Multiple oral and nasal surgical procedures method and kit
First Claim
1. A method of evaluating the oral and nasal organs of a person having obstructive sleep apnea, comprising the steps of:
- (a) performing a nasal endoscopy of the person;
(b) performing a computerized tomography scan of the sinuses of the person;
(c) performing a sleep study of the person;
(d) performing a sleep endoscopy of the person;
(e) performing a quantitative evaluation of the left and right frontal sinuses in accordance with the findings of steps (a) through (d);
(f) recording the results of the frontal sinus evaluation as a value;
(g) performing a quantitative evaluation of the left and right ethmoid sinuses in accordance with the findings of steps (a) through (d);
(g) recording the results of the ethmoid sinus evaluation as a value;
(i) performing a quantitative evaluation of the left and right maxillary sinuses in accordance with the findings of steps (a) through (d);
(j) recording the results of the maxillary sinus evaluation as a value;
(k) performing a quantitative evaluation of the left and right sphenoid sinuses in accordance with the findings of steps (a) through (d);
(l) recording the results of the sphenoid sinus evaluation as a value;
(m) performing a quantitative evaluation of the nasal septum in accordance with the findings of steps (a) through (d);
(n) recording the results of the nasal septum evaluation as a value;
(o) performing a quantitative evaluation for nasal polyps in accordance with the findings of steps (a) through (d);
(p) recording the results of the nasal polyp evaluation as a value;
(q) performing a quantitative evaluation of the nasal valve in accordance with the findings of steps (a) through (d);
(r) recording the results of the nasal valve evaluation as a value;
(s) performing a quantitative evaluation of the left and right inferior nasal turbinates in accordance with the findings of steps (a) through (d);
(t) recording the results of the inferior nasal turbinate evaluation as a value;
(u) performing a quantitative evaluation of the left and right middle nasal turbinates in accordance with the findings of steps (a) through (d);
(v) recording the results of the middle nasal turbinate evaluation as a value;
(w) adding the quantitative values for the sinonasal evaluations of steps (e) through (v);
(x) performing a visual examination of the tonsils;
(y) performing a quantitative evaluation of the tonsils in accordance with the findings of the visual examination of step (x);
(z) recording the results of the tonsil evaluation as a value;
(aa) adding the quantitative values of steps (w) and (z);
(bb) performing a nasal endoscopy of the adenoids;
(cc) performing a quantitative evaluation of the adenoids in accordance with the findings of the nasal endoscopy of step (bb);
(dd) recording the results of the adenoid evaluation as a value;
(ee) adding the quantitative values of steps (aa) and (dd);
(ff) performing a visual examination of the tongue base, epiglottis, and lateral pharyngeal walls;
(gg) performing a quantitative evaluation of the tongue base in accordance with the findings of the visual examination of step (dd);
(hh) recording the results of the tongue base evaluation as a value;
(ii) performing a quantitative evaluation of the epiglottis in accordance with the findings of the visual examination of step (ff);
(jj) recording the results of the epiglottis evaluation as a value;
(kk) performing a quantitative evaluation of the lateral pharyngeal walls in accordance with the findings of the visual examination of step (ff);
(ll) recording the results of the lateral pharyngeal wall evaluation as a value;
(mm) adding the quantitative values of steps (hh), (jj), and (ll);
(nn) adding the quantitative values of steps (ee) and (mm);
(oo) performing a visual examination of the soft palate;
(pp) performing a quantitative evaluation of the soft palate in accordance with the findings of the examinations of steps (c), (d), and (oo);
(qq) recording the results of the soft palate evaluation as a value;
(rr) adding the quantitative values of steps (nn) and (qq), thereby arriving at a total score; and
(ss) determining the appropriate obstructive sleep apnea treatment for the person, from the quantitative values determined.
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Abstract
The method of performing multiple oral and nasal surgical procedures in the head and neck region provides a systematic procedure for the performance of multiple operations for correcting various ear, nose, and throat conditions that cause snoring and obstructive sleep apnea (OSA) in the patient. The method allows the surgeon to perform multiple operating procedures in the nose, mouth, and/or throat in a single operating session, due to the use of hemostatic sheet and gel treatments in lieu of suturing and post-operative nasal hemostatic packs that preclude nasal breathing. The various surgical implement kits allow the surgeon to select the appropriate kit according to the procedure(s) to be performed. The procedure(s) is/are selected in accordance with a specific customized treatment plan that is developed by the surgeon for the individual patient, which other surgeons involved in snoring or OSA surgery can comprehend.
48 Citations
5 Claims
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1. A method of evaluating the oral and nasal organs of a person having obstructive sleep apnea, comprising the steps of:
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(a) performing a nasal endoscopy of the person; (b) performing a computerized tomography scan of the sinuses of the person; (c) performing a sleep study of the person; (d) performing a sleep endoscopy of the person; (e) performing a quantitative evaluation of the left and right frontal sinuses in accordance with the findings of steps (a) through (d); (f) recording the results of the frontal sinus evaluation as a value; (g) performing a quantitative evaluation of the left and right ethmoid sinuses in accordance with the findings of steps (a) through (d); (g) recording the results of the ethmoid sinus evaluation as a value; (i) performing a quantitative evaluation of the left and right maxillary sinuses in accordance with the findings of steps (a) through (d); (j) recording the results of the maxillary sinus evaluation as a value; (k) performing a quantitative evaluation of the left and right sphenoid sinuses in accordance with the findings of steps (a) through (d); (l) recording the results of the sphenoid sinus evaluation as a value; (m) performing a quantitative evaluation of the nasal septum in accordance with the findings of steps (a) through (d); (n) recording the results of the nasal septum evaluation as a value; (o) performing a quantitative evaluation for nasal polyps in accordance with the findings of steps (a) through (d); (p) recording the results of the nasal polyp evaluation as a value; (q) performing a quantitative evaluation of the nasal valve in accordance with the findings of steps (a) through (d); (r) recording the results of the nasal valve evaluation as a value; (s) performing a quantitative evaluation of the left and right inferior nasal turbinates in accordance with the findings of steps (a) through (d); (t) recording the results of the inferior nasal turbinate evaluation as a value; (u) performing a quantitative evaluation of the left and right middle nasal turbinates in accordance with the findings of steps (a) through (d); (v) recording the results of the middle nasal turbinate evaluation as a value; (w) adding the quantitative values for the sinonasal evaluations of steps (e) through (v); (x) performing a visual examination of the tonsils; (y) performing a quantitative evaluation of the tonsils in accordance with the findings of the visual examination of step (x); (z) recording the results of the tonsil evaluation as a value; (aa) adding the quantitative values of steps (w) and (z); (bb) performing a nasal endoscopy of the adenoids; (cc) performing a quantitative evaluation of the adenoids in accordance with the findings of the nasal endoscopy of step (bb); (dd) recording the results of the adenoid evaluation as a value; (ee) adding the quantitative values of steps (aa) and (dd); (ff) performing a visual examination of the tongue base, epiglottis, and lateral pharyngeal walls; (gg) performing a quantitative evaluation of the tongue base in accordance with the findings of the visual examination of step (dd); (hh) recording the results of the tongue base evaluation as a value; (ii) performing a quantitative evaluation of the epiglottis in accordance with the findings of the visual examination of step (ff); (jj) recording the results of the epiglottis evaluation as a value; (kk) performing a quantitative evaluation of the lateral pharyngeal walls in accordance with the findings of the visual examination of step (ff); (ll) recording the results of the lateral pharyngeal wall evaluation as a value; (mm) adding the quantitative values of steps (hh), (jj), and (ll); (nn) adding the quantitative values of steps (ee) and (mm); (oo) performing a visual examination of the soft palate; (pp) performing a quantitative evaluation of the soft palate in accordance with the findings of the examinations of steps (c), (d), and (oo); (qq) recording the results of the soft palate evaluation as a value; (rr) adding the quantitative values of steps (nn) and (qq), thereby arriving at a total score; and (ss) determining the appropriate obstructive sleep apnea treatment for the person, from the quantitative values determined. - View Dependent Claims (2, 3, 4, 5)
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Specification