Current through Reg. 49, No. 38; September 20, 2024
(a) Biopsy and/or
excision (removal) of lesion of larynx, vocal cords, trachea.
(1) Loss or change of voice.
(2) Swallowing or breathing
difficulties.
(3) Perforation
(hole) or fistula (connection) in esophagus (tube from throat to
stomach).
(b)
Rhinoplasty (surgery to change the shape of the nose) or nasal reconstruction
with or without nasal septoplasty (surgical procedure to remove blockage in or
straighten the bone and cartilage dividing the space between the two nostrils).
(1) Deformity of skin, bone or
cartilage.
(2) Creation of new
problems, such as perforation of the nasal septum (hole in wall between the
right and left halves of the nose) or breathing difficulty.
(c) Submucous resection of nasal
septum or nasal septoplasty (surgery to remove blockage in or straighten the
bone and cartilage dividing the space between the two nostrils).
(1) Persistence, recurrence or worsening of
the obstruction.
(2) Perforation of
nasal septum (hole in the bone and/or cartilage dividing the space between the
right and left halves of the nose) with dryness and crusting.
(3) External deformity of the nose.
(d) Sinus surgery/endoscopic sinus
surgery.
(1) Spinal fluid leak.
(2) Visual loss or other eye
injury.
(3) Numbness in front teeth
and palate (top of mouth).
(4) Loss
or reduction in sense of taste or smell.
(5) Recurrence of disease.
(6) Empty Nose Syndrome (sensation of nasal
congestion, sensation of not being able to take in adequate air through
nose).
(7) Injury to tear duct
causing drainage of tears down the cheek.
(8) Brain injury and/or infection.
(9) Injury to nasal septum (the bone and
cartilage dividing the space between the two nostrils).
(10) Nasal obstruction.
(e) Lung biopsy (removal of small piece of
tissue from inside of lung).
(1) Air leak with
pneumothorax (leak of air from lung to inside of chest causing the lung to
collapse) with need for insertion of chest tube or repeat surgery.
(2) Hemothorax (blood in the chest around the
lung) possibly requiring additional procedures.
(3) Hemoptysis (coughing up blood which can
result in trouble breathing and the need to be placed on a ventilator or
breathing machine and oxygen).
(f) Segmental resection of lung (removal of a
portion of a lung).
(1) Hemothorax (blood in
the chest around the lung).
(2)
Abscess (infected fluid collection) in chest.
(3) Air leak with pneumothorax (leak of air
from lung inside of chest causing the lung to collapse) with need for insertion
of chest drainage tube into space between lung and chest wall or repeat
surgery.
(4) Need for additional
surgery.
(g) Thoracotomy
(surgery to reach the inside of the chest).
(1) Hemothorax (blood in the chest around the
lung).
(2) Abscess (infected fluid
collection) in chest.
(3) Air leak
with pneumothorax (leak of air from lung inside of chest causing the lung to
collapse) with need for insertion of chest drainage tube into space between
lung and chest wall or repeat surgery.
(4) Need for additional surgery.
(h) VATS - video-assisted
thoracoscopic surgery (camera-assisted surgery to reach the inside of the chest
through small incisions).
(1) Hemothorax
(blood in the chest around the lung).
(2) Abscess (infected fluid collection) in
chest.
(3) Air leak with
pneumothorax (leak of air from lung inside of chest causing the lung to
collapse) with need for insertion of chest drainage tube into space between
lung and chest wall or repeat surgery.
(4) Need for additional surgery.
(5) Need to convert to open
surgery.
(i)
Percutaneous (puncture through the skin instead of incision) or Open (surgical
incision) tracheostomy.
(1) Loss of
voice.
(2) Breathing
difficulties.
(3) Pneumothorax
(collapsed lung) with need for insertion of chest tube.
(4) Hemothorax (blood in the chest around the
lung).
(5) Scarring in trachea
(windpipe).
(6) Fistula
(connection) between trachea into esophagus (tube from throat to stomach) or
great vessels.
(7) Bronchospasm
(constriction of the airways leading to trouble breathing).
(8) Hemoptysis (coughing up blood which can
result in trouble breathing and the need to be placed on a ventilator or
breathing machine and oxygen).
(j) Bronchoscopy (insertion of a camera into
the airways of the neck and chest).
(1)
Mucosal injury (damage to lining of airways) including perforation (hole in the
airway).
(2) Pneumothorax
(collapsed lung) with need for insertion of chest tube.
(3) Pneumomediastinum (air enters the space
around the airways including the space around the heart).
(4) Injury to vocal cords, laryngospasm
(irritation/spasm of the vocal cords) or laryngeal edema (swelling of the vocal
cords).
(5) Bronchospasm
(constriction of the airways leading to trouble breathing).
(6) Hemoptysis (coughing up blood which can
result in trouble breathing and the need to be placed on a ventilator or
breathing machine and oxygen).
(k) Endobronchial valve placement (device
inserted into airways in the lung that controls air movement into and out of
abnormal portions of a lung).
(1) Mucosal
injury (damage to lining of airways) including perforation (hole in the
airway).
(2) Pneumothorax
(collapsed lung) with need for insertion of chest tube.
(3) Pneumomediastinum (air enters the space
around the airways including the space around the heart).
(4) Injury to vocal cords, laryngospasm
(irritation/spasm of the vocal cords) or laryngeal edema (swelling of the vocal
cords).
(5) Migration (movement) of
the stent from its original position.
(6) Airway blockage, potentially life
threatening.
(7) Stent
blockage.
(8) Worsening of chronic
obstructive pulmonary disease (worsening of emphysema).
(9) Respiratory failure (need for breathing
tube placement with ventilator support).
(10) Bronchospasm (constriction of the
airways leading to trouble breathing).
(11) Hemoptysis (coughing up blood which can
result in trouble breathing and the need to be placed on a ventilator or
breathing machine and oxygen).
(12)
Recurrent infections.
(l) Endobronchial balloon dilatation with or
without stent placement (placement of tube to keep airway open).
(1) Bronchial rupture (tearing of the airway)
with need for additional surgery.
(2) Pneumothorax (collapsed lung) with need
for insertion of chest tube.
(3)
Pneumomediastinum (air enters the space around the airways including the space
around the heart).
(4) Injury to
vocal cords, laryngospasm (irritation/spasm of the vocal cords) or laryngeal
edema (swelling of the vocal cords).
(5) Migration (movement) of the stent from
its original position.
(6) Airway
blockage, potentially life threatening.
(7) Stent blockage.
(8) Stent fracture (broken stent).
(9) Recurrent infections.
(10) Stent erosion into adjacent structures
(stent wears a hole through the airway and injures nearby tissues).
(11) Hemoptysis (coughing up blood which can
result in respiratory distress and the need to be placed on a ventilator or
breathing machine and oxygen).
(m) Mediastinoscopy (insertion of a camera
into the space behind the breastbone and between the lungs) with or without
biopsy (removal of tissue).
(1) Hemorrhage
(severe bleeding) requiring open surgery.
(2) Nerve injury causing vocal cord paralysis
or poor function.
(3) Pneumothorax
(collapsed lung).
(4) Tracheal
injury (damage to the airway/windpipe).
(n) Pleurodesis (procedure to prevent fluid
build-up in space between the lung and chest wall).
(1) Respiratory failure (need for breathing
tube placement).
(2) Empyema
(infection/pus in the space around the lung).
