[Solved]: LOCATION: Outpatient, Hospital PATIENT: Trevor…

LOCATION: Outpatient, Hospital PATIENT: Trevor Evans SURGEON: Jeff King, M.D. PREOPERATIVE DIAGNOSIS: Obstructed PE tubes POSTOPERATIVE DIAGNOSIS: Same PROCEDURE PERFORMED: Removal of PE tubes ANESTHESIA: General OPERATIVE NOTE: Trevor is an 8-year-old male who has had PE tubes in for a prolonged period. Recently, he has had problems with recurrent infections and fluid. He has granulation on both tubes. A decision was made to remove these in the operating room. PROCEDURE: He was admitted through the same-day surgery program and taken to the operating room, where general anesthetic was administered via inhalation. A 4-mm speculum was inserted in the right ear. Wax was removed from the canal. The tube was visualized. Using cup forceps, this tube was removed. There was granulation tissue around the opening. Two drops of Cortisporin were applied. The speculum was removed and inserted in the left ear. Again, wax was removed from the canal. The PE tube was removed with cup forceps. Again, granulation tissue seemed to close the perforation nicely. Two drops of Cortisporin were applied. The speculum was removed. The patient was allowed to recover from the general anesthetic and taken to the postanesthesia care unit in stable condition. There were no complications noted during the procedure. idc10cm idc10cpt