! Storz Bronchoscopy 43 cm Adolescent #11B Tray 1 Scissors, Mayo, Dissecting, Straight, 51/2 Streaming media server protocols:Homehead and necl large.png align=center! We might want to put the videos on the streaming media server, rather than attach them to the page. That way we can run them through our own player, for consistent look ... Subglottic stenosis protocols:Homehead and necl large.png align=center!  For video/photos click on: Subglottic Stenosis Example Cases protocols:Subglottic Stenosis Example Cases          &nbsp ... Subglottic Stenosis - Example Cases protocols:Homehead and necl large.png align=center! Idiopathic (? reflux related) Subglottic Stenosis Case #1 57 yo female with progressive shortness of breath beginning in 2001 with treatment for 'idiopathic subglottic stenosis' employing flexible fiberoptic Yag laser ... Subglottic Stenosis - Upper Tracheal Stenosis CRE Balloon Dilation protocols:Homehead and necl large.png align=center!  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 ... Submandibular Gland Resection protocols:Homehead and necl large.png align=center! Submandibular Gland Excision \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Recurrent sialadenitis (infection) or obstructive sialodocholithiasis (salivary stones) ### Sialorrhea (drooling) ## Contraindication ### Suspicion of tumor: Removal of the gland should not be done as a "biopsy" to rule ... Submental Flap protocols:Homehead and necl large.png align=center! # GENERAL CONSIDERATIONS ## Indications ### The submental flap may be used for intraoral reconstruction and repair of cutaneous facial defects. ### Advantages of a submental flap include its minimal donor site morbidity; excellent cutaneous ... suction control vent laryngectomy03.gif align=center! Fig. V.D.1.3. Thumb off the Suction Control Vent Suctioning of Tracheostomy Tube protocols:Homehead and necl large.png align=center! 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 solution ... Supracricoid Laryngectomy with Cricohyoidopexy and Cricoepiglottopexy protocols:Homehead and necl large.png align=center! Supracricoid Laryngectomy withCricohyoidopexy and Cricoepiglottopexy \\ \\ \\ # PREOPERATIVE CONSIDERATIONS ## Preoperative Evaluation ### CT of larynx and neck ### Panendoscopy and biopsies ### Assess pulmonary functions as per supraglottic laryngectomy ## Indications ### Supraglottic lesions with ventricle extension ... Supraglottic Laryngectomy protocols:Homehead and necl large.png align=center! Supraglottic Laryngectomy orHorizontal Partial Laryngectomy \\ \\ \\ # GENERAL CONSIDERATIONS ## Definitions ### Supraglottic laryngectomy or horizontal partial laryngectomy is an operation to remove the epiglottis, false vocal cords, and superior half of the thyroid cartilage ... Supraglottic Swallow protocols:Homehead and necl large.png align=center! repeat from swallowindisorder (vm Sural Nerve Graft Harvest protocols:Homehead and necl large.png align=center! Sural Nerve Graft Harvest \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Segmental loss of a motor or sensory nerve with viable distal and proximal segments accessible for grafting. ## Contraindications ### Absence of viable motor units in the end ... Surgical Dental Protocols Surgical Intermaxillary Fixation Erich Arch Bars Ivy Loops Tooth Extraction with Alveoplasty Surgical Protocols protocols:Homehead and necl large.png align=center! Surgical Protocols \\ (Click on table heading to resort links alpabetically Suspension Microlaryngoscopy protocols:Homehead and necl large.png align=center! Suspension Microlaryngoscopy (With and Without Laser) \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Suspected or known malignancy #### Laryngeal lesions that require precise staging and anatomic localization \\ ##### Concepts: ###### A large biopsy of a cancer to be treated with irradiation is more ... Swallowing Disorders Management Protocols Swallowing Disorders Clinical Bedside Swallowing Assessment Oropharyngeal Motility Study Report PDFs Homeoropharyngeal motility study report.pdf Fiberoptic Endoscopic Examination of Swallowing (FEES) Fiberoptic Endoscopic Examination of Swallowing (FEES) Management of Swallowing Disorders Supraglottic Swallow ... T