Nose & Maxilla
• Lateral rhinotomy
• Partial maxillectomy
• Total maxillectomy
• Radical maxillectomy with orbital exenteration
• Excision nasopharyngeal tumor – transethmoid,
  transantral, transpalatal

Oral Cavity
• Partial glossectomy
• Partial mandibulectomy
• Composite resection – primary & tumor with RND, i.e.,
  primary in floor of  mouth alveoli, tongue, buccal region,
  tonsil or any combination

Oral Cavity continued...
• Neck – I & D neck abscess
• Excision benign lesions
• Radical neck dissection
• Extended radical neck dissection (transsternal
  mediastinal dissection)
• Diverticulectomy
• Cervical node biopsy
• Scalene node biopsy

Larynx and Other
• Subtotal laryngectomy – thyrotomy (laryngofissure),
  supraglottic laryngectomy, hemilaryngectomy
• Wide field laryngectomy
• Total laryngectomy with neck dissection
• Exploration laryngeal fractures
• Exploration recurrent laryngeal nerves
• Arytenoidectomy
• Cervical exophagectomy with neck dissection
• Tracheal resection with repair
• Tracheotomy
• Major vessel ligation
• Major vessel grafting
• Arterial infusion procedure
• Congenital cysts – branchiogenic cysts, thyroglossal
  cysts, dermoids, teratomas
• Thyroidectomy – not as an independent procedure,
  only in conjunction with ENT procedures

Myringotomy

Middle Ear & Temporal Bone Surgery
• Myringoplasty
• Tympanoplasty
• Tympanoplasty with mastoidectomy
• Simple mastoidectomy
• Modified radical mastoidectomy
• Radical mastoidectomy
• Fenestration
• Surgical sinus ablation
• Stapedectomy
• Stapes mobilization
• Facial nerve decompression
• Facial nerve graft or repair
• Tympanic neurectomy
• Labyrinthectomy Plastic and Reconstructive
• Reconstruction external ear
• Otoplasty
• Rhinoplasty
• Laryngoplasty
• Tracheoplasty
• Mentoplasty
• Rhytidectomy
• Blepharoplasty

Reduction Facial Fractures
• Frontal
• Nasal
• Maxilla – LeFort I, LeFort II, LeFort III
• Malar
• Malar with orbital floor
• Orbital blowout
• Mandibular – closed, open
• Other (fractures)

Pedicle Flap Procedures
• Chest
• Neck
• Shoulder neck
• Forehead, scalp
• Cheek
• Other

Grafts
(not as an independent procedure, only in conjunction with ENT procedures)

• Split thickness skin
• Full thickness skin
• Composite
• Dermal
• Other

Implants
• Fascial sling procedures
• Oroantral fistula repair
• Choanal atresia repair
• Cleft lip repair
• T. M. J. exploration
• Condylectomy
• Excision skin lesions
• Scar revisions
• Other (plastic procedures)

Endoscopy
• Laryngoscopy
• Esophagoscopy – Diagnostic with foreign body removal
  with stricture dilation
• Bronchoscopy – Diagnostic with foreign body removal
  with stricture dilation with  lung biopsy (including fine
  needle aspiration of the lung)
• Other (endoscopy)

General
• Tonsils and Adenoids
• Adenoidectomy, Tonsillectomy,
  T & A

Other
• Nasal polpectomy
• Submucous resection
• Nasal septaplasty
• Turbinectomy
• Antrotomy
• Caldwell luc
• Allergy/Asthma
• Transantral ligation of vessels
• Vidian neurectomy
• Intranasal ethmoidectomy
• External ethmoidectomy
• Frontoethmoidectomy
• Frontal sinus trephine
• Osteoplastic frontal sinusectomy
• Frontal sinus ablation
• Radical pan-sinusectomy
• Cryosurgery
• Repair of carotid artery – only in conjunction with other
  surgeons
• Brain – repair of Dura – not as an independent procedure,
  only in conjunction with ENT procedures
• Allergy/Asthma/Pneumonia (Respiratory Infections)
• Surgical first assist
• Laser surgery
• Reading & interpretation of pulmonary function
  (spirometry) tests
• Total Parental Nutrition (TPN)
• IV conscious sedation

Miscellaneous Surgery
• Basic laparoscopy
• Intermediate laparoscopy
• Advanced laparoscopy
• Total Parenteral Nutrition
• IV Conscious Sedation (after receipt of his BLS/ACLS)

Additional Requests
• Vascular Angiography
• Endoscopy, both upper and lower
• Parathyroid
• Soft tissue masses
• Mediastinoscopy
• Esophagoscopy – Diagnostic with foreign body
  removal with structure dilation
• Bronchoscopy – Diagnostic with foreign body removal
  with stricture dilation with lung biopsy (including fine
  needle aspiration of the lung)
• Thoracotomy for lung dissection
• Thoracocomy for esophageal resection
• EGD
• Colonoscopy
• Parathyroidectomy
• Mediastinoscopy
• Esophagectomy
• Lung resection
• Amputations to include below-the-knee,
  above-the-knee & hip disarticulation

Category III/Minor Gynecology
• Biopsy of cervix
• Biopsy of vulva
• D & C, diagnostic, therapeutic
• Excision of urethral caruncle
• I & D Bartholin duct abscess
• Urethral caruncle-fulguration

Category II/Routine GYN Pelvic Surgery
• All procedures in Category I
• Appendectomy
• Bartholin duct cystectomy
• Colpotomy – exploratory
• Conization of cervix-cold knife
• Diagnostic hysteroscopy
• Excision of Skenes duct cyst
• Evacuation of pelvic abscess
• Evisceration repair
• Fundectomy
• Hymenectomy
• Hymenotomy
• Hysterectomy, abdominal (with or without adnexae),
  total, subtotal
• Hysterectomy, vaginal
• Hysterosalpingogram
• Incisional hernia repair
• Incompetent os surgery
• Laparoscopy, basic
• Oophorectomy
• Perineoplasty
• Perineorrraphy
• Perinectomy
• Removal of foreign body from vagina and uterus
• Repair of cysto-urethrocele
• Repair of enterocele
• Repair of rectocele
• Trachelectomy
• Wedge resection of ovary

Category I-A
• All procedures listed in Categories I & II
• Abdominal laparotomy, with laser procedures,
  hand held or microscope directed
• Closure of vaginal fistula
• Colpectomy
• Hypogastric Aa ligation
• LaForte vaginal repair
• Lower genital tract laser procedures, hand held
  or microscope directed
• Marshall-Marchetti Pubovesico- urethral suspension
• Operative hysteroscopy
• Plastic reconstruction of vagina with skin graft for
  congenital absence
• Pre-sacral neurotomy
• Repair recto-vaginal fistula
• Repair surgical rent of bladder/bowel
• Repair vesico/vaginal fistula
• Salpingoplasty & micro
• Skin grafting
• Tubal implantation into uterus
• Ureteral repair
• Ureteral transplant
• Vulvectomy, simple
• Laser laparoscopy
• Laparoscopy, advanced

Category I-B– Radial/Pelvic Surgery
• All procedures listed in Categories I, II & IIIA
• Closure of vaginal fistula
• Colpectomy
• Exenteration, complete
• Exenteration, posterior/anterior
• Hypogastric Aa ligation

Category II – Moderate risk OB
• All procedures listed in Category I
• Amniocentesis
• Anesthesia – pudendal block, spinal
• Breech delivery – multipara, primigravida frank, footling
• Cesarean section – classical, low cervical
• Conization of cervix
• Curettage
• Ectopic pregnancy – salpingectomy
• Excision of vaginal cysts
• Evacuation of vulvar hematoma
• Fetal scalp blood sampling
• Hemorrhoid excision
• Low forceps
• Management of fetal death in utero – induction of
  labor
• Piper forceps application to after coming head
• Pre-eclampsia, mild
• Repair of cervical lacerations
• Repair of incompetent internal cervical os-cerclage,
  etc.
• Repair of vaginal lacerations
• Uterine packing

Category I – High risk OB
• All procedures listed in Categories I and II
• Abdominal pregnancy
• Abortion – threatened
• Cesarean hysterectomy
• Hydatid mole evacuation
• Destructive operations – fetus craniotomy, basiotripsy,
  decapitation, cranial puncture, cranioclasis, cleidotomy
• Eclampsia
• Extraperitoneal Cesarean section
• Hypogastric ligation
• Inversion of uterus
• Mid-forceps delivery
• Multiple pregnancy
• Pre-eclampsia, severe
• Treatment of medical complications of obstetrics
  – heart, lungs, kidneys, anemia, diabetes, etc.
• Version & extraction

Amputation
• Arm thru humerus
• Forearm thru radius & ulna
• Hand thru metacarpal bones
• Thigh thru condyles for femur
• Thigh thru femur
• Leg thru tibia & fibula
• Ankle thru tibia & fibula
• Foot, transmetatarsal or midfoot
• Matatarsal with toe Arthroscopy
• Knee, diagnostic or operative
• Shoulder/diagnostic or operative
• Ankle, diagnostic or operative
• Elbow, diagnostic or operative

Arthrodesis
• Fusion joint with or without tendon transfer
• Foot, triple arthodesis
• Foot with tendon transplant
• Hammer toe
• Hip
• Knee
• Shoulder
• Ankle
• Tarsal joints

Arthrotomy Aspiration of:
• Abscess or hematoma
• Bursa
• Joint; Arthocentesis

Biopsy
• Skin or subcutaneous tissue
• Percutaneous or open bone biopsy
• Synovial membrane
• Aspiration biopsy of bone marrow
• Open/needle biopsy of bone lesion
• Muscle biopsy

Clavicle
• Displaced/non-displaced
• Dislocation acromioclavicular
• Dislocation sternoclavicular

Capsulotomy/Capsulorrhaphy
• With suture or repair of joint capsule

Cauterization Fulguration Local Lesions

Closure
• Primary
• Secondary
• Delayed

Drainage of:
• Sebaceous cyst
• Furuncle
• Subcutaneous abscess
• Infected bursa
• Tendon sheath
• Hematoma of muscle
• I&D infected space of hand or foot
• Or inc. of periosteum& drilling or windowing of
  cortex for osteomyelitis or bone abscess

Excision of:
• Ganglion of tendon or sheath
• Xanthoma of tendon or sheath
• Baker’s cyst
• Nail, nail bed or nail fold
• Bone cyst, chondroma or exostosis
• Local excision of lesion
• Olecranon, prepatellar bursa
• Other bursa
• Wide excision of lesion with graft
• Wide excision of lesion without graft
• Neuroma
• Calcaneal spur

Fascieotomy/Fasciectomy:
For dupuytren’s contracture
For compartment syndrome

Insertion of:
• Wire, plain, threaded or beaded
• Pin
• External fixation

Muscle
• Resection of muscle

Repair of:
• Tendon – tendon lengthening with or without graft;
  tendon transplantation
• Ligament – torn, ruptured or severed
• Nerve, Neuroplasty
• Mallet finger
• Hallux valgus
• Rotator cuff
• Bankart shoulder repair or capsular shift

Removal of:
• Foreign body of muscle, tendon sheath or soft tissue
• IM rod, screw, pin, other hardware
• Total joint implants
• Loose bodies in knee or other joint

Reconstruction of:
• Anterior cruciate ligament with graft or other
  ligaments
• Ankle ligaments
• Shoulder, for recurrent dislocation

Skin Grafts
• Debridement wound, simple radical

Miscellaneous
• Osteotomy, with or without internal fixation
• Coccygectomy
• Bone graft

Fractures, Closed/Orif
• Pelvis, displaced/undisplaced

Upper Extremity – Shoulder
• Dislocation acromioclavicular
• Dislocation sternoclavicular
• Dislocation of shoulder anterior/posterior
• Fracture dislocation

Humerous
• Impacted/displaced humeral neck
• Tuberosities separated/unseparated
• Shaft, displaced/undisplaced
• Supracondylar/condylar
• Intramedullary nailing

Elbow and/or Wrist
• Dislocation
• Fracture dislocation, displaced
• Fracture dislocation, nondisplaced
• Colle’s fracture
• Smith fracture (Reverse Colle’s)
• Carpal bones
• Transcarpal/carpal dislocation
• Metacarpal & phalanges
• Avulsion fractures, complicated/uncomplicated

Femur
• Bipolar prosthesis
• Fx. Dislocation/dislocation of hip
• Neck, intertrochanteric
• Cervical Neck
• Shaft, adults & children
• Intramedullary nailing
• Knee, distal & proximal
• Insertion hip prosthesis
• No elective total hip replacement
• No revision/dislocation of THA (Total Hip Arthroplasty)

Tibia
• Patellar dislocation or fracture
• Patellectomy
• Condylar fractures
• Plateau fractures
• Shaft, displaced/undisplaced

Fibula
• Displaced/undisplaced

Ankle
• Dislocation/fracture dislocation
• Bimalleolar; Lat/Med malleolar
• Displaced/undisplaced
• Avulsion fractures of ankle
• Talus
• Calcaneous
• Navicular
• Metatarsal & phalanges
• Epiphyseal injuries

Total Join Replacement
• Total shoulder arthroplasty
• Total knee arthroplasty

Urology Privileges
• Complete history and physical examination of
  patient
• Review of x-rays and medical management
• Medical diseases of kidneys, bladder, prostate,
  testis and vagina
• Chemotherapy of urologic tumors
• Surgery of kidneys
• Surgery of ureters
• Surgery of bladder, surgery of prostate
• Surgery of penis
• Surgery of male and female external genitalia
• Surgery of testis and scrotum

• Use of urological prosthetic devices
• Lithotripsy
• Use of lasers for urological diseases
• Management of infertility and endocrine disorders
• Assist other surgical procedures
• Management of metabolic problems of urologic
  system
• Vaginal urologic procedures

Additional privileges:
Intermediate laparoscopy (Pelvic lymphadenectomy– limited & extended, varix ligation, renal surgery, ureteral surgery and bladder neck suspension)