;;           Date:   1998-09-29
;;           Author: rodrigues
;;           Description: 
;;           Generated by: Spet
;;           Exported from Tigger version 4.9, at 11:30:44 am on October 8, 1998
;;          Exported from Tigger version 4.9, at 10:44:34 am on November 4, 1998
;;         Exported from Tigger version 4.9, at 4:52:35 pm on January 4, 1999
;;        Exported from Tigger version 4.9, at 10:46:43 am on January 5, 1999
;;       Exported from Tigger version 4.9, at 2:59:52 pm on March 26, 1999
;;      Exported from Tigger version 4.9, at 5:05:39 pm on April 12, 1999
;;     Exported from Tigger version 4.9, at 11:55:53 am on April 20, 1999
;;    Exported from Tigger version 4.9, at 5:49:12 pm on March 7, 2000
;;   Exported from Tigger version 4.9, at 4:56:15 pm on April 10, 2000
;;  Exported from Tigger version 4.9, at 11:13:31 am on April 13, 2000
;; Exported from Tigger version 4.9, at 12:40:58 pm on April 13, 2000

RUBRIC "examen sous microscope ou endoscope de l'oreille externe et:ou moyenne sans ansthsie gnrale"
PARAPHRASE "a"
SOURCE ""
CODE "E001"
HISTORY "
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
MAIN inspecting
	ACTS_ON external ear
	WITH_GUIDANCE_BY endoscope
WITHOUT_ACTION injecting
	ACTS_ON general anesthetic agent
WITHOUT_ACTION injecting
	ACTS_ON general anesthetic agent
WITHOUT_ACTION injecting
	ACTS_ON general anesthetic agent
WITHOUT_ACTION injecting
	ACTS_ON general anesthetic agent
OR_MAIN inspecting
	ACTS_ON external ear
	BY_MEANS_OF microscope
OR_MAIN inspecting
	ACTS_ON external ear & middle ear
	WITH_GUIDANCE_BY endoscope
OR_MAIN inspecting
	ACTS_ON external ear & middle ear
	BY_MEANS_OF microscope

RUBRIC "Examen de l'oreille avec prlvement (anapath, cytologie, bactriologie, mycologie)"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E002"
MAIN inspecting
	ACTS_ON ear
WITH harvesting
	ACTS_ON segment
		IS_PART_OF ear
	TO_ACHIEVE pathology testing
	TO_ACHIEVE cytological testing
	TO_ACHIEVE bacteriology testing
	TO_ACHIEVE mycology testing

RUBRIC "Fibro-endoscopie de l'oreille moyenne par voie tubaire"
PARAPHRASE "a"
SOURCE ""
CODE "E003"
MAIN inspecting
	ACTS_ON middle ear
	HAS_ROUTE auditoria tuba
	WITH_GUIDANCE_BY fibroscope

RUBRIC "Exploration de caisse isole avec dcollement du lambeau tympano-matal, avec ou sans biopsie"
PARAPHRASE "a"
SOURCE ""
CODE "E004"
MAIN exploring
	ACTS_ON tympanic cavity
WITH separating
	ACTS_ON segment
		IS_PART_OF tympanic membrane
WITH_OPTIONALLY biopsying
	ACTS_ON segment
		IS_PART_OF tympanic membrane

RUBRIC "Audiomtrie tonale ou vocale isole"
PARAPHRASE "a"
SOURCE ""
CODE "E005"
MAIN measuring hearing perception threshold
	ACTS_ON ear
	BY_MEANS_OF pure tone audiometer device / speech audiometer device

RUBRIC "Audiomtrie vocale dans le bruit"
PARAPHRASE "a"
SOURCE ""
CODE "E006"
HISTORY "
Manual accept at 2:28:45 pm on October 7, 1998 by jon
Manual accept at 2:46:36 pm on November 3, 1998 by jon
Manual accept at 2:46:42 pm on November 3, 1998 by jon"
MAIN measuring hearing perception threshold
	ACTS_ON ear
	BY_MEANS_OF speech audiometer device
	OCCURS_DURING clinical action
		ACTS_ON noise

RUBRIC "Audiomtrie tonale et vocale"
PARAPHRASE "a"
SOURCE ""
CODE "E007"
HISTORY "
Manual accept at 10:08:35 am on October 8, 1998 by jon"
MAIN measuring hearing perception threshold
	ACTS_ON ear
	BY_MEANS_OF pure tone audiometer device
	BY_MEANS_OF speech audiometer device

RUBRIC "Audiomtrie  hautes frquences"
PARAPHRASE "a"
SOURCE ""
CODE "E008"
MAIN measuring hearing perception threshold
	ACTS_ON ear
	BY_MEANS_OF high audio frequency pure tone audiometer device

RUBRIC "Audiomtrie avec tests osmotiques (inclus les 2 examens)"
PARAPHRASE "a"
SOURCE ""
CODE "E009"
MAIN measuring hearing perception threshold
	ACTS_ON ear
WITH measuring osmotic pressure
	ACTS_ON ear

RUBRIC "Audiomtrie  balayage"
PARAPHRASE "a"
SOURCE ""
CODE "E010"
MAIN measuring hearing perception threshold
	ACTS_ON ear
	BY_MEANS_OF scanning audiometer device

RUBRIC "Tympanomtrie avec ou sans tude du rflexe stapdien"
PARAPHRASE "a"
SOURCE ""
CODE "E011"
MAIN recording
	ACTS_ON sound energy flow
	BY_TECHNIQUE stimulating
		ACTS_ON tympanic membrane & auditory ossicles
		BY_MEANS_OF air pressure monitoring device
		HAS_ROUTE external acoustic meatus
WITH_OPTIONALLY recording
	ACTS_ON muscle contraction
		ACTS_ON stapedius muscle

RUBRIC "Audiomtrie tonale avec tympanomtrie avec ou sans tude du rflexe stapdien"
PARAPHRASE "a"
SOURCE ""
CODE "E012"
MAIN measuring hearing perception threshold
	ACTS_ON ear
	BY_MEANS_OF pure tone audiometer device
WITH recording
	ACTS_ON sound energy flow
	BY_TECHNIQUE stimulating
		ACTS_ON tympanic membrane & auditory ossicles
		BY_MEANS_OF air pressure monitoring device
		HAS_ROUTE external acoustic meatus
WITH_OPTIONALLY recording
	ACTS_ON muscle contraction
	ACTS_ON stapedius muscle

RUBRIC "Audiomtrie tonale et vocale avec tympanomtrie avec ou sans tude du rflexe stapdien"
PARAPHRASE "a"
SOURCE ""
CODE "E013"
HISTORY "
Manual accept at 10:06:29 am on October 8, 1998 by jon
Manual accept at 10:06:39 am on October 8, 1998 by jon
Manual accept at 10:06:57 am on October 8, 1998 by jon"
MAIN measuring hearing perception threshold
	ACTS_ON ear
	BY_MEANS_OF pure tone audiometer device
	BY_MEANS_OF speech audiometer device
WITH recording
	ACTS_ON sound energy flow
	BY_TECHNIQUE stimulating
		ACTS_ON tympanic membrane & auditory ossicles
		BY_MEANS_OF air pressure monitoring device
		HAS_ROUTE external acoustic meatus
WITH_OPTIONALLY recording
	ACTS_ON muscle contraction
	ACTS_ON stapedius muscle