Temporal Bone Resection protocols:Homehead and necl large.png align=center! Under construction (begun 110309) # GENERAL CONSIDERATIONS ## Consideration 1 (Indications) ### SubCon #### Subsubcon ## Consideration 2 (Contraindications) ### Sub Con \\ # PREOPERATIVE PREPARATIONS ## Consideration 1 (Evaluation) ### SubCon #### Subsubcon ## Consideration ... Temporoparietal Fascia Flap protocols:Homehead and necl large.png align=center! Temporoparietal Fascia Flap \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### If harvested to the midline, the temporoparietal flap provides a thin wellvascularized fascial flap that is easily rotated to cover orbital defects extending to the nose, cheek defects ... test The Protocols Contributing Authors \\ \\ Part I: Management Protocols \\ (Click on table heading to resort links alpabetically.) \\ \\ Back to Top #Top \\ \\ Part II: Treatment Protocols \\ (Click on table heading to resort links alpabetically.) \\ \\ Back to Top #Top \\ \\ Part III ... The Voice Clinic protocols:Homehead and necl large.png align=center! The Voice Clinic # 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: ### Determine the cause of the voice problem and make appropriate recommendations ... Thumb Covering the Suction Control Vent to Suction larygectomy04.gif align=center! Fig. V.D.1.4. Thumb Covering the Suction Control Vent to Suction Thyroglossal Duct Cyst Excision protocols:Homehead and necl large.png align=center! Thyroglossal Duct Cyst Excision \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Infection ### Mass effect (dysphagia, dyspnea, pain) ### Cosmetic ## Contraindications ### Acute infection (treat prior to excision) ### No other functional thyroid tissue ... Thyroid Cancer (Evaluation and Management) protocols:Homehead and necl large.png align=center! Thyroid Cancer (Evaluation and Management) "It is imprudent to be dogmatic in discussing the management of thyroid cancer. The literature is controversial and confusing, and support can be found for almost any modality of treatment." P Ward, MD \\ \\ but \\ \\ "It is helpful ... Thyroid cancer invading the trachea protocols:Homehead and necl large.png align=center! Thyroidectomy for carcinoma invading the trachea # GENERAL CONSIDERATIONS ## The principles follow from standard thyroid cancer surgery. The goal of the operation is removal of all disease, with modification of this goal keeping in mind the morbidities ... Thyroid Pathology Teaching Module nbsp; Papillary Thyroid Cancer Pathology of Papillary Thyroid Carcinoma.pdf Follicular Thyroid Cancer Follicular Thyroid Carcinoma Under Construction.pdf  Medullary Thyroid Cancer Pathology of Medullary Thyroid Carcinoma.pdf (See Thyroidectomy protocols:Thyroidectomy and Thyroid Cancer ... Thyroidectomy protocols:Homehead and necl large.png align=center! Thyroidectomy \\ \\ # ROUTINE PREOPERATIVE TEACHING OF THE ADULT PATIENT ## Objective: ### Patient/family will verbalize understanding of routine preoperative instructions. ## Content: ### Refer to clinic policy Routine Preoperative Teaching for the Adult Patient. \\ # DIET ... Thyroidectomy and Thyroid Lobectomy protocols:Homehead and necl large.png align=center! Thyroidectomy and Thyroid Lobectomy \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### The indications for thyroidectomy or lobectomy vary from surgeon to surgeon and institution to institution. Local management practices, referral patterns, patient factors, and the reliability of cytologic ... Tobacco Cessation protocols:Homehead and necl large.png align=center! Tobacco Cessation \\ \\ # PURPOSE ## To identify and facilitate tobacco cessation interventions for patients in the OtolaryngologyHead and Neck Surgery Clinic \\ # PROCEDURE ## Tobacco status will be identified and documented as a fifth vital sign. ## All patients identified ... Toluidine Blue Vital Staining protocols:Homehead and necl large.png align=center! 