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1 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery Endoscopic HE-A Bronchoscopy with removal of foreign body Bronchoscopy with tracheal dilation Rigid therapeutic bronchoscopy Bronchoscopy inc. F/B Removal Bronchoscopy inc. F/B Removal Cordotomy of vocal cord Superior cordotomy Endoscopic dilation of oesophagus using rigid oesophagoscope Endoscopic vocal cord medialisation Laryngeal Laser Surgery Epiglottopexy Excision of lesion of hypopharynx Method Laser Robotic Excision of lesion of oropharynx Method Laser Robotic Hemilaryngectomy Laryngeal Laser Surgery Method Laser Robotic Insertion of laryngeal keel Laryngoplasty Microlaryngoscopy Microlaryngoscopy Purpose Excision Vocal Cord Tumour Laser Excision Vocal Cord Tumour Laser Laryngeal Papilloma Shaving Laryngeal

2 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery Endoscopic HE-A Microlaryngoscopy and artenoidectomy Pharyngeal Pouch Diverticulotomy by laser Pharyngeal Pouch Diverticulotomy by stapling Removal of calculus from parotid duct Laryngeal Laser Surgery Papilloma s Treatment of Subglottic Stenosis Rigid oesophagoscopy and removal of foreign body Supraglottoplasty Supraglottoplasty by laser Oesophagoscopy inc. F/B Removal

3 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery Endoscopic HE-B Bronchoscopy Endoscopy with excision of lesion from bronchus Fibreoptic bronchoscopy Rigid bronchoscopy Bronchoscopy with biopsy Laryngotracheobronch oscopy Diagnostic microlaryngoscopy and biopsy Diagnostic rigid oesophagoscopy Dilation of parotid duct Direct laryngoscopy Direct laryngoscopy with biopsy Rigid oesophagoscopy and biopsy Bronchoscopy inc. F/B Removal Bronchoscopy inc. F/B Removal Microlaryngoscopy Non-endoscopic HN-A Arytenoid adduction/rotation Arytenoidectomy by external approach Approach Laryngofissure Transcervical

4 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery Non-endoscopic HN-A Arytenoidopexy by external approach Biopsy of cranial nerve Complete parotidectomy Parotidectomy (Superficial/Total) Control of haemorrhage after Control Tonsil or Adenoid tonsillectomy and adenoidectomy Haemorrhage Craniofacial resection Approach Endoscopic Open Cricopharyngeal myotomy Distant cutaneous pedicle flap, myocutaneous Distant subcutaneous pedicle flap, myocutaneous, to head or neck Excision of branchial cyst Excision of branchial fistula Excision of branchial sinus Excision of cranial nerve tumour Excision of glomus tumour in the neck Excision of carotid body tumour Excision of glomus vagale Excision of extraadrenal paraganglioma

5 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery Non-endoscopic HN-A Excision of intramuscular lipoma Excision of lesion from floor of mouth Lesion size <1cm (HN-B) >1cm (HN-A) Excision of lesion of buccal mucosa Lesion size <1cm (HN-B) >1cm (HN-A) Excision of lesion of dentoalveolar structure Excision of lesion of gingiva Lesion size <1cm (HN-B) >1cm (HN-A) Excision of lesion of lip Lesion size <1cm (HN-B) >1cm (HN-A) Excision of lesion of palate Lesion size <1cm (HN-B) >1cm (HN-A) Excision of lesion of oral cavity with lingual release Excision of lesion of oral cavity with mandibular swing Excision of lesion of oral cavity with visor flap Excision of lesion of oropharynx with lingual release Excision of lesion of oropharynx with mandibular swing Excision of malignant skin tumour Excision of basal cell Tumour size <1cm (HN-B)

6 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery Non-endoscopic HN-A carcinoma >1cm (HN-A) Excision of malignant lesion of scalp and neck Excision of melanoma Excision of squamous cell carcinoma Excision of skin carcinoma Excision of parapharyngeal mass Approach Transcervical Transoral Transoral robotic Excision of peripheral nerve tumour Excision of pharyngeal pouch Diverticulectomy of hypopharynx with myotomy by cervical approach Excision of sublingual gland Excision of submandibular gland Excision of lesion of submandibular gland Excision of thyroglossal duct cyst Excision of thyroglossal duct fistula Excision of thyroglossal tract Excisional biopsy of lymph node of neck Excision Submandibular Gland

