Apply basic surgical techniques in otorhinolaryngology surgery.

Application should include specialized equipment, instruments, and techniques needed for basic procedures in otorhinolaryngology surgery (e.g., myringotomy):

• Along with the basic equipment used in general surgery, special equipment for otorhinolaryngology surgery, such as myringotomy, may include an operating microscope and sterile microscope hand grips. Myringotomy also requires a stool for the surgeon to sit on. In addition, laparoscopic surgical equipment may include video equipment and insufflators.
• Depending on the type of surgery, specialized instruments are needed. For myringotomy, for example, these include ear specula, ear curettes, and an ear knife; the procedure also may require the insertion of polyethylene ventilation tubes or pressure-equalizing tubes.
• Perioperative techniques and considerations vary widely among types of otorhinolaryngology procedures.

Process/Skill Questions:

• Why is microscopic instrumentation important in otorhinolaryngology surgery?
• Pressure-equalizing tubes are classified as implants. What special precautions and documentation are required because they are considered implants?
• What special equipment and instruments may be required for rigid sinus endoscopy? For rhinoplasty? For surgical procedures designed to treat a patient with sleep apnea?
• What emerging technologies are associated with the specialty of otorhinolaryngology surgery?