RUBRIC "Tubomanomtrie ou Sonotubomanomtrie (trompe auditive)"
PARAPHRASE "a"
SOURCE ""
CODE "E014"
HISTORY "
Manual accept at 10:06:20 am on October 8, 1998 by jon"
MAIN recording
	ACTS_ON sound energy flow
	BY_TECHNIQUE stimulating
		ACTS_ON auditoria tuba
		BY_MEANS_OF air pressure monitoring device
		HAS_ROUTE auditoria tuba
OR_MAIN recording
	ACTS_ON sound energy flow
	BY_TECHNIQUE stimulating
		ACTS_ON auditoria tuba
		BY_MEANS_OF air pressure monitoring device
		HAS_ROUTE auditoria tuba
WITH recording
	ACTS_ON sound energy flow
	BY_TECHNIQUE stimulating
		ACTS_ON auditoria tuba
		BY_MEANS_OF air pressure monitoring device
		HAS_APPROACH nasal cavity structure

RUBRIC "Sonomanomtrie"
PARAPHRASE "a"
SOURCE ""
CODE "E015"
HISTORY "
Manual accept at 10:07:10 am on October 8, 1998 by jon"
MAIN recording
	ACTS_ON sound energy flow
	BY_TECHNIQUE stimulating
		ACTS_ON auditoria tuba
		BY_MEANS_OF air pressure monitoring device
		HAS_APPROACH nasal cavity structure

RUBRIC "Tests cliniques et/ou audiomtriques de dpistage des surdits chez l'enfant"
PARAPHRASE "a"
SOURCE ""
CODE "E016"
MAIN examining
	ACTS_ON ear
	TO_ACHIEVE diagnosis
		ACTS_ON deafness
HAS_PATIENT child
WITH measuring hearing perception threshold
	ACTS_ON ear
OR_MAIN examining
	ACTS_ON ear
	TO_ACHIEVE diagnosis
		ACTS_ON deafness
HAS_PATIENT child
OR_MAIN measuring hearing perception threshold
	ACTS_ON ear
	TO_ACHIEVE diagnosis
		ACTS_ON deafness
HAS_PATIENT child

RUBRIC "Conditionnement d'un enfant pour tests audiomtriques sans mesure possible (quelque soit le nombre de sances)"
PARAPHRASE "a"
SOURCE ""
CODE "E017"
MAIN installing
	ACTS_ON child
	TO_ACHIEVE measuring hearing perception threshold
		ACTS_ON ear
HAS_PATIENT child

RUBRIC "Audiomtrie en champ libre et en cabine chez l'enfant (tests conditionns)"
PARAPHRASE "a"
SOURCE ""
CODE "E018"
MAIN measuring hearing perception threshold
	ACTS_ON ear
	BY_MEANS_OF device
HAS_PATIENT child

RUBRIC "Potentiels voqus auditifs pour tude des temps de conduction"
PARAPHRASE "a"
SOURCE ""
CODE "E019"
MAIN recording
	ACTS_ON brain electric potentials
	BY_MEANS_OF EEG device
	FOLLOWS stimulating
		ACTS_ON sound energy flow

RUBRIC "Potentiels voqus auditifs pour recherche de seuil"
PARAPHRASE "a"
SOURCE ""
CODE "E020"
MAIN stimulating
	ACTS_ON brain electric potentials
	BY_MEANS_OF EEG device
	FOLLOWS stimulating
		ACTS_ON sound energy flow
TO_ACHIEVE_OVERALL measuring hearing perception threshold
	ACTS_ON ear

RUBRIC "Potentiels voqus auditifs pour recherche de seuil et tude des temps de conduction"
PARAPHRASE "a"
SOURCE ""
CODE "E021"
MAIN recording
	ACTS_ON brain electric potentials
	BY_MEANS_OF EEG device
	FOLLOWS stimulating
		ACTS_ON sound energy flow
TO_ACHIEVE_OVERALL measuring hearing perception threshold
	ACTS_ON ear

RUBRIC "Potentiels voqus auditifs pour recherche de seuil sous anesthsie gnrale"
PARAPHRASE "a"
SOURCE ""
CODE "E022"
MAIN recording
	ACTS_ON brain electric potentials
	BY_MEANS_OF EEG device
	FOLLOWS stimulating
		ACTS_ON sound energy flow
TO_ACHIEVE_OVERALL measuring hearing perception threshold
	ACTS_ON ear
WITH injecting
	ACTS_ON general anesthetic agent

RUBRIC "Potentiels voqus auditifs pour recherche de seuil et tude des temps de conduction sous anesthsie gnrale"
PARAPHRASE "a"
SOURCE ""
CODE "E023"
MAIN recording
	ACTS_ON brain electric potentials
	BY_MEANS_OF EEG device
	FOLLOWS stimulating
		ACTS_ON sound energy flow
TO_ACHIEVE_OVERALL measuring hearing perception threshold
	ACTS_ON ear
WITH injecting
	ACTS_ON general anesthetic agent

RUBRIC "Electrocochlographie"
PARAPHRASE "a"
SOURCE ""
CODE "E024"
MAIN recording
	ACTS_ON brain electric potentials
	BY_MEANS_OF electrocochleographic device
	FOLLOWS stimulating
		ACTS_ON sound energy flow

RUBRIC "Electrocochlographie sous anesthsie gnrale"
PARAPHRASE "a"
SOURCE ""
CODE "E025"
MAIN recording
	ACTS_ON brain electric potentials
	BY_MEANS_OF electrocochleographic device
	FOLLOWS stimulating
		ACTS_ON sound energy flow
WITH injecting
	ACTS_ON general anesthetic agent

RUBRIC "Enregistrement et interprtation des oto-missions"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E026"
MAIN recording
	ACTS_ON electric potentials
		IS_ACTED_ON_BY stimulating
			ACTS_ON ear
WITH examining
	ACTS_ON electric potentials
		IS_ACTED_ON_BY stimulating
			ACTS_ON ear

RUBRIC "Enregistrement et interprtation des produits de distorsions des oto-missions"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E027"
MAIN recording
	ACTS_ON electric potentials
		IS_ACTED_ON_BY stimulating
			ACTS_ON ear
MOTIVATED_OVERALL_BY diagnosis
	ACTS_ON pathology
WITH examining
	ACTS_ON electric potentials
		IS_ACTED_ON_BY stimulating
			ACTS_ON ear

RUBRIC "Electrostimulation de l'oreille par voie transtympanique avec ou sans enregistrement"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E028"
MAIN stimulating
	ACTS_ON ear
	BY_MEANS_OF electrode
	HAS_APPROACH trans tympanic membrane approach
WITH_OPTIONALLY recording
	ACTS_ON electric potentials
	BY_MEANS_OF EEG device

RUBRIC "Electrostimulation de l'oreille par voie transtympanique avec enregistrement sous anesthsie gnrale"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E029"
MAIN stimulating
	ACTS_ON ear
	BY_MEANS_OF electrode
	HAS_APPROACH trans tympanic membrane approach
WITH recording
	ACTS_ON electric potentials
	BY_MEANS_OF EEG device
WITH injecting
	ACTS_ON general anesthetic agent

RUBRIC "Electrostimulation de l'oreille par voie chirurgicale avec ou sans enregistrement"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E030"
MAIN stimulating
	ACTS_ON ear
	BY_MEANS_OF electrode
	HAS_APPROACH surgical approach
WITH_OPTIONALLY recording
	ACTS_ON electric potentials
	BY_MEANS_OF EEG device