7 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery Non-endoscopic HN-A Exenteration of orbit Extended radical neck dissection of cervical lymph nodes Geniotubercle advancement Hemiglossectomy Hemithyroidectomy Hyoid bone suspension Incision and drainage of deep abscess of soft tissues of neck Incision and drainage of branchial abscess Drainage of dental abscess by extraoral approach Inversion of pharyngeal pouch Laryngopharyngectomy Laryngotomy with removal of laryngocele Laryngotracheal reconstruction using cartilage graft Laryngotracheal resection Cricotracheal Resection Laryngotracheoplasty Lateral pharyngotomy Ligation of major artery of neck Ligation of internal carotid artery Neck Dissection (Extended, Modified Radical, Radical, Selective) Drainage of Neck Abscess Large

8 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery Non-endoscopic HN-A Ligation of common carotid artery Ligation of external carotid artery Ligation of internal jugular vein Maxillectomy with orbital exenteration Modified radical neck dissection Modified radical neck dissection of cervical lymph nodes, with preservation of accessory nerve, sternocleidomastoid muscle and internal jugular vein Modified radical neck dissection of cervical lymph nodes, with preservation of accessory nerve and internal jugular vein Modified radical neck dissection of cervical lymph nodes, with preservation of Neck Dissection (Extended, Modified Radical, Radical, Selective)

9 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery Non-endoscopic HN-A accessory nerve Operation on lesion of peripheral nerve Parathyroidectomy Partial glossectomy Lesion size <1cm (HN-B) >1cm (HN-A) Partial mandibulectomy Partial maxillectomy Partial pharyngolaryngectomy Pharyngolaryngo-oesophagectomy Postoperative haemorrhage control Radical excision of parotid gland with sacrifice of facial nerve Radical neck dissection Reconstruction with free flap Distant microvascular transferred flap, fasciocutaneous Distant microvascular transferred flap, osseomyocutaneous Distant microvascular transferred flap, osseofasciocutaneous Reconstruction with local flap Local rotation flap Parotidectomy (Superficial/Total) Neck Dissection (Extended, Modified Radical, Radical, Selective)

10 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery Non-endoscopic HN-A Local transposition flap Repair of laryngotracheal cleft Repair of oroantral fistula Repair of trachea Repair of traumatic rupture of the trachea Resection of trachea Resection and anastomosis of trachea Revision of stoma of trachea Revision thyroidectomy Rim excision of mandible Selective neck dissection of cervical lymph nodes Subtotal glossectomy Subtotal thyroidectomy Superficial parotidectomy Supracricoid Laryngectomy Supraglottic Laryngectomy Suspension of pharyngeal pouch Thyroplasty Total glossectomy Total laryngectomy Total mandibulectomy Neck Dissection (Extended, Modified Radical, Radical, Selective) Parotidectomy (Superficial/Total) Total Laryngectomy Total Laryngectomy External Thyroplasty Total laryngectomy

11 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery Non-endoscopic HN-A Total maxillectomy Total thyroidectomy Trachea reconstruction Tracheal reconstruction with patch Tracheoplasty by cervical approach Tracheoplasty by intrathoracic approach Tracheo-oesophageal puncture procedure Tracheo-oesophageal puncture and insertion of prosthesis Tracheo-oesophageal puncture and insertion of voice prosthesis Tracheotomy Transposition of submandibular duct Uvulopalatopharyngoplasty Thyroidectomy (Hemi or Total) Tracheotomy

12 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery Endoscopic HN-B Adenoidectomy Excision adenoidal tags Excision of lesion of adenoids Suction diathermy adenoidectomy Adenotonsillectomy Dissection tonsillectomy and adenoidectomy Diagnostic endoscopic examination and biopsy of nasopharynx Division of frenulum of tongue Examination of oral cavity under general anaesthesia Examination of oropharynx under anaesthetic Excision of lesion of skin Excision of sebaceous cyst of head or neck Excision of preauricular sinus Excision of preauricular cyst Incisional biopsy of skin lesion Excision of intradermal Biopsy With biopsy Without biopsy Biopsy With biopsy Without biopsy