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 with an index ... Tonsillectomy Tray protocols:Homehead and necl large.png align=center! Tonsillectomy Tray 1 Cushing Dressing Forceps, 17.7 cm, Finely Serrated Jaw 1 Cushing Tissue Forceps, Fine 17.7 cm 1 Knife Handle #7, 16.5 cm ... Tooth Extraction with Alveoplasty protocols:Homehead and necl large.png align=center! Tooth Extraction With Alveoloplasty \\ \\ # INDICATIONS ## Caries/Periodontal Disease ## Infection/Abscess ### Periapical pathosis ### Osteomyelitis ## Trauma ### Dentoalveolar: nonsalvageable ### Mandibular: tooth in line of fracture ## Tumors ### Benign ### Malignant ### Prevention of osteoradionecrosis ... Total Laryngectomy protocols:Homehead and necl large.png align=center! \\ Total Laryngectomy  (see also Laryngopharyngectomy protocols:Laryngopharyngectomy)\\ \\   GENERAL CONSIDERATIONS ## Indications ### Oncologic #### Advanced laryngeal squamous cell carcinoma with extensive cartilage erosion ### Oncologic, with consideration of previous treatment ... Total Laryngectomy Counselling (Speech Pathology) protocols:Homehead and necl large.png align=center!\\ \\ ROUTINE PREOPERATIVE TEACHING OF THE ADULT PATIENT  \\ \Click here for a word document of this page\Total Laryngectomy (Speech Pathology) Iowa Protocols TL consult.doc Objective: \ Patient/family will verbalize understanding of anatomical ... Trachea Surgical Protocols Trachea Trachea Surgical Protocols Home Page Trachea Surgical Protocols Tracheotomy Tracheostomy Tracheotomy Tracheostomy Laryngotracheal Reconstruction with Costal Cartilage Grafting Tracheal Sleeve Resection with Suprahyoid and Infrahyoid Release Fourflap Epithelial Lined Tracheotomy Fourflap Epithelial ... tracheal sleeve picture 1 tracheal sleeve 1 trach resect.jpg align=center! make sure excerptinclude code looks like Tracheal Sleeve Resection with Suprahyoid and Infrahyoid Release protocols:Homehead and necl large.png align=center! Transcervical Tracheal Sleeve Resection With Suprahyoid and Infrahyoid Release \\ \\ # GENERAL CONSIDERATIONS ## Indications A separate protocol addresses the issue of upper tracheal stenosis involving the subglottic area. This protocol is written to address the problem ... Tracheo-cutaneous fistula closure PROCEDURE: 1 Local anesthetic is injected into the surgical site and lidocaine is sprayed into the trachea via the fistula. 2 The patient is prepped and draped in a normal sterile fashion after placement in a semi recumbent position.  3 Using a #15 blade, an ... Tracheoesophageal Puncture protocols:Homehead and necl large.png align=center! Tracheoesophageal Puncture (Under Local Anesthesia and Under General Anesthesia) \\ GENERAL CONSIDERATIONS Voice production after total laryngectomy may be effected by mechanical means through an electrolarynx or vibration as air ... Tracheoesophageal Puncture-TEP video protocols:Homehead and necl large.png align=center Tracheostomy protocols:Homehead and necl large.png align=center! Tracheostomy \\ \\ # ROUTINE PREOPERATIVE TEACHING OF THE ADULT PATIENT ## Objective: ### Patient/family will verbalize understanding of routine preoperative instructions. ## Content: ### Refer to clinic policy Routine Preoperative Teaching for the Adult Patient. \\ # ALTERED ... Tracheostomy Home Care Booklet protocols:Homehead and necl large.png align=center! TRACHEOSTOMY HOME CARE The University of Iowa UIHC Hospitals and Clinics Department of Nursing The University of Iowa Hospitals and Clinics Iowa City, Iowa Department of OtolaryngologyHead and Neck Surgery (319) 3563574 Weekends ... tracheostomy picture 1 tracheostomy1.gif align=center! Fig V.B.3.1 Outer Cannula tracheostomy picture 10 tracheostomy10.gif align=center! Fig. V.B.3.10 Tadaptor tracheostomy picture 11 tracheostomy11.gif align=center! Fig. V.B.3.11 Stoma vent or tracheostomy vent tracheostomy picture 12 tracheostomy12.gif align=center! Fig. V.B.3.12 Tracheostomy tube cork tracheostomy picture 2 tracheostomy2.gif align=center! Fig V.B.3.2 Obturator tracheostomy picture 3 and 4 tracheostomy3.gif align=center! !tracheostomy4.gif align=center! Fig. V.B.3.3 Inner cannula Fig. V.B.3.4 Loré inner cannula tracheostomy picture 5 tracheostomy5.gif align=center! Fig. V.B.3.5 Shiley low pressure tube tracheostomy picture 6, 7 and 8 tracheostomy6.gif align=center! !tracheostomy7.gif align=center! !tracheostomy8.gif align=center! Fig. V.B.3.6 Fenestrated tracheostomy tube Fig. V.B.3.7 Inner canals Fig.V.B.3.8 Decannulation cannula tracheostomy picture 9 tracheostomy9.gif align=center! Fig. V.B.3.9 Pediatric tracheostomy tube Tracheostomy Site Care - Tie-Dressing Care and Inner Cannula Care protocols:Homehead and necl large.png align=center! 