ENT (Sinus Surgery) Post-Operative Evaluation Sheet
Patient Information
Patient Name
Patient ID
Date of Birth
Evaluation Date
Procedure Details
Surgery Date
Procedure Performed
Surgeon
Symptoms Since Surgery
Describe Symptoms
Physical Examination
Vital Signs
Nasal Examination
Sinus Endoscopy Findings
Complications
Infection
Bleeding
Other
Medications/Interventions
Medications Prescribed
Other Interventions
Follow Up
Next Appointment
Additional Notes