13 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery Endoscopic HN-B naevus Excision of sebaceous cyst Excision of skin cyst Excision of pigmented skin lesion Excision biopsy of lesion of skin of head or neck Excision of neurofibroma of cutaneous nerve Excision of lipoma of subcutaneous tissue Excision of lipoma of subcutaneous tissue of head Excision of lipoma of subcutaneous tissue of neck Full thickness skin graft Incision of superficial abscess of soft tissue Incisional biopsy of cervical lymph node Repair of mouth laceration Split thickness skin graft Surgical biopsy of tongue

14 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery Endoscopic HN-B Surgical debridement of wound Excisional debridement of wound for infection Shave debridement of skin wound Tonsillectomy OTOLOGY External Ear OE-A Insertion of bone anchors for subcutaneous bone anchored hearing aid Canaloplasty of external auditory meatus Auditory canaloplasty External Canal Reconstruction/Canalplasty Excision of exostosis from external Exostoses Removal auditory canal Total reconstruction of external ear using cartilage graft, fascia flap and skin graft

15 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery OTOLOGY External Ear OE-B Excision of aural polyp Excision of polyp from external auditory canal Meatoplasty of external ear Correction of atresia of external meatus of ear Construction of ear meatus, osseous, skinlined Microsuction clearance of external auditory canal Removal of foreign body from external auditory canal Meatoplasty OTOLOGY Middle Ear Mastoid OM-A Atticotomy of ear Removal of outer attic wall of middle ear Closure of fistula of middle ear Intact canal wall mastoidectomy Excision of cholesteatoma of mastoid Excision of

16 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery OTOLOGY Middle Ear Mastoid OM-A cholesteatoma of middle ear Combined approach tympanoplasty Cortical mastoidectomy Mastoidectomy, cortical, conservative Decompression of temporal section of Exploration of facial facial nerve nerve (VII) Intact canal wall mastoidectomy Combined approach tympanoplasty Excision of cholesteatoma of mastoid Excision of cholesteatoma of middle ear Lateral temporal bone resection Primary obliteration of mastoid cavity Secondary obliteration Mastoid obliteration of mastoid cavity Formal myringoplasty Myringoplasty using biological graft Operation on endolymphatic sac Cortical mastoidectomy Myringoplasty

17 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery OTOLOGY Middle Ear Mastoid OM-A Plug myringoplasty Radical mastoidectomy Radical mastoidectomy, modified Reconstruction of ossicular chain Revision of mastoidectomy Stapes operation Transection of Jacobson s nerve Tympanotomy Myringoplasty using fat Myringoplasty using gelatin Malleostapediopexy Revision of stapedectomy Stapedectomy Stapes mobilisation Myringoplasty Mastoidectomy Modified Radical Ossicular Reconstruction Stapedectomy or Revision Stapedectomy OTOLOGY Middle Ear Mastoid OM-B Myringotomy and drainage of middle ear

18 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery OTOLOGY Middle Ear Mastoid OM-B Myringotomy and insertion of tympanic ventilation tube Transtympanic injection of middle ear Chemical labyrinthectomy Injection of steroid Laterality Bilateral Unilateral OTOLOGY Neurotology ON-A Blind sac closure of external auditory canal Cranial venous sinus ligation Craniectomy and excision of cerebellopontine angle tumour Excision of aural glomus tumour, transcanal Excision of aural glomus tumour, transmastoid Excision of base of skull in middle cranial fossa Excision of lesion of infratemporal fossa Excision of lesion of jugular foramen Excision of glomus

19 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery OTOLOGY Neurotology ON-A Implantation of cochlear prosthetic device Labyrinthectomy with mastoidectomy Labyrinthectomy, transcanal Middle fossa craniotomy Obliteration of posterior semicircular canal Obliteration of superior semicircular canal Posterior fossa craniotomy Removal of acoustic neuroma Removal of cochlear implant or prosthetic device Repair of cranial cerebrospinal fluid fistula jugulare tumour Cochlear device implantation with mastoidectomy Implantation of cochlear electrode Implantation of cochlear prosthetic device, single channel Approach Middle fossa approach Retrosigmoid approach Translabyrinthine approach

20 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery OTOLOGY Neurotology ON-A Repair of facial nerve (VII) Resection of temporal bone by external approach Faciofacial anastomosis Suture of facial nerve, extracranial Suture of facial nerve, intratemporal, with grafting Total facial nerve repair RHINOLOGY Endoscopic RE-A Closure of cerebrospinal fluid leak from nose Decompression of orbit Drainage of subperiosteal abscess of orbit Approach Endoscopic Open Endoscopic dacryocystorhinostomy Dacryocystorhinostomy and insertion of tube