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 ... Tracheotomy - Tracheostomy protocols:Homehead and necl large.png align=center! Tracheotomy/Tracheostomy \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### In combination with other head and neck procedures where postoperative airway obstruction (edema or other) is a concern. ### As an alternative to prolonged endotracheal intubation; usually a consideration ... Tracheotomy template protocols:Homehead and necl large.png align=center!  Standardized template for tracheotomy dictation:  (inferiorly based Bjork flap employing third tracheal ring) Informed consent was reviewed. The patient was delivered to the OR and placed in the supine position. The table remained ... Tracheotomy Tray protocols:Homehead and necl large.png align=center! 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 ... Trans-Nasal Esophagoscopy (TNE) protocols:Homehead and necl large.png align=center! Last updated 10:58:01 AM 11/3/2004 by WS & HH Transnasal Esophagoscopy (TNE) \\ \\ # GENERAL CONSIDERATIONS ## Indications ### To evaluate the upper airway and esophagus. ### To assess for structural or physiologic abnormality associated ... Transnasal Endoscopic Vocal Fold Augmentation protocols:Homehead and necl large.png align=center! # {}Transnasal Endoscopic Vocal Fold Augmentation: The indiations 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 more readily ... Transpalatal Approach to Nasopharynx protocols:Homehead and necl large.png align=center! Transpalatal Approach to Nasopharynx (Without Palatal Split) \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Juvenile nasopharyngeal angiofibroma (JNA), stage I ### Small nasopharyngeal tumors ## Contraindications ### Tumors extending lateral to nasopharyngeal sidewalls ... Treatment of Alcohol Withdrawal protocols:Homehead and necl large.png align=center! 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 billion dollars ... Treatment of Alcohol Withdrawal Management Protocols Treatment of Alcohol Withdrawal Treatment of Alcohol Withdrawal Treatment of Stomal Recurrence protocols:Homehead and necl large.png align=center! Treatment of Stomal Recurrence \\ \\ \\ # GENERAL CONSIDERATIONS Stomal recurrence occurs in approximately 3% to 5% of patients following total laryngectomy. The majority of cases present within the first one to two years after ... Treatment Protocols protocols:Homehead and necl large.png align=center! \\ (Click on table heading to resort links alpabetically.) \\ Treatment Protocols Medical Management of Sinusitis: Acute and Chronic Hyperbaric Oxygen Therapy Pharmacotherapy for Recurrent Respiratory Papillomatosis (RRP) Medical Care of the Irradiated ... Trucut Sinoscopy Instrument Tray protocols:Homehead and necl large.png align=center! BenjaminWeerda Diverticuloscope Tray 1 Diverticuloscope, Weerda, 9 in, #12067V 1 Diverticuloscope, HollingerBenjamin, 93/4 in, #12068B 2 Light Carrier, Storz w/ Storz Adapter Attached, #8590GH 1 Tube ... Tuesday protocols:Homehead and necl large.png align=center! Welcome Intros What wiki History simple data base collaborative environment (sciences) Why Wiki Many Hands Tour of Protocols WIki   wiki.uiowa.edu/display/protocols/Home protocols ... U usage protocols:Homehead and necl large.png align=center! \\ \\ Protocols Activity Charts http://wiki.uiowa.edu/spaces/usage/report.action?key=protocols Use of Tracheostomy Tube Cuff protocols:Homehead and necl large.png align=center! Use of Tracheostomy Tube Cuff \\ \\ # PURPOSE ## To form a seal between the tracheostomy tube and tracheal wall to prevent aspiration and/or facilitate effective ventilation with a ventilation bag/mechanical ventilator. \\ # EQUIPMENT ## Mercury manometer ... Uvulopalatopharyngoplasty protocols:Homehead and necl large.png align=center! Uvulopalatopharyngoplasty \\ \\ \\ # GENERAL CONSIDERATIONS ## Indications ### Obstructive sleep apnea (OSA) demonstrated by polysomnography that is refractive to conservative measures (CPAP, positional therapy, dental devices, weight loss) ### Mueller maneuver demonstrates collapse ... V Velopharygeal Diagnostics protocols:Homehead and necl large.png align=center! 