Log Book Summary

Revised on 21 February 2012

Name: ______

This reporting period fromto

Cumulative total duration of higher surgical training: ______(months)

A. Operations Performed

Procedures of high level of skill
/ Chief
surgeon
No. this term / Chief
surgeon
cumulative total / Assistant
No. this term / Assistant
Cumulative total
Otology
Canaloplasty for aural atresia, stenosis
Cerebello-pontine angle tumour/mass removal
Cochlear implant, brain stem implant
Decompression of endolymphatic sac
Facial nerve – exploration, decompression, repair
*Mastoidectomy (> =10)
Ossiculoplasty
Otoplasty for microtia, severe deformity
Repair of round window or oval window fistula
Stapedectomy
Vestibular neurectomy
Tumor of external or middle ear – resection
Other (please specify):
Rhinology
Choanal atresia operation
Dacryo-cysto-rhinostomy – endoscopic, external
*FESS – endoscopic ethmoidectomy, fronto-ethmoidectomy, sphenoidectomy (>=30)
External fronto-ethmoidectomy, obliteration
Maxillary, sphenopalatine or ethmoid artery ligation
Orbital, optic nerve decompression, biopsy

Repair CSF leak

Rhinoplasty

Other (please specify):
Laryngology
Laryngeal fractures and dislocations - open reduction
Laryngeal/tracheal stenosis, laryngomalacia, web, cleft – endolaryngeal/open operation, stenting, reconstruction
Laryngeal diversion
Pharyngeal diverticulum operation
Endolaser surgery benigh tumor– papillomatosis, haemangioma
Submandibular duct relocation
Surgical treatment of tracheostomy complications - fistula
Vocal cord palsy procedures - thyroplasty, arytenoid adduction/abduction, cord repositioning
Laryngeal framework procedure for indications other than cord palsy
Other (please specify):
Head and Neck Surgery
Craniofacial malformation, cleft lip reconstruction
Exploration for major complications – haemorrhage, CSF leakage, chyle leakage, sepsis, flap failure, fistula
Facial reanimation - nerve graft, muscle transplant, sling, face lift, blepharoplasty
Fistula repair – branchial, pharyngeal, tracheal
Flap – revascularized free
Flap – regional pedicle
Fracture maxilla, orbit, zygoma, mandible - reduction, fixation
Manubrium resection
Neck dissection
Parotidectomy
Parathyroidectomy
Removal of foreign body in trachea and bronchus
Resection of tumor of hypopharynx and esophagus
Resection of tumor of larynx – partial or total
Resection of tumor of lateral skull base
Resection of nasopharyngeal tumor
Resection of tumor of nose, sinus, anterior skull base
Resection of tumor of oral cavity, mandible
Resection of tumor of oropharynx
Resection of tumor of parapharyngeal space – carotid body/glomus tumor, paranasopharyngeal tumor, brachial cyst, any other large size tumor/mass
Resection of tumor of skin/scalp with flap reconstruction
Resection of tumor of trachea
Submandibular gland excision
Thyroidectomy
Vascular graft
Other (please specify):

Subtotal of all High Level Procedures

Procedures of Intermediate Level of Skill
/ Chief
surgeon
No. this term / Chief
surgeon
cumulative total / Assistant
No. this term / Assistant
Cumulative total
Otology
Aural exostosis - simple removal
Bone anchored hearing aid
Meatoplasty
*Myringoplasty (>=40)
Otoplasty of simple auricular deformity, bat ear
Other (please specify):
Rhinology
Antrostomy – inferior, middle meatus
Caldwell-luc operation
*Deviated nasal septum - septoplasty, submucosal resection (>= 20)
Oro-antral fistula, closure
*Sleep related breathing disorder - LAUP, UPPP, tongue base suspension/resection, radiofrequency ablation (>=10 counted together with other high skill procedures)
Other (please specify):

Laryngology

Arytenoid subluxation – laryngoscopic reduction
Botox injection for spasmodic dysphonia
*Microlaryngoscopic surgery - nodule, polyp, Reinke’s edema (>= 20)

Pharyngoplasty

*Tracheostomy – temporary, permanent, revision (>=20)

*Tonsillectomy (>=30)

Vallecular cyst, removal

Vocal cord palsy procedures – cordectomy, arytenoidectomy, injection medialization

Other (please specify):