21 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery RHINOLOGY Endoscopic RE-A Endoscopic decompression of optic nerve Endoscopic ligation of sphenopalatine artery Dacryocystorhinostomy via internal approach with laser Excision of sinonasal tumour involving skull base Excision of sinonasal tumour not involving skull base FESS - Functional endoscopic sinus surgery - sphenoethmoidectomy FESS - Functional sinus surgery - frontal recess dissection FESS - Functional sinus surgery - frontoethmoidectomy FESS - Functional sinus surgery - frontoethmosphenoidectomy FESS - Sphenoidotomy Endoscopic sphenoidectomy with turbinectomy Frontal sinusotomy Functional endoscopic sinus surgery - anterior ethmoidectomy and frontal Vascular ligation for epistaxis (external or endoscopic) MMA and Ethmoidectomy +/- Frontal Sinusotomy, Sphenoidotomy MMA and Ethmoidectomy +/- Frontal Sinusotomy,

22 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery RHINOLOGY Endoscopic RE-A recess dissection Medial maxillectomy Osteoplasty of frontal sinus Excision of frontal sinus and nasal turbinate Repair of choanal atresia, intranasal Repair of choanal atresia, transpalatine Repair of encephalocele Cranioplasty with synchronous repair of encephalocele Repair of meningoencephalocele Transsphenoidal hypophysectomy Vidian Neurectomy Sphenoidotomy Approach Endoscopic Open Approach Endoscopic Open RHINOLOGY Endoscopic RE-B FESS - Functional endoscopic sinus surgery - posterior ethmoidectomy

23 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery RHINOLOGY Endoscopic RE-B FESS - Functional sinus surgery - MMA intranasal anterior and posterior ethmoidectomy FESS - Functional sinus surgery - intranasal anterior ethmoidectomy FESS - Middle meatal antrostomy MMA Nasal polypectomy Polypectomy Nasal sinus endoscopy Nasal Endoscopy Turbinectomy Turbinectomy Approach Endoscopic Open Uncinectomy RHINOLOGY Non-endoscopic RN-A External ethmoidectomy External frontoethmoidectomy External frontoethmosphenoidectomy Lateral rhinotomy Ligation of ethmoid artery External ethmoidectomy Vascular ligation for epistaxis (external or endoscopic)

24 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery RHINOLOGY Non-endoscopic RN-A Maxillary sinusotomy by Caldwell-Luc approach Nasal septoplasty Osteoplastic frontal flap operation Repair of nasal septal perforation Transantral ligation of maxillary artery Excision of lesion of maxillary sinus by Caldwell-Luc approach Caldwell-Luc operation with removal of membrane lining Removal of foreign body from maxillary sinus by Caldwell-Luc approach Septoplasty RHINOLOGY Non-endoscopic RN-B Biopsy of nose Cauterisation and packing of nose Cauterisation of Littles area

25 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery RHINOLOGY Non-endoscopic RN-B Cauterisation of nasal turbinate Cauterisation of turbinates, intramural Cauterisation of turbinates, superficial Radiofrequency ablation of nasal turbinate Division of adhesions Drainage of abscess of nasal septum Drainage of haematoma of nasal septum Examination of nose under anaesthetic Frontal sinusotomy with trephine Inferior meatal antrostomy Maxillary antrotomy by external approach Midfacial degloving Nasal packing for control of haemorrhage Packing of cavity of nose Reduction of fractured nasal bone Removal of foreign body Endoscopy and removal of foreign material Imaging guided removal of foreign body

26 SNOMED s for SET and IMG Otolaryngology Head & Neck Surgery FACIAL PLASTICS Facial Plastics FP-A Bilateral otoplasty of external ear Otoplasty Blepharoplasty Browlift Bicoronal Browlift Direct browlift Internal browlift Rhytidectomy of glabellar frown lines Simple browlift Closed rhinoseptoplasty Rhinoplasty +/- Septoplasty Genioplasty Augmentation genioplasty with graft and implant Forward sliding genioplasty Reduction genioplasty Harvest of cartilage Source Ear Rib Open rhinoseptoplasty Rhinoplasty +/- Septoplasty Reduction of fracture of facial bone Simple facelift Submental lipectomy

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