I am an ENT resident posted in OT. This is the diagnosis and procedure

I am an ENT resident posted in OT. This is the diagnosis and procedure planned for today. Walk me through the diagnosis including findings, what it is and whatever a consultant might ask me. Then the procedure, begin with anatomy, physiology instruments investigation and step by step brief on the procedure

Reading File

Finding Sources

Reading File

Finding Sources

Reading File

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Reading File

There's your complete OT briefing for both cases. A few things worth keeping at the front of your mind when you're scrubbed in today:

Case 1 (Adenoidectomy + Grommets):

If the consultant asks why you're doing both procedures together - the grommet treats the OME caused by adenoid hypertrophy; single anaesthetic covers both
Anteroinferior quadrant only for the myringotomy incision - mention this unprompted
Know that aspiration of OME fluid is technically optional (evidence doesn't strongly support better hearing outcomes)

Case 2 (Right Hemithyroidectomy):

The single most important structure in thyroid surgery is the RLN - identify it at the inferior thyroid artery crossing before doing anything irreversible
Berry's ligament division is the highest-risk step for RLN injury - mention this
Pre-op vocal cord check (indirect laryngoscopy) is non-negotiable - confirm it was done
Post-op: first thing to check on waking = voice. Then serum calcium at 6 and 24 hours.
Muscle relaxants are contraindicated intraoperatively if NIM is being used

Good luck in the OT today.