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 speechlanguage pathologist may include either videoendoscopy or videofluoroscopy ... video 2 protocols:Homehead and necl large.png align=center! !mers2.wmv width=400px,height=500px Video example protocols:Homehead and necl large.png align=center Videostroboscopy protocols:Homehead and necl large.png align=center! Videostroboscopy \\ # VIDEOSTROBOSCOPY FOR PATIENTS WITHOUT LARYNGEAL TREMOR OR SPASMODIC DYSPHONIA ## Procedure ### The larynx is imaged stroboscopically and recorded on videotape while the patient is instructed to produce a sustained /i/ sound as follows: #### Comfortable loudness ... Vocal Cord Surgery protocols:Homehead and necl large.png align=center! 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 Teaching for the Adult ... Vocal Process Granuloma protocols:Homehead and necl large.png align=center! \\ # GENERAL CONSIDERATIONS ## Vocal Process Granuloma = benign lesions of the posterior glottis most commonly centered over the cartilaginous vocal process ### Differential Diagnosis of  proiferative tissue emanating from the vocal ... Voice Clinic Management Protocols Voice Clinic The Voice Clinic Videostroboscopy Date Base Recording and Report Generation Laryngeal EMG Velopharygeal Diagnostics Laryngeal Movement Disorders Clinic (Neurolaryngology) protocols:Laryngeal Movement Disorders Clinic (Neurolaryngology W Weerda Laryngoscope protocols:Homehead and necl large.png align=center! !Weerda0066.jpg width=483,height=369!  Weerda Laryngoscope\\ \\ \\ \\ !WeerdaScope0067.jpg width=479,height=456 wehrle protocols:Homehead and necl large.png align=center Welcome presentation Woodruff Screw Implant - Instrument Tray protocols:Homehead and necl large.png align=center! Woodruff Screw Implant/Instrument Tray 2 Zimalite Twist Drills, 12.7 cm x 2.8 mm 1 Adjustable Screwdriver Handle, 11.4 cm 1 Adjustable Screwdriver Woodruff ... Work-up or Follow-up Management Protocols Cancer WorkUp/FollowUp Head and Neck Tumor Board (Multidisciplinary Treatment Planning Conference) Head and Neck Tumor Board (Multidisciplinary Treatment Planning Conference) Thyroid Cancer (Evaluation and Management) Thyroid Cancer (Evaluation and Management) Melanoma (Evaluation and Management ... X Xerostomia Management Protocols Xerostomia Management of Xerostomia Salivary Swelling Xomed-Trease Injection Tray protocols:Homehead and necl large.png align=center! XomedTrease Injection Tray Gun, XomedTrease Injection, #1650000, includes: 1 Handle 1 Retaining Nut 1 Needle, 22 cm Curved, Threaded Tip 1 Needle, 22 mm ... XPS Straightshot Resector Tray protocols:Homehead and necl large.png align=center! 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 ... Y Z Zenker's Diverticulectomy protocols:Homehead and necl large.png align=center! See Example Cases:   Zenker's Diverticulectomy (Harmonic Scalpel) Case Examples protocols:Zenker's Diverticulectomy (Harmonic Scalpel) Case Examples Zenker's Diverticulectomy Case Examples (CO2 Laser) protocols ... Zenker's Diverticulectomy (Harmonic Scalpel) - Case Examples protocols:Homehead and necl large.png align=center! \\ \\ \\ \\ 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 be used for larger diverticulum as well, alone or in combination ... Zenker's Diverticulectomy - Case Examples (CO2 Laser) protocols:Homehead and necl large.png align=center! !Zenkers2.JPG thumbnail!     !Zenkers1.JPG thumbnail!     !Zenkers3.JPG thumbnail!\\  Video 1: Placement of expanding Zenker's diverticula scope followed by small laser incision in mucosa and dissection ... Zenker's Diverticulectomy - Flexible Fiberoptic Approach with Diathermy - Case Example protocols:Homehead and necl large.png align=center! Zenker's Diverticulectomy Flexible Fiberoptic Approach with Diathermy Case Example\\ courtesy of Dr. Henning Gerke  Gastroenterology   University of Iowa \\ \\ \###   # SUGGESTED READING ## Reading Zimmer Air Dermatome Instrument Tray protocols:Homehead and necl large.png align=center! Zimmer Air Dermatome Instrument Tray 1 Screwdriver, Air Dermatome, 5 in, #8803 !@#$

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