CONSENT FORMS FOR SURGICAL PROCEDURES
The Main Board has developed and approved standardized consent forms for 60 surgical procedures in otorhinolaryngology and head and neck surgery.
These documents are available for download only in polish version and can be freely used by otolaryngologists throughout Poland.
Ear
- Paracentesis – incision of the tympanic membrane
- Ventilation tube insertion
- Meatoplasty, canaloplasty
- Excision of an osteoma or exostoses of the external auditory canal
- Myringoplasty
- Stapedotomy, partial platinectomy, stapedectomy
- Ossiculoplasty
- Intratympanic gentamicin injection
- Intratympanic steroid injection
- Middle ear surgery for cholesteatoma or suspected cholesteatoma – tympanoplasty
- Bone-anchored hearing implant (BAHI) insertion
- Cochlear implant insertion
- Preauricular fistula surgery
- Otoplasty for prominent ears
- Excision of auricular tumor
- Surgery for middle ear tumor (carcinoma, paraganglioma
Nose and paranasal sinuses
- Maxillary sinus puncture
- Nasal bone reposition
- Septoplasty (nasal septum surgery)
- Inferior turbinate reduction (conchoplasty)
- Excision of choanal polyp
- Caldwell–Luc operation (sub-labial approach to the maxillary sinus)
- Endoscopic sinus surgery (ESS) / Functional endoscopic sinus surgery (FESS)
- Dacryocystorhinostomy (DCR)
- Surgery for frontal sinus mucocele
- Excision of osteoma of the frontal sinus or ethmoid sinus
- Surgery for benign maxillary tumor
- Surgery for malignant nasal skin tumor; partial nasal resection; total nasal pyramid resection; extended nasal resection including eyelid or part of cheek/upper lip skin
- Surgery for malignant maxillary tumor; partial maxillectomy; total maxillectomy; maxillectomy with orbital exenteration
Oral cavity, throat, salivary glands
- Incision and drainage of peritonsillar abscess
- Biopsy of a tumor of the oral cavity, pharynx, nose, or ear
- Adenoidectomy
- 1) Bilateral tonsillectomy, 2) Unilateral tonsillectomy
- Uvulopalatoplasty (UPP) for snoring and sleep apnea / Laser-assisted uvulopalatoplasty (LAUP)
- Uvulopalatopharyngoplasty (UPPP) with tonsillectomy for snoring and obstructive sleep apnea
- Excision of a tumor of the floor of the mouth
- Excision of a tongue tumor
- Excision of a palatine tonsil tumor
- Excision of a palate tumor
- Resection of extensive tumors of the floor of the mouth, tongue, or oropharynx with free flap reconstruction and microvascular anastomosis
- Excision of a ranula (cyst of the floor of the mouth)
- Submandibular gland excision
- Parotid gland tumor surgery (parotidectomy)
Larynx
- Direct laryngoscopy (microlaryngoscopy)
- Tracheotomia
- Glottic widening by vocal fold lateralization (laterofixation)
- Laser-assisted glottic widening (posterior cordectomy, arytenoidectomy)
- Laser excision of laryngeal tumor
- Partial laryngectomy
- Total laryngectomy
- Laryngeal/tracheal stent placement
- Segmental tracheal resection