RUBRIC "Adaptation et rglage d'implant cochlaire"
PARAPHRASE "a"
SOURCE ""
CODE "E031"
MAIN installing
	ACTS_ON cochlear implant
WITH arranging
	ACTS_ON cochlear implant

RUBRIC "Evaluation phoniatrique de la communication de l'enfant malentendant"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E032"
MAIN exploring
	ACTS_ON phonation
HAS_PATIENT child
MOTIVATED_OVERALL_BY diagnosis
	ACTS_ON deafness

RUBRIC "Evaluation phoniatrique de la communication de l'adulte malentendant"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E033"
MAIN exploring
	ACTS_ON phonation
HAS_PATIENT adult
MOTIVATED_OVERALL_BY diagnosis
	ACTS_ON deafness

RUBRIC "Electrostimulation des acouphnes"
PARAPHRASE "a"
SOURCE ""
CODE "E034"
MAIN stimulating
	ACTS_ON tinnitus aurium
	BY_MEANS_OF electrode

RUBRIC "Examen vestibulaire clinique sans videoscopie, avec ou sans preuve calorique"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E035"
MAIN examining
	ACTS_ON vestibular function
WITHOUT_ACTION recording
	ACTS_ON vestibular function
	BY_MEANS_OF videotape recorder device
WITH_OPTIONALLY applying
	ACTS_ON vestibular caloric testing

RUBRIC "Examen vestibulaire clinique avec videoscopie, avec ou sans preuve calorique"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E036"
MAIN examining
	ACTS_ON vestibular function
WITH recording
	ACTS_ON vestibular function
	BY_MEANS_OF videotape recorder device
WITH_OPTIONALLY applying
	ACTS_ON vestibular caloric testing

RUBRIC "Rducation vestibulaire"
PARAPHRASE "a"
SOURCE ""
CODE "E037"
MAIN repairing
	ACTS_ON vestibular function

RUBRIC "Tests oculographiques (nystagmus opto-cintique et tude des poursuites et des saccades)"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E038"
MAIN applying
	ACTS_ON optokinetic nystagmus testing

RUBRIC "Epreuve vestibulaire bicalorique calibre avec lectronystagmographie ou videonystagmographie"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E039"
MAIN applying
	ACTS_ON vestibular caloric testing
	HAS_NUMBER 2
WITH recording
	ACTS_ON corneoretineal electric potentials
	BY_MEANS_OF electronystagmograph device / videotape recorder device

RUBRIC "Epreuve vestibulaire pendulaire ou rotatoire avec lectronystagmographie ou videonystagmographie"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E040"
MAIN applying
	ACTS_ON vestibular pendular or rotatory testing
WITH recording
	ACTS_ON corneoretineal electric potentials
	BY_MEANS_OF electronystagmograph device / videotape recorder device

RUBRIC "Epreuve vestibulaire bicalorique calibre, pendulaire ou rotatoire avec lectronystagmographie ou videonystagmographie et tests oculographiques"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E041"
MAIN applying
	ACTS_ON vestibular caloric testing
WITH applying
	ACTS_ON vestibular pendular or rotatory testing
WITH recording
	ACTS_ON corneoretineal electric potentials
	BY_MEANS_OF electronystagmograph device / videotape recorder device

RUBRIC "Statokinsimtrie et stabilographie"
PARAPHRASE "a"
SOURCE ""
CODE "E042"
HISTORY "
Manual accept at 10:08:46 am on October 8, 1998 by jon"
MAIN exploring
	ACTS_ON posture
	BY_MEANS_OF kinesimeter device
	BY_MEANS_OF stabilography device

RUBRIC "Epreuve vestibulaire bicalorique calibre"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E043"
MAIN applying
	ACTS_ON vestibular caloric testing

RUBRIC "Posturographie informatise"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E044"
MAIN exploring
	ACTS_ON posture
	BY_TECHNIQUE imaging
		ACTS_ON posture
		BY_MEANS_OF computer

RUBRIC "Potentiels voqus vestibulaires"
PARAPHRASE "a"
SOURCE ""
CODE "E045"
MAIN recording
	ACTS_ON brain electric potentials
	BY_MEANS_OF EEG device
	FOLLOWS stimulating
		ACTS_ON vestibular nerve
TO_ACHIEVE_OVERALL exploring
	ACTS_ON vestibular function

RUBRIC "Examen par stimulation lectrique et dtection clinique du nerf facial [Hilger]"
PARAPHRASE "a"
SOURCE ""
CODE "E046"
MAIN recording
	ACTS_ON brain electric potentials
	BY_MEANS_OF EEG device
	FOLLOWS stimulating
		ACTS_ON facial nerve
WITH looking for
	ACTS_ON facial nerve

RUBRIC "Electrogustomtrie"
PARAPHRASE "a"
SOURCE ""
CODE "E047"
MAIN recording
	ACTS_ON brain electric potentials
	BY_MEANS_OF electrogustometry device
	FOLLOWS stimulating
		ACTS_ON taste

RUBRIC "Electromyographie faciale par aiguilles avec ou sans stimulation"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980716,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E048"
MAIN recording
	ACTS_ON electric potentials
	BY_MEANS_OF electromyograph device
		HAS_LOCATION muscle (striated)
			IS_PART_OF face
	BY_MEANS_OF needle
WITH_OPTIONALLY stimulating
	ACTS_ON muscle (striated)
		IS_PART_OF face
	BY_MEANS_OF electrode

RUBRIC "Electromyographie faciale de surface avec ou sans stimulation intgr"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E049"
MAIN recording
	ACTS_ON electric potentials
	BY_MEANS_OF electromyograph device
		HAS_LOCATION muscle (striated)
			IS_PART_OF face
WITH_OPTIONALLY stimulating
	ACTS_ON muscle (striated)
		IS_PART_OF face
	BY_MEANS_OF electrode
		HAS_LOCATION cutaneous layer

RUBRIC "Electroneuronographie faciale"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E050"
MAIN imaging
	ACTS_ON facial nerve
	BY_MEANS_OF electrode

RUBRIC "Mesure objective du rflexe de clignement [Blink test]"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E051"
MAIN measuring
	ACTS_ON ocular reflex

RUBRIC "Suture du pavillon de l'oreille"
STATUS "0"
HISTORY "19980926,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E052"
MAIN suturing
	ACTS_ON flap of the ear

RUBRIC "Evacuation et parage d'un hmatome du pavillon de l'oreille"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E053"
MAIN evacuating
	ACTS_ON hematoma
		HAS_LOCATION flap of the ear
WITH repairing
	ACTS_ON wound
		HAS_LOCATION flap of the ear

RUBRIC "Excision et parage d'une chondrite du pavillon de l'oreille"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:51:27 pm on November 3, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E054"
MAIN excising
	ACTS_ON inflammation
		HAS_LOCATION cartilage
			IS_PART_OF flap of the ear
WITH repairing
	ACTS_ON wound
		HAS_LOCATION flap of the ear

RUBRIC "Reprise pour hmostase aprs chirurgie sur l'oreille externe ou l'oreille moyenne"
STATUS "0"
HISTORY "19980924,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:09:54 am on October 8, 1998 by jon
Manual accept at 10:10:19 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E055"
MAIN surgical deed
	ACTS_ON external ear / middle ear
	HAS_TEMPORAL_MARKER revision
	TO_ACHIEVE hemostasis
MOTIVATED_OVERALL_BY curing
	ACTS_ON bleeding
		CAUSED_BY surgical deed

