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Ot Notes

The document contains operation notes for a 25-year-old male patient named Abhishek who underwent elective oral and maxillofacial surgery on March 1, 2025. The surgery involved drainage of a space infection and extraction of teeth, performed under general anesthesia by Dr. Adarsh Kudva and Dr. Chitra, with assistance from residents and nurses. Post-operative care included monitoring in the ICU with an endotracheal tube for vital signs observation.

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87 views2 pages

Ot Notes

The document contains operation notes for a 25-year-old male patient named Abhishek who underwent elective oral and maxillofacial surgery on March 1, 2025. The surgery involved drainage of a space infection and extraction of teeth, performed under general anesthesia by Dr. Adarsh Kudva and Dr. Chitra, with assistance from residents and nurses. Post-operative care included monitoring in the ICU with an endotracheal tube for vital signs observation.

Uploaded by

juhi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY

OPERATION NOTES

Hospital No : 02467856 Name : ABHISHEK IP No : 00880879


Age : 25Y Sex : M
Surgery Start Date : 01/03/2025 Surgery End Date : 01/03/2025
Surgery Start Time : 10:00 Surgery End Time : 13:00 Duration : 03:00 hrs
Unit : OSUR Unit Head : DR. SRIKANTH G
Emergency/Elective : Elective

Surgeon 1 : DR. ADARSH KUDVA Surgeon 2 : DR. CHITRA


Resident1 : DR VANSHIKA Resident 2 : DR KASHINATH

Anaesthesia : General
Anaesthetist 1 : DR. MALAVIKA
Resident 1 : DR SVETHA

Scrub Nurse JASMITHA Floor Nurse : SRIKANTH

Diagnosis :
Description Of Operation
Intubation :
Skin Preparation : BETADINE
Incision : SKIN - SUBMENTAL & SUBMANDIBULAR
Findings : SPACE INFECTION
Procedure : After securing adequate general anaesthesia via nasal intubation with fibre-optic
tube. Patient was positioned , painted & draped. Inferior border of the mandible was
marked. Transverse Incision is marked in the skin below the symphysis of the
mandible. Blunt dissection is carried out by inserting sinus forceps through this
incision upwards & backwards. Next an incision is marked 2 cm below the inferior
border of the mandible . Skin & subcutaneous tissue is incised. Sinus forceps is
inserted through the incision superiorly & posteriorly on the lingual side of the
mandible below the mylohyoid to release pus from submandibular space. Left
parapharyngeal oedema was noted & intra-oral incision [sicher’s incision] is made
vertically over the lower part of the anterior border of the ramus of the mandible deep
to the bone. Sinus forceps was passed along the lateral surface of the ramus
downwards & backwards near pterygomandibular space & Pus was drained. Sample
was sent for culture & sensitivity. Extraction was done irt 37,38,48. Jackson's drain
was placed submandibular ,submental extraorally and submassteric intraorally placed
and closure was done. Patient was reversed from general anaesthesia & shifted to
post-op ICU with ET Tube for observation & monitoring of vitals.
Type Of Implant :

Name of the implant system


DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY

OPERATION NOTES

Sponge Count Verified : Yes


Gauze Count Verified : Yes
Instrument Count Verified : Yes

Signature of Surgeon
()

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