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Original Question

OPERATIVE REPORT Preoperative Diagnosis: 1) Recurrent tonsillitis. 2) Upper airway obstruction. 3) Hypertrophic tonsils and adenoids. Post operative Diagnosis: same Procedure(s) Performed: Tonsillectomy and adenoidectomy, 9-year-old A McIver mouth gag was then placed to allow visualization of the tonsils. Attention was first focused on the left tonsil. The Allis clamps were placed in the superior pole and tonsils were retracted towards the midline. Then utilizing a needlepoint Bovie, the tonsil was removed in its entirety from superior to inferior direction. Hemostasis was achieved with electrocautery. Similar procedure was then performed on the right tonsil. A cath was then placed through the left nostril to elevate the soft palate. Examination of the nasopharynx showed hypertrophic adenoids. Utilizing suction cautery, the adenoids were removed. Signed Surgeon Signature Responses 42820 42820 42825 42825 42830 42830 42821

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