RUBRIC "Exrse partielle du pavillon de l'oreille n'intressant pas toute l'paisseur - Inclut : suture ventuelle"
PARAPHRASE "a"
SOURCE ""
CODE "E056"
MAIN excising
	ACTS_ON flap of the ear
	HAS_EXTENT partial
WITH_OPTIONALLY suturing
	ACTS_ON flap of the ear

RUBRIC "Exrse partielle du pavillon de l'oreille intressant toute l'paisseur - Inclut : suture ventuelle"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:14:53 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E057"
MAIN excising
	ACTS_ON flap of the ear
	HAS_EXTENT partial
WITH_OPTIONALLY suturing
	ACTS_ON flap of the ear

RUBRIC "Amputation du pavillon de l'oreille"
PARAPHRASE "a"
SOURCE ""
CODE "E058"
MAIN amputating
	ACTS_ON flap of the ear

RUBRIC "Rimplantation du pavillon de l'oreille avec anastomoses vasculaires microchirurgicales"
PARAPHRASE "a"
SOURCE ""
CODE "E059"
MAIN reimplanting
	ACTS_ON flap of the ear
WITH suturing
	ACTS_ON vessel
	BY_MEANS_OF microsurgical device

RUBRIC "Reposition non microchirurgicale d'un fragment de pavillon d'oreille amput"
STATUS "0"
HISTORY "19980924,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E060"
MAIN reimplanting
	ACTS_ON segment
		HAS_DESTINATION flap of the ear
		IS_PART_OF flap of the ear
WITHOUT_ACTION suturing
	ACTS_ON flap of the ear
	BY_MEANS_OF microsurgical device
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		CAUSED_BY trauma
		HAS_LOCATION flap of the ear

RUBRIC "Plastie chirurgicale d'oreille dcolle unilatrale"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E061"
MAIN fashioning
	ACTS_ON detachment of ear
	HAS_LATERALITY unilateral

RUBRIC "Plastie chirurgicale d'oreille dcolle bilatrale"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E062"
MAIN fashioning
	ACTS_ON detachment of ear
	HAS_LATERALITY bilateral

RUBRIC "Rparation d'une perte de substance du pavillon de l'oreille par autogreffe compose chondro-cutane - Inclut : prlvement du greffon et rparation de la zone de prlvement"
STATUS "0"
HISTORY "19980924,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:01:56 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E063"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION flap of the ear
	BY_MEANS_OF skin autograft
	BY_MEANS_OF cartilage
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON autograft
WITH harvesting
	ACTS_ON autograft

RUBRIC "Rparation d'une perte de substance du pavillon de l'oreille par lambeau local cutan ou  chondro-cutan - Inclut : prlvement du greffon et rparation de la zone de prlvement"
STATUS "0"
HISTORY "19980924,rodrigues@univ-st-etienne.fr,0;
Manual accept at 9:54:37 am on October 8, 1998 by jon
Manual accept at 9:54:49 am on October 8, 1998 by jon
Manual accept at 9:55:34 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E064"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION flap of the ear
	BY_MEANS_OF skin flap
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON flap
WITH harvesting
	ACTS_ON flap

RUBRIC "Rparation d'une perte de substance du pavillon de l'oreille par autogreffe de cartilage conqual auriculaire ou septal prleve sur l'autre oreille - Inclut : prlvement du greffon et rparation de la zone de prlvement"
STATUS "0"
HISTORY "19980924,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:10:44 am on October 8, 1998 by jon
Manual accept at 10:11:36 am on October 8, 1998 by jon
Manual accept at 10:11:52 am on October 8, 1998 by jon
Manual accept at 10:13:05 am on October 8, 1998 by jon
Manual accept at 10:13:17 am on October 8, 1998 by jon
Manual accept at 11:13:25 am on October 8, 1998 by jon
Manual accept at 11:13:29 am on October 8, 1998 by jon
Manual accept at 11:13:36 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E065"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION flap of the ear
	BY_MEANS_OF cartilage autograft
		HAS_LOCATION concha of auricle
	HAS_LATERALITY contralateral
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON autograft
WITH harvesting
	ACTS_ON autograft

RUBRIC "Rparation d'une perte de substance du pavillon de l'oreille par autogreffe de cartilage costal - Inclut : prlvement du greffon et rparation de la zone de prlvement"
STATUS "0"
HISTORY "19980924,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:12:10 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E066"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION flap of the ear
	BY_MEANS_OF cartilage autograft
		HAS_LOCATION rib
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON autograft
WITH harvesting
	ACTS_ON autograft

RUBRIC "Reconstruction totale du pavillon de l'oreille par autogreffe de cartillage costal sculpt - Inclut : prlvement des greffons et rparation de la zone de prlvement"
STATUS "0"
HISTORY "19980924,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:15:11 am on October 8, 1998 by jon
Manual accept at 10:15:37 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E067"
MAIN plastic constructing
	ACTS_ON flap of the ear
	BY_MEANS_OF cartilage autograft
		IS_PART_OF rib
	BY_TECHNIQUE refashioning
		ACTS_ON cartilage
			IS_PART_OF rib
	HAS_EXTENT total
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
		HAS_LOCATION rib
			IS_PART_OF rib
WITH harvesting
	ACTS_ON cartilage autograft

RUBRIC "Transposition du lobule"
PARAPHRASE "a"
SOURCE ""
CODE "E068"
MAIN transposing
	ACTS_ON lobule of auricle

RUBRIC "Construction du tragus par lambeau cutan et autogreffe cutane - Inclut : prlvement du lambeau et du greffon et rparation des zones de prlvement"
STATUS "0"
HISTORY "19980924,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:02:24 am on October 8, 1998 by jon
Manual accept at 10:02:54 am on October 8, 1998 by jon
Manual accept at 10:03:05 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E069"
MAIN plastic constructing
	ACTS_ON tragus of auricle
	BY_MEANS_OF skin flap
	BY_MEANS_OF skin autograft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON cutaneous layer
WITH harvesting
	ACTS_ON_1 skin flap
	ACTS_ON_1 skin graft

RUBRIC "Construction du tragus par autogreffe chondro-cutane de conque controlatrale et autogreffe cutane - Inclut : prlvement des greffons et rparation de la zone de prlvement"
STATUS "0"
HISTORY "19980924,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:12:41 am on October 8, 1998 by jon
Manual accept at 11:13:45 am on October 8, 1998 by jon
Manual accept at 11:14:01 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E070"
MAIN plastic constructing
	ACTS_ON tragus of auricle
	BY_MEANS_OF autograft
		HAS_LOCATION concha of auricle
	HAS_LATERALITY contralateral
	BY_MEANS_OF cutaneous graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
		HAS_LOCATION concha of auricle
WITH harvesting
	ACTS_ON concha of auricle
	HAS_LATERALITY contralateral

RUBRIC "Reconstruction en un temps du pavillon de l'oreille pour malformation type microtie"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E071"
MAIN plastic constructing
	ACTS_ON flap of the ear
	OCCURS_DURING surgical deed
		HAS_NUMBER 1
	TO_ACHIEVE curing
		ACTS_ON microtia

