Office-Based Surgical Procedures in Otolaryngology

Raj Sindwani MD, FACS, FRCS(C) is Vice Chairman and Head of the Section of Rhinology, Sinus and Skull Base Surgery of the Head and Neck Institute at the Cleveland Clinic. He is also Co-Director of the Minimally Invasive Cranial Base and Pituitary Program of the Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center and Fellowship Co-Director of the Advanced Rhinology and Skull Base Surgery Program. Dr. Sindwani is currently President-Elect of the Cleveland Clinic Medical Staff and a member of the Board of Governors. Dr. Sindwani is currently the Editor-in-Chief of the American Journal of Rhinology and Allergy, and past Editor-in-Chief of the Yearbook of Otolaryngology. Dr. Sindwani is an established authority on the medical and surgical management of conditions affecting the sinuses and skull base, and he pioneered endoscopic surgical approaches. He has published and lectured extensively in the field of Rhinology and Skull Base Surgery.

• Section 1. Office Site Considerations1. Patient Safety and Anesthesia Considerations (checklist, dosing, toxicity, IC)2. Patient Experience and Room Setup (eye mask, noise cancelling headphones, music, scented candles, Ativan or valium, MA or nurse or no assistant)3. Billing and Coding for Office-Based Procedures4. Scope Management and Reprocessing (rigid/flex/disposable)5. Medical Emergencies (Anaphylaxis, HTN, pain)Section 2. Comprehensive Otolaryngology/Pediatrics/Sleep6. Sialendoscopy and Stone Removal7. Sleep-Related In-Office Procedures (UP3, others)8. In-Office Biopsy for the Otolaryngologist (needle, open - LN, mass, USS neck)9. Frenotomy10. Peritonsillar Abscess Drainage in the Office11. Management of Epistaxis (cautery, HHT)12. Pediatric Ear Tube PlacementSection 3. Rhinology13. Sinus Balloon Dilation14. In-Office Endoscopic Sinus Surgery15. Addressing the Deviated Nasal Septum16. Office-Based Polypectomy17. Drug-Eluting Stent Placement and Steroid Injections18. In-Office Surgical Navigation19. Nasal Endoscopy and Sinus Debridement20. Treatment of the Posterior Nasal Nerve (Cryoablation and Radiofrequency Neurolysis)21. Nasal Valve Treatment: Vivaer/latera22. Inferior Turbinate Procedures23. In-Office Evaluation and Management of Lacrimal Obstruction (balloon, stent, etc.)24. Allergy Testing and Immunotherapy for the OtolaryngologistSection 4. Facial Plastics25. Rhytidectomy26. Upper Blepharoplasty27. Skin Care and Laser Treatments28. Neuromodulators29. Aesthetic Fillers30. Non-surgical Rhinoplasty31. Energy-Based Facial Tightening32. Hair Restoration Surgery33. Lip Lift34. Skin Cancer Management35. Non-surgical Facial Palsy Management36. Scar RevisionSection 5. Laryngology37. Anesthesia and Patient Preparation for Awake Procedures38. In-Office Diagnostics and Laryngopharyngeal Biopsies39. In-Office Treatment of Respiratory Papillomatosis40. In-Office Treatment of Leukoplakia.41. Awake Injection Laryngoplasty42. In-Office Injection of Steroids and 5-FU to Treat Dysphonia43. Treatment for Laryngeal Dystonia44. Transnasal Botulinum Toxin Injection of the False Vocal Folds for Adductor Laryngeal Dystonia45. In-Office Treatment of Airway Stenosis46. Awake Procedures for Swallowing Disorders47. Office-Based Voice Procedures for Gender-Affirmation in Transgender and Non-Binary Individuals48. Superior Laryngeal Nerve Block for Chronic CoughSection 6. Otology49. Office-Based Otoendoscopy50. Pearls and Pitfalls in Office-based Myringotomy and Tympanostomy Tube Placement51. Pediatric Tympanostomy Using Iontophoresis and Automated Tube Delivery System52. Intratympanic Drug Delivery53. Repair of Tympanic Membrane Perforations54. Balloon Dilation of the Eustachian Tube