Consents for Procedures

This section contains the consent forms for many of the surgical procedures performed by us. The forms contain a section describing risks associated with each procedure. These are pdf documents.

Generic

General Consent 1

• Tonsillectomy & Adenoidectomy
• Myringotomy and Tube Placement
• Turbinate Reduction / Septoplasty

General Consent 2

• Sinus Surgery
• UPPP and Base of Tongue Reduction
• Turbinate Reduction / Septoplasty

General Consent 3

• Excision of Neck Mass / Skin Lesion
• Micro-Direct Laryngoscopy, Pan-Endoscopy with Lesion/Mass Exicison Biopsy

General Consent 4

• Injection Snoreplasty
• Uvula Excision
• Ear Piercings
• Intra-Tympanic Steroid Injection

General Consent 5

• Myringotomy and Tube Placement
• Head / Neck / Intra-Oral Mass Lesion Excision
• Botox Injection
• Frenulum Release

Sinus/Nose

• Functional Endoscopic Sinus Surgery (FESS) (Read Article) (Watch Video)
• Balloon Sinuplasty
• Rhinaer (to treat chronic runny nose)
• ClariFix (to treat chronic runny nose)
• Vivaer (to treat nasal obstruction due to narrow nasal valve)
• Flexible Laryngoscopy/Bronchoscopy/Esophagoscopy
• Nasal Fracture Reduction (Read Article)
• Septoplasty (Read Article) (Watch Video) (Watch Animation)
• Turbinate Reduction (Read Article) (Watch Video)
  • Normal Appearance After Turbinate Reduction Picture
• Injection Nasopharyngoplasty (Read Article)

Oral Cavity/Oropharynx

• Adenoidectomy (Read Article) (Watch Video)
• Tonsillectomy (Read Article) (Watch Video)
  • Normal Appearance After Tonsillectomy Picture
• Uvula Excision(Read Article) (Watch Video)
• Tongue Tie Release (Read Article) (Watch Video)
• Snoring, Sleep Apnea Surgery (UPPP) (Read Article) (Watch Video)
• Injection Snoreplasty
• Pillar Procedure (Watch Videos)
• Tonsil Cryptolysis for Tonsil Stones (Read Article) (Watch Video)
• Sialendoscopy (Read Article)

Voice/Airway

• Micro-Direct Laryngoscopy +/- Lesion Excision (Read Article) (Watch Video)
• Vocal Cord Medialization by Injection or Implantation (Read Article) (Watch Video)
• Injection Nasopharyngoplasty (Watch Video)
• Coblation Palatoplasty (Read Article)
• Base of Tongue Reduction / Lingual Tonsillectomy (Read Article) (Watch Video)

Neck

• Tracheocutaneous Fistula Closure
• Endoscopic Staple Diverticulostomy (Read Article) (Watch Video)
• Pan-Endoscopy with Biopsy (Watch Video)
  
• Lymph Node/Mass Excision
• Neck Dissection
• Thyroidectomy (Read Article)
• Tracheostomy (Read Article) (Watch Video)
• Branchial Cleft/Cyst Excision
• Thyroglossal Duct Excision (Sistrunk Procedure) (Read Article)

Salivary Gland

• Submaxillary Gland Excision
• Parotidectomy (Read Article) (Watch Video)

Ear

• EUA, Myrinogotomy and PET Placements (Read Article) (Watch Video)
• Myringoplasty
• Fat Graft Tympanoplasty
• Intra-Tympanic Steroid Injection (Watch Video)
• Ear Piercing (Read Article)
• Middle Ear / Mastoid Surgery

Botox (Read Article)

• Botox Consent for Head, Neck, and/or Facial Muscle Spasms
• Botox Consent for Drooling
• Botox Consent for Spasmodic Dysphonia (Read Article) (Watch Video)
• Botox Consent for Migraine Headaches (Read Article)

Allergy

• Home Allergy Shots or Allergy Drops

Other

• Blepharoplasty
• Lesion Excision
• Biopsy of Lesion
• Cryotherapy of Skin Lesion
• Infrared Treatment of Skin Lesion
• Use of a Laser

Dr. Jae Kim (Facial Plastics)

• Neurotoxin Consent
• Fillers Consent
• Fillers Postop Instructions
• Filler Dissolver Consent
• Blepharoplasty Postop Instruction
• Rhinoplasty Postop Instructions
• Sculptra Consent

If the patient is a child, below are some safe videos you can watch with your child to prepare them for day of surgery!