Surgeon(s): ***

‍Assistant Surgeon(s):  ***

‍Preoperative Diagnosis: ***

‍Postoperative Diagnosis: Same

‍Procedure(s): ***

‍Anesthesia: General

‍Implants: None

‍Specimen:***

‍Drains: None

‍Fluids: See anesthesia record

‍EBL: Minimal

‍Complications: None

‍Counts:  Correct x2

‍Indications: ​***

‍Findings: As expected

‍Procedure in Detail:

‍The patient was seen in the preoperative holding area with a H&P was updated, consents were verified, surgical site marked, and all questions and concerns related to the proposed procedure were discussed in detail.  The patient was transferred to the operating room by the anesthesia team.  The patient underwent general anesthesia with endotracheal intubation. Tegaderms were placed over the eyes. The patient was prepped and draped in the standard fashion for maxillofacial procedures.  A time-out was performed and the procedure began.

Attention was turned intraorally. #15 blade was used to make a BSSO type incision. The incision was carried out through mucosa to muscle and then carried horizontally down to bone.  Dissection then proceeded medially with a #9 elevator to expose the medial lingual surface of the mandibular ramus. The inferior alveolar nerve was identified and protected with a Seldin retractor. Next a reciprocating saw was used to perform coronoidectomy. Coronoid process distracted with coker and stripped from remaining temporalis muscle fibers with #9 periosteal elevator. These steps were repeated on the opposite side to remove the contralateral coronoid process.

The patient's face was then cleaned and the posterior pharynx was suctioned. An OG tube was used to suction out the contents of the stomach. Tegaderms were removed from the eyes. Dressings were placed. The patient was then transferred back to the care of the anesthesia team for extubation and recovery.

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