RUBRIC "Reconstruction du sillon rtro-auriculaire par lambeau cutan d'avancement et autogreffe cutane - Inclut : prlvement du lambeau et du greffon et rparation de la zone de prlvement"
STATUS "0"
HISTORY "19980924,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:01:03 am on October 8, 1998 by jon
Manual accept at 10:01:14 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E072"
MAIN refashioning
	ACTS_ON retro auricular sulcus
	BY_TECHNIQUE advancing
		ACTS_ON cutaneous flap
	BY_TECHNIQUE grafting
		ACTS_ON skin autograft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
WITH harvesting
	ACTS_ON flap
	ACTS_ON autograft

RUBRIC "Reconstruction du sillon rtro-auriculaire par lambeau de fascia temporal ou occipital cutan et autogreffe cutane - Inclut : prlvement du lambeau et du greffon et rparation de la zone de prlvement"
STATUS "0"
HISTORY "19980924,rodrigues@univ-st-etienne.fr,0;
Manual accept at 9:56:09 am on October 8, 1998 by jon
Manual accept at 9:56:15 am on October 8, 1998 by jon
Manual accept at 9:56:34 am on October 8, 1998 by jon
Manual accept at 9:57:22 am on October 8, 1998 by jon
Manual accept at 9:58:40 am on October 8, 1998 by jon
Manual accept at 9:58:52 am on October 8, 1998 by jon
Manual accept at 9:59:07 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E073"
MAIN refashioning
	ACTS_ON retro auricular sulcus
	BY_TECHNIQUE advancing
		ACTS_ON flap
			IS_PART_OF occipital fascia / temporal fascia
	BY_TECHNIQUE grafting
		ACTS_ON skin autograft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
WITH harvesting
	ACTS_ON flap
	ACTS_ON autograft

RUBRIC "Soin instrumental d'oreille externe sous microscope uni ou bilatral (aspiration, cautrisation, dilatation... comprises)"
STATUS "0"
HISTORY "19980924,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:13:40 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E074"
MAIN curing
	ACTS_ON external ear
		HAS_LATERALITY unilateral / bilateral
	BY_MEANS_OF device
	BY_MEANS_OF microscope
	BY_TECHNIQUE aspirating
		ACTS_ON external ear
	BY_TECHNIQUE destroying
		ACTS_ON external ear
		BY_MEANS_OF cauterizing device
	BY_TECHNIQUE dilatating
		ACTS_ON external ear

RUBRIC "Incision d'une collection du conduit auditif externe"
PARAPHRASE "a"
SOURCE ""
CODE "E075"
MAIN incising
	ACTS_ON abcess
		HAS_LOCATION external acoustic meatus

RUBRIC "Extraction uni ou bilatrale de bouchon de crumen ou de corps tranger du conduit auditif externe"
PARAPHRASE "a"
SOURCE ""
CODE "E076"
HISTORY "
Manual accept at 10:09:10 am on October 8, 1998 by jon"
MAIN extracting
	ACTS_ON cerumen plug / foreign body
		HAS_LOCATION external acoustic meatus
	HAS_LATERALITY unilateral
OR_MAIN extracting
	ACTS_ON cerumen plug / foreign body
		HAS_LOCATION external acoustic meatus
	HAS_LATERALITY bilateral

RUBRIC "Extraction de bouchon pidermique de l'oreille uni ou bilatral"
PARAPHRASE "a"
SOURCE ""
CODE "E077"
MAIN extracting
	ACTS_ON epidermic plug
	HAS_LATERALITY unilateral / bilateral

RUBRIC "Exrse de lsions osseuses oblitrantes du conduit auditif externe"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E078"
MAIN excising
	ACTS_ON lesion (as structure)
		CAUSED_BY obstruction
		HAS_LOCATION bone tissue
			HAS_LOCATION external auditory canal

RUBRIC "Exrse partielle du conduit auditif externe"
PARAPHRASE "a"
SOURCE ""
CODE "E079"
MAIN excising
	ACTS_ON external acoustic meatus
	HAS_EXTENT partial

RUBRIC "Rduction d'une fracture du tympanal"
PARAPHRASE "a"
SOURCE ""
CODE "E080"
MAIN reducing (a fracture)
	ACTS_ON fracture
		HAS_LOCATION pars tympanica ossis temporalis

RUBRIC "Canaloplastie du conduit auditif externe avec greffe de peau ou lambeau cutan local sans temps de caisse"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E081"
MAIN plastic constructing
	ACTS_ON external acoustic meatus
	BY_MEANS_OF cutaneous flap / cutaneous graft
WITHOUT_ACTION surgical deed
	ACTS_ON middle ear

RUBRIC "Canaloplastie du conduit auditif externe avec lambeau de fascia temporal et greffe de peau sans temps de caisse"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E082"
MAIN plastic constructing
	ACTS_ON external acoustic meatus
	BY_MEANS_OF flap
		IS_PART_OF temporal fascia
	BY_MEANS_OF cutaneous graft
WITHOUT_ACTION surgical deed
	ACTS_ON middle ear

RUBRIC "Matoplastie isole du conduit auditif externe cartilagineux"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E083"
MAIN plastic constructing
	ACTS_ON cartilage
		IS_PART_OF external acoustic meatus

RUBRIC "Exrse du pavillon et du conduit auditif externe cartilagineux"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E084"
MAIN excising
	ACTS_ON flap of the ear
WITH excising
	ACTS_ON cartilage
		IS_PART_OF external acoustic meatus

RUBRIC "Exrse de l'oreille externe largie  l'oreille moyenne"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E085"
MAIN excising
	ACTS_ON external ear
	HAS_EXTENT extended
WITH excising
	ACTS_ON segment
		IS_PART_OF middle ear

RUBRIC "Exrse de l'oreille externe largie au rocher"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E086"
MAIN excising
	ACTS_ON external ear
	HAS_EXTENT extended
WITH excising
	ACTS_ON segment
		IS_PART_OF petrous part of temporal bone

RUBRIC "Exrse de l'oreille externe largie  la parotide (fosse infra temporale incluse)"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E087"
MAIN excising
	ACTS_ON external ear
	HAS_EXTENT extended
WITH excising
	ACTS_ON segment
		IS_PART_OF parotid gland
WITH excising
	ACTS_ON segment
		IS_PART_OF infratemporal fossa

RUBRIC "Exrse de l'oreille externe largie  la parotide et au rocher"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E088"
MAIN excising
	ACTS_ON external ear
	HAS_EXTENT extended
WITH excising
	ACTS_ON segment
		IS_PART_OF parotid gland
WITH excising
	ACTS_ON segment
		IS_PART_OF petrous part of temporal bone

RUBRIC "Myringotomie uni ou bilatrale, examen d'oreille inclus"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E089"
MAIN draining
	ACTS_ON tympanic membrane
	BY_TECHNIQUE incising
		ACTS_ON tympanic membrane
	HAS_LATERALITY unilateral / bilateral
WITH examining
	ACTS_ON ear

RUBRIC "Mise en place d'un arateur transtympanique unilatral, examen d'oreille inclus"
PARAPHRASE "a"
SOURCE ""
CODE "E090"
MAIN installing
	ACTS_ON ear airway device
	HAS_LATERALITY unilateral
WITH examining
	ACTS_ON ear

