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.

A suitable size of nasolacrimal tube was selected based on preoperative assessment and measurements. The nasolacrimal system from the canaliculi was identified and dilated. The selected nasolacrimal tube was carefully inserted into the proximal end of the nasolacrimal duct, ensuring proper positioning and alignment with the lacrimal drainage system. The distal end of the nasolacrimal tube was advanced into the nasal cavity, allowing for adequate drainage of tears and fluid. The placement of the nasolacrimal tube was confirmed endoscopically, ensuring proper positioning and patency of the lacrimal drainage pathway.

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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