What is a Cranialization?
Severe injuries which result in disruption of greater than 25% of the posterior table should be considered for cranialization. This involves exposure of the entire sinus, meticulous removal of all sinus mucosa, and removal of the posterior table bone.
What is ethmoid sinus mucosal thickening?
Mucosal thickening in the left anterior ethmoid and maxillary sinuses and in the region of the infundibulum. This indicates an ostiomeatal pattern of sinusitis. The sphenoid sinus drains posterior to the superior turbinate into the sphenoethmoid recess through the sphenoid ostium.
What is the normal findings in Transilluminating the sinuses?
The maxillary sinuses may also be transilluminated by placing a light beam inside the patient’s mouth against the palate directed upward. Bright transmission of light suggests a normal air-filled sinus; absent light transmission suggests the presence of fluid.
What is a Pericranial flap?
The anterior pericranial and galeofrontalis flaps have been used extensively for anterior skull base and craniofacial reconstruction. These flaps may be turned inward to separate the intracranial contents from the sinonasal cavity.
What is a negative transillumination test?
The test is regarded as negative if the sinuses transilluminate equally and well; if one or both sinuses show impaired transmissibility of light, the test is regarded as positive.
How do you document a sinus assessment?
Normal findings might be documented as: “External nose is symmetrical with no discolouration, swelling or malformations. Nasal mucosa is pinkish red with no discharge/bleeding, swelling, malformations or foreign bodies.” Abnormal findings might be documented as: “Bright red nasal mucosa with purulent discharge.”
What is the CPT code for a Pericranial flap?
15733
Reconstruction Procedures
| Procedure | Specialty/Code to Report |
|---|---|
| Minimally invasive extracranial pericranial flap | 15733 Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (i.e., buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae) |
What is the meaning of Osteoplasty?
plastic surgery on bone
Definition of osteoplasty : plastic surgery on bone especially : replacement of lost bone tissue or reconstruction of defective bony parts.
What causes sinus mucosal thickening?
Mucosal thickening is an inflammatory reaction with hyperplasia of the mucous lining of the maxillary sinus. This condition may result from harmful actions caused by trauma, infections, chemical agents, foreign body reaction, neoplasm, or airway conditions such as allergies, rhinitis, or asthma.