Record of Operation

BILATERAL TONSILLECTOMY WITH LATERAL PHARYNGOPLASTY

Patient placed in supine position with neck hyperextended under general endotracheal anesthesia.
Asepsis, antisepsis and sterile draping done.
Dingmann mouth gag then carefully applied.
Intraoperative findings: grade 3 bilateral faucial tonsils.
Right anterior tonsillar pillar was infiltrated with a 1:100,000 solution of epinephrine & 2% lidocaine, after which it was incised using electrocautery.
Plane of dissection identified.
Right tonsil was dissected from its bed using electrocautery until fully delivered.
Hemostasis assured.
Same procedure was done on the Left tonsil.
The nasopharynx was visualized through a mirror, the adenoid was unremarkable without any sign of hyperplasia. No airway obstruction noted.
Washing done, Hemostasis assured.
Posterior right and left tonsillar pillars were sutured together with the anterior tonsillar pillar resulting in further widening of oral airway.
Dingmann mouth gag carefully withdrawn.
Specimen sent for examination.
Procedure was well tolerated.