Joint Surgical Colleges Fellowship Examination (JSCFE) - Operative Summary - Otolaryngology

Applicant: (insert name)

Surgical Career Dates: (insert dates from and to)

Total Level of surgeon

number of
cases Have observed Have carried out with Have carried out
supervision/assistance independently

Neck Dissection 0
Free flap reconstruction 0
oral cavity tumour excision 0
Laryngectomy 0
Head & Neck

Parotidectomy 0
Thyroidectomy 0
Laryngoscopy 0
Submandibular gland surgery 0
Tracheostomy 0
Drainage of Neck abscess 0
Endoscopic sinus surgery 0
Rhinology & Facial Plastics

Open sinus surgery 0

Polypectomy 0
Septal surgery 0
Rhinoplasty 0
Facial skinflap surgery 0
Spheno-palatine artery ligation 0
Drainage of Peri-orbital Abscess 0
Myringoplasty 0
Tympanoplasty 0
Ventilation tube insertion 0
Otology

Mastoidectomy for CSOM 0

Stapedotomy 0
Ossiculoplasty 0
Acoustic Neuroma surgery 0
Acute mastoidectomy 0
Tonsillectomy & Adenoidectomy 0
Ventilation tube insertion 0
Paediatric

Removal FB 0
Airway assessment 0
Airway reconstruction 0
Arrest of post tosillectomy bleed 0