Head and Neck Surgery

Abscess in submandibular, parapharyngeal, thyroid – drainage

Botox injection

Cleft palate - local flap repair

Facial reanimation - gold weight
Flap -local
Gold grain implant of nasopharyngeal tumor
Removal of foreign body in esophagus
Removal of salivary duct stone, +/- endoscope
Ligation of carotid artery
Mass excision – thyroglossal cyst, small/simple tumor/mass, lipoma, neurofibroma, nasolabial cyst
Osteointegrated implant
Ranula - marsupialization or excision of sublingual gland
Resection of tumor of skin and scalp – primary closure
Scar revision
Skin graft
Stricture of pharynx, esophagus - dilatation
Tracheoesophageal puncture for voice rehabilitation or repair/closure / excision of TE fistula
Other (please specify):

Subtotal of all Intermediate Procedures

Procedures of Minor Level of Skill
/ Chief
surgeon
No. this term / Chief
surgeon
cumulative total / Assistant
No. this term / Assistant
Cumulative total

Otology

Haematoma auris – drainage, buttoning, excision
Myringotomy alone
Myringotomy +insertion of grommet
Other (specify):

Rhinology

Adenoidectomy
Nasal polyp, simple polypectomy

Removal of foreign body in nose

Turbinectomy/turbinoplasty, laser/thermal/radiofrequency ablation of turbinate

Other (specify):

Laryngology

Removal foreign body in pharynx, larynx
Other (specify):

Head and Neck Surgery

Superficial abscess of head & neck – incision
Fracture nasal bone - simple closed reduction
Oral lesion, retention cyst, torus palatinus, dental cyst - simple excision/ biopsy
Preauricular cyst or sinus – excision
Peritonsillar abscess – incision
Skin or subcutaneous benigh mass – excision, biopsy
Lymph node – biopsy
Repair superficial cutaneous wound
Other (specify)

Subtotal of all Minor Procedures

B. Endoscopic or Microscopic Examination Procedures +/- Biopsy:

flexible or rigid endoscopy, microscopy examination procedures+/- biopsy, / total in this term / cumulative total
( only need to report up to 30 for each procedure)
Nasoendoscopy/nasopharyngoscopy - flexible, rigid, +/- biopsy
Sinuscopy, antral wash out, +/- biopsy
Laryngoscopy - flexible, +/- biopsy
Laryngoscopy +/- micro/endoscopic - rigid, +/- biopsy
Stroboscopy, +/- biopsy
Bronchoscopy - flexible, +/- biopsy
Bronchoscopy - rigid, +/- biopsy
Esophagoscopy - flexible, +/- biopsy
Esophagoscopy - rigid, +/- biopsy
Paediatric flexible laryngoscopy, +/- biopsy
Paediatric rigid laryngoscopy, +/- biopsy

Paediatric flexible bronchoscopy, +/- biopsy

Paediatric rigid bronchoscopy, +/- biopsy

Paediatric esophagosopy - flexible, +/- biopsy
Paediatric esophagoscopy - rigid, +/- biopsy
Biopsy of ear lesion under microscopy
Endoscopic examination of salivary duct

C. Other Non-operative Non-endoscopic Procedures:

total in this period / cumulative total
(only need to report up to 10 for each procedure)
BPPV - canalith repositioning

Skin allergy test

Ear wax removal

Change voice prosthesis
Pure tone audiometry
Tympanometry

D. Temporal Bone Dissection

Procedures: / Number of procedures performed
this term total
Cortical mastoidectomy
Facial recess dissection
Extended facial recess dissection
Intact canal wall and decompressing tympanic and vertical portion of VII
Exposure of the endolymphatic sac
Tympanic ring removal
Labyrinthectomy
Translab. Opening of the IAM
Middle fossa approach to IAM
Total VII decompression (intact canal and middle fossa)
Canal wall down mastoidectomy
Stapedectomy
Ossiculoplasty
Other Procedures:
total

E. Cadaveric FESS Dissection

Procedures: / Number of procedures performed
this term total
Complete fronto-sphenoethmoidectomy
Endoscopic DCR
Endoscopic orbital decompression
Endoscopic optic nerve decompression
Endoscopic pituitary surgery
Endoscopic repair skull base defect
Endoscopic nasopharyngectomy
Other procedures:
total

F. Training Course:

Temporal bone dissection course:

FESS Course:

Others:

G. Journal Review and Presentation:

H. Congress / Conference Attendance and Presentation:

I. Publication:

1