RUBRIC "Mise en place d'un arateur transtympanique bilatral, examen d'oreille inclus"
PARAPHRASE "a"
SOURCE ""
CODE "E091"
MAIN installing
	ACTS_ON ear airway device
	HAS_LATERALITY bilateral
WITH examining
	ACTS_ON ear

RUBRIC "Ablation d'un arateur transtympanique en place sur le tympan sous anesthsie gnrale (uni ou bilatral, examen d'oreille inclus)"
PARAPHRASE "a"
SOURCE ""
CODE "E092"
MAIN removing
	ACTS_ON ear airway device
		HAS_LOCATION tympanic membrane
	HAS_LATERALITY unilateral / bilateral
WITH examining
	ACTS_ON ear
WITH injecting
	ACTS_ON general anesthetic agent

RUBRIC "Insufflation tubaire uni ou bilatrale (trompe auditive)"
PARAPHRASE "a"
SOURCE ""
CODE "E093"
MAIN injecting
	ACTS_ON air
	HAS_ROUTE auditoria tuba
TO_ACHIEVE_OVERALL unblocking
	ACTS_ON auditoria tuba

RUBRIC "Soin instrumental d'oreille moyenne sous microscope uni ou bilatral (aspiration, cautrisation,... comprises)"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:14:05 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E094"
MAIN curing
	ACTS_ON middle ear
		HAS_LATERALITY unilateral / bilateral
	BY_MEANS_OF device
	BY_MEANS_OF microscope
	BY_TECHNIQUE aspirating
		ACTS_ON middle ear
	BY_TECHNIQUE destroying
		ACTS_ON middle ear
		BY_MEANS_OF cauterizing device

RUBRIC "Soin instrumental d'oreille moyenne sous microscope uni ou bilatral (aspiration, cautrisation,ablation d'un arateur transtympanique... comprises)"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:13:51 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E095"
MAIN curing
	ACTS_ON middle ear
		HAS_LATERALITY unilateral / bilateral
	BY_MEANS_OF device
	BY_MEANS_OF microscope
	BY_TECHNIQUE aspirating
		ACTS_ON middle ear
	BY_TECHNIQUE destroying
		ACTS_ON middle ear
		BY_MEANS_OF cauterizing device
	BY_TECHNIQUE removing
		ACTS_ON ear airway device

RUBRIC "Extraction de corps tranger de l'oreille moyenne avec dcollement du lambeau tympano-matal"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E096"
MAIN extracting
	ACTS_ON foreign body
		HAS_LOCATION middle ear
WITH separating
	ACTS_ON tympanic membrane

RUBRIC "Section du nerf de Jacobson dans la caisse du tympan"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E097"
MAIN dividing
	ACTS_ON nervus tympanicus
		IS_CONTAINED_IN tympanic cavity

RUBRIC "Exrse de cholestatome et/ou de poche de rtraction volutive avec tympanoplastie en TF sans ossiculoplastie"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E098"
MAIN excising
	ACTS_ON cholesteatoma / cholesteatoma tympani
		HAS_LOCATION tympanic cavity
WITHOUT_ACTION plastic repairing
	ACTS_ON auditory ossicles
WITHOUT_ACTION plastic repairing
	ACTS_ON auditory ossicles
WITH plastic repairing
	ACTS_ON tympanic membrane
	HAS_APPROACH closed
OR_MAIN excising
	ACTS_ON cholesteatoma & cholesteatoma tympani
		HAS_LOCATION tympanic cavity
WITH plastic repairing
	ACTS_ON tympanic membrane
	HAS_APPROACH closed

RUBRIC "Exrse de cholestatome et/ou de poche de rtraction volutive avec tympanoplastie en TF et avec ossiculoplastie"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E099"
MAIN excising
	ACTS_ON cholesteatoma / cholesteatoma tympani
		HAS_LOCATION tympanic cavity
WITH plastic repairing
	ACTS_ON tympanic membrane
	HAS_APPROACH closed
WITH plastic repairing
	ACTS_ON auditory ossicles
OR_MAIN excising
	ACTS_ON cholesteatoma & cholesteatoma tympani
		HAS_LOCATION tympanic cavity
WITH plastic repairing
	ACTS_ON tympanic membrane
	HAS_APPROACH closed
WITH plastic repairing
	ACTS_ON auditory ossicles

RUBRIC "Tympanoplastie en TF avec tympanotomie postrieure, avec ou sans ossiculoplastie, cholestatome exclus"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E100"
MAIN plastic repairing
	ACTS_ON tympanic cavity
	HAS_APPROACH closed
WITH incising
	ACTS_ON tympanic cavity
	HAS_APPROACH posterior approach
WITH_OPTIONALLY plastic repairing
	ACTS_ON auditory ossicles

RUBRIC "Exrse de cholestatome et/ou de poche de rtraction volutive avec tympanoplastie en TO avec ou sans comblement sans ossiculoplastie"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E101"
MAIN excising
	ACTS_ON cholesteatoma / cholesteatoma tympani
		HAS_LOCATION tympanic cavity
WITHOUT_ACTION plastic repairing
	ACTS_ON auditory ossicles
WITHOUT_ACTION plastic repairing
	ACTS_ON auditory ossicles
WITH plastic repairing
	ACTS_ON tympanic membrane
	HAS_APPROACH open
WITH_OPTIONALLY filling
	ACTS_ON tympanic cavity
OR_MAIN excising
	ACTS_ON cholesteatoma & cholesteatoma tympani
		HAS_LOCATION tympanic cavity
WITH plastic repairing
	ACTS_ON tympanic membrane
	HAS_APPROACH open
WITH_OPTIONALLY filling
	ACTS_ON tympanic cavity

RUBRIC "Exrse de cholestatome et/ou de poche de rtraction volutive avec tympanoplastie en TO avec ou sans comblement et avec ossiculoplastie"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E102"
MAIN excising
	ACTS_ON cholesteatoma / cholesteatoma tympani
		HAS_LOCATION tympanic cavity
WITH plastic repairing
	ACTS_ON tympanic membrane
	HAS_APPROACH open
WITH plastic repairing
	ACTS_ON auditory ossicles
WITH_OPTIONALLY filling
	ACTS_ON tympanic cavity
OR_MAIN excising
	ACTS_ON cholesteatoma & cholesteatoma tympani
		HAS_LOCATION tympanic cavity
WITH plastic repairing
	ACTS_ON tympanic membrane
	HAS_APPROACH open
WITH plastic repairing
	ACTS_ON auditory ossicles
WITH_OPTIONALLY filling
	ACTS_ON tympanic cavity

RUBRIC "Evidement ptromastodien isol"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E103"
MAIN excising
	ACTS_ON mastoid structure & petrous part of temporal bone

RUBRIC "Exrse de tympanosclrose sans ouverture labyrinthique sans ossiculoplastie"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E104"
MAIN excising
	ACTS_ON tympanosclerosis
WITHOUT_ACTION plastic repairing
	ACTS_ON auditory ossicles
WITHOUT_ACTION opening
	ACTS_ON bony labyrinth

RUBRIC "Exrse de tympanosclrose sans ouverture labyrinthique avec ossiculoplastie"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:06 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E105"
MAIN excising
	ACTS_ON tympanosclerosis
WITHOUT_ACTION opening
	ACTS_ON bony labyrinth
WITH plastic repairing
	ACTS_ON auditory ossicles

RUBRIC "Exrse de tympanosclrose avec ouverture labyrinthique et rtablissement collumellaire"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E106"
MAIN excising
	ACTS_ON tympanosclerosis
WITH opening
	ACTS_ON bony labyrinth
WITH refashioning
	ACTS_ON columella cochleae

RUBRIC "Exrse de tympanosclrose avec ouverture labyrinthique au laser et rtablissement collumellaire"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E107"
MAIN excising
	ACTS_ON tympanosclerosis
WITH opening
	ACTS_ON bony labyrinth
	BY_MEANS_OF laser
WITH refashioning
	ACTS_ON columella cochleae

RUBRIC "Exclusion de l'oreille moyenne et externe avec suture du mat"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E108"
MAIN unshunting
	ACTS_ON middle ear & external ear
WITH suturing
	ACTS_ON external acoustic meatus

RUBRIC "Mastodectomie totale ou attico-mastodectomie totale isole"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E109"
MAIN excising
	ACTS_ON mastoid structure
	HAS_EXTENT total
OR_MAIN excising
	ACTS_ON recessus epitympanicus & mastoid structure
	HAS_EXTENT total

RUBRIC "Exrse d'une tumeur bnigne de l'oreille moyenne, limite  la caisse du tympan,  l'exclusion du cholestatome"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E110"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION tympanic cavity
WITHOUT_ACTION excising
	ACTS_ON cholesteatoma

RUBRIC "Exrse de cholestatome limite  la caisse du tympan sans exploration antroatticale"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E111"
MAIN excising
	ACTS_ON cholesteatoma
		HAS_LOCATION tympanic cavity
WITHOUT_ACTION exploring
	ACTS_ON tympanic antrum & recessus epitympanicus

RUBRIC "Exrse d'une tumeur bnigne  tendue  l'ensemble des cavits de l'oreille moyenne,  l'exclusion du cholestatome"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E112"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION middle ear
	HAS_EXTENT extended
WITHOUT_ACTION excising
	ACTS_ON cholesteatoma

RUBRIC "Exrse d'une tumeur bnigne  tendue  l'ensemble des cavits de l'oreille moyenne avec laser ,  l'exclusion du cholestatome"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E113"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION middle ear
	BY_MEANS_OF laser
	HAS_EXTENT extended
WITHOUT_ACTION excising
	ACTS_ON cholesteatoma

RUBRIC "Myringoplastie sans dcollement du lambeau tympano-matal"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E114"
MAIN plastic repairing
	ACTS_ON tympanic membrane
WITHOUT_ACTION separating
	ACTS_ON flap
		IS_PART_OF tympanic membrane & external acoustic meatus

RUBRIC "Myringoplastie avec dcollement du lambeau tympano-matal"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E115"
MAIN plastic repairing
	ACTS_ON tympanic membrane
WITH separating
	ACTS_ON flap
		IS_PART_OF tympanic membrane & external acoustic meatus

RUBRIC "Myringoplastie avec dcollement du lambeau tympano-matal et exploration masto-atticale sans ossiculoplastie"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E116"
MAIN plastic repairing
	ACTS_ON tympanic membrane
WITHOUT_ACTION plastic repairing
	ACTS_ON auditory ossicles
WITH separating
	ACTS_ON flap
		IS_PART_OF tympanic membrane & external acoustic meatus
WITH exploring
	ACTS_ON mastoid structure & recessus epitympanicus

RUBRIC "Platinotomie ou platinectomie avec rtablissement collumellaire"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E117"
MAIN incising
	ACTS_ON footplate of stapes
WITH refashioning
	ACTS_ON columella cochleae
OR_MAIN excising
	ACTS_ON footplate of stapes
WITH refashioning
	ACTS_ON columella cochleae

RUBRIC "Platinotomie  LASER avec rtablissement collumellaire"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E118"
MAIN incising
	ACTS_ON footplate of stapes
	BY_MEANS_OF laser
WITH refashioning
	ACTS_ON columella cochleae

RUBRIC "Changement ou remise en place de prothse aprs platinotomie ou platinectomie"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E119"
MAIN replacing
	ACTS_ON prosthetic implant
MOTIVATED_OVERALL_BY incising
	ACTS_ON footplate of stapes
	HAS_TEMPORAL_MARKER primary
OR_MAIN replacing
	ACTS_ON prosthetic implant
MOTIVATED_OVERALL_BY excising
	ACTS_ON footplate of stapes
	HAS_TEMPORAL_MARKER primary
OR_MAIN relocating
	ACTS_ON prosthetic implant
MOTIVATED_OVERALL_BY incising
	ACTS_ON footplate of stapes
	HAS_TEMPORAL_MARKER primary
OR_MAIN relocating
	ACTS_ON prosthetic implant
MOTIVATED_OVERALL_BY excising
	ACTS_ON footplate of stapes
	HAS_TEMPORAL_MARKER primary

RUBRIC "Dblocage d'une ankylose ossiculaire atticale"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E120"
MAIN unblocking
	ACTS_ON auditory ossicles
		IS_PART_OF recessus epitympanicus
MOTIVATED_OVERALL_BY curing
	ACTS_ON ankylosis
		HAS_LOCATION auditory ossicles

RUBRIC "Ossiculoplastie isole"
STATUS "0"
HISTORY "19980927,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E121"
MAIN plastic repairing
	ACTS_ON auditory ossicles

RUBRIC "Ossiculoplastie pour malformation ossiculaire mineure sans ouverture labyrinthique"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E122"
MAIN fashioning
	ACTS_ON auditory ossicles
	HAS_EXTENT partial
WITHOUT_ACTION opening
	ACTS_ON bony labyrinth
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION auditory ossicles

RUBRIC "Ossiculoplastie pour malformation ossiculaire mineure avec ouverture labyrinthique"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E123"
MAIN fashioning
	ACTS_ON auditory ossicles
	HAS_EXTENT partial
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION auditory ossicles
WITH opening
	ACTS_ON bony labyrinth

RUBRIC "Ossiculoplastie pour malformation ossiculaire mineure avec ouverture labyrinthique au LASER"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E124"
MAIN fashioning
	ACTS_ON auditory ossicles
	HAS_EXTENT partial
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION auditory ossicles
WITH opening
	ACTS_ON bony labyrinth
	BY_MEANS_OF laser

RUBRIC "Myringoplastie et ossiculoplastie sans exploration masto-atticale"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E125"
MAIN plastic repairing
	ACTS_ON tympanic membrane & auditory ossicles
WITHOUT_ACTION exploring
	ACTS_ON mastoid structure & recessus epitympanicus

RUBRIC "Myringoplastie et ossiculoplastie avec exploration masto-atticale"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E126"
MAIN plastic repairing
	ACTS_ON tympanic membrane & auditory ossicles
WITH exploring
	ACTS_ON mastoid structure & recessus epitympanicus

RUBRIC "Myringoplastie et ossiculoplastie pour malformation ossiculaire mineure sans ouverture labyrinthique"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E127"
MAIN fashioning
	ACTS_ON auditory ossicles & tympanic membrane
	HAS_EXTENT partial
WITHOUT_ACTION opening
	ACTS_ON bony labyrinth
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation
		HAS_LOCATION auditory ossicles

RUBRIC "Tympanoplastie secondaire en TF sans ossiculoplastie"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E128"
MAIN plastic repairing
	ACTS_ON tympanic cavity
	HAS_APPROACH closed
	HAS_TEMPORAL_MARKER secondary
WITHOUT_ACTION plastic repairing
	ACTS_ON auditory ossicles

RUBRIC "Tympanoplastie secondaire en TF avec ossiculoplastie"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E129"
MAIN plastic repairing
	ACTS_ON tympanic cavity
	HAS_APPROACH closed
	HAS_TEMPORAL_MARKER secondary
WITH plastic repairing
	ACTS_ON auditory ossicles

RUBRIC "Tympanoplastie secondaire sur TO sans reconstruction de cadre avec ou sans comblement (y compris comblement d'une cavit d'videment)"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998
Transformation - expanding descriptor (type II): reconstruction - applied at 2:50:35 pm on November 3, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E130"
MAIN plastic repairing
	ACTS_ON tympanic cavity
	HAS_APPROACH open
	HAS_TEMPORAL_MARKER secondary
WITHOUT_ACTION constructing
	ACTS_ON bone
	TO_ACHIEVE repairing
WITH_OPTIONALLY filling
	ACTS_ON tympanic cavity
		CAUSED_BY excising

RUBRIC "Tympanoplastie secondaire sur TO avec reconstruction de cadre avec ou sans comblement (y compris comblement d'une cavit d'videment)"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Transformation - expanding descriptor (type II): reconstruction - applied at 2:50:35 pm on November 3, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E131b"
MAIN plastic repairing
	ACTS_ON tympanic cavity
	HAS_APPROACH open
	HAS_TEMPORAL_MARKER secondary
WITH constructing
	ACTS_ON bone
	TO_ACHIEVE repairing
WITH_OPTIONALLY filling
	ACTS_ON tympanic cavity

RUBRIC "Canaloplastie avec myringoplastie et ossiculoplastie sans ouverture labyrinthique et sans lambeau de fascia temporal"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E132"
MAIN plastic repairing
	ACTS_ON external acoustic meatus & tympanic membrane & auditory ossicles
WITHOUT_ACTION fashioning
	ACTS_ON flap
		IS_PART_OF temporal fascia
WITHOUT_ACTION opening
	ACTS_ON bony labyrinth

RUBRIC "Canaloplastie avec myringoplastie et ossiculoplastie avec ouverture labyrinthique sans lambeau de fascia temporal"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E133"
MAIN plastic repairing
	ACTS_ON external acoustic meatus & tympanic membrane & auditory ossicles
WITHOUT_ACTION fashioning
	ACTS_ON flap
		IS_PART_OF temporal fascia
WITH opening
	ACTS_ON bony labyrinth

RUBRIC "Canaloplastie avec myringoplastie et ossiculoplastie avec ouverture labyrinthique au laser sans lambeau de fascia temporal"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE "USE"
CODE "E134b"
MAIN plastic repairing
	ACTS_ON external acoustic meatus & tympanic membrane & auditory ossicles
WITHOUT_ACTION fashioning
	ACTS_ON flap
		IS_PART_OF temporal fascia
WITH opening
	ACTS_ON bony labyrinth
	BY_MEANS_OF laser

RUBRIC "Mise en place d'une prothse auditive implantable d'oreille moyenne"
PARAPHRASE "a"
SOURCE ""
CODE "E135"
MAIN installing
	ACTS_ON audioprothesis
		HAS_LOCATION middle ear

RUBRIC "Ablation d'une prothse auditive implantable"
PARAPHRASE "a"
SOURCE ""
CODE "E136"
MAIN removing
	ACTS_ON audioprothesis

RUBRIC "Mise en place d'un implant auditif  lectrodes extracochlaires"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E137"
MAIN installing
	ACTS_ON audioprothesis & electrode
		HAS_DESTINATION middle ear

RUBRIC "Mise en place d'un implant  lectrodes intracochlaires"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E138"
MAIN installing
	ACTS_ON implant & electrode
		HAS_DESTINATION cochlea

RUBRIC "Mise en place d'un implant auditif  lectrodes du tronc crbral"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E139"
MAIN installing
	ACTS_ON audioprothesis & electrode
		HAS_DESTINATION brain stem

RUBRIC "Ablation d'un implant cochlaire"
PARAPHRASE "a"
SOURCE ""
CODE "E140"
MAIN removing
	ACTS_ON cochlear implant

RUBRIC "Abord des fentres pour traitement des vertiges (platino-dcompressive, sacculotomie, cochlo-sacculotomie...)"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E141"
MAIN opening
	ACTS_ON fenestra cochleae
MOTIVATED_OVERALL_BY curing
	ACTS_ON vertigo
WITH decompressing
	ACTS_ON footplate of stapes
WITH incising
	ACTS_ON sacculus vestibuli
WITH incising
	ACTS_ON cochlea & sacculus vestibuli

RUBRIC "Abord des fentres au LASER pour traitement des vertiges (platino-dcompressive, sacculotomie, cochlo-sacculotomie...)"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E142"
MAIN opening
	ACTS_ON fenestra cochleae
	BY_MEANS_OF laser equipment
MOTIVATED_OVERALL_BY curing
	ACTS_ON vertigo
WITH decompressing
	ACTS_ON footplate of stapes
	BY_MEANS_OF laser equipment
WITH incising
	ACTS_ON sacculus vestibuli
	BY_MEANS_OF laser equipment
WITH incising
	ACTS_ON cochlea & sacculus vestibuli
	BY_MEANS_OF laser equipment

RUBRIC "Dcompression, ouverture ou shunt du sac endolymphatique pour traitement des vertiges"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E143"
MAIN decompressing
	ACTS_ON sacculus vestibuli
MOTIVATED_OVERALL_BY curing
	ACTS_ON vertigo
WITH opening
	ACTS_ON sacculus vestibuli
OR_MAIN creating
	ACTS_ON shunt structure
		CONNECTS sacculus vestibuli
MOTIVATED_OVERALL_BY curing
	ACTS_ON vertigo

RUBRIC "Ouverture et oblitration du canal semi-circulaire postrieur pour traitement des vertiges"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E144"
MAIN opening
	ACTS_ON semicircular canal posterior
MOTIVATED_OVERALL_BY curing
	ACTS_ON vertigo
WITH obliterating
	ACTS_ON semicircular canal posterior

RUBRIC "Ouverture au LASER et oblitration du canal semi-circulaire postrieur pour traitement des vertiges"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E145"
MAIN opening
	ACTS_ON semicircular canal posterior
	BY_MEANS_OF laser equipment
MOTIVATED_OVERALL_BY curing
	ACTS_ON vertigo
WITH obliterating
	ACTS_ON semicircular canal posterior

RUBRIC "Labyrinthectomie chirurgicale partielle ou totale"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E146"
MAIN excising
	ACTS_ON bony labyrinth
	HAS_APPROACH open
	HAS_EXTENT partial / total

RUBRIC "Labyrinthectomie chimique"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E147"
MAIN excising
	ACTS_ON bony labyrinth
	BY_TECHNIQUE injecting
		ACTS_ON chemical substance
		BY_MEANS_OF chemical process device

RUBRIC "Neurotomie du nerf ampullaire postrieur"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E148"
MAIN incising
	ACTS_ON posterior ampullar nerve

RUBRIC "Neurotomie vestibulaire par voie sus-ptreuse"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E149"
MAIN incising
	ACTS_ON vestibular nerve
	HAS_APPROACH supra petrous bone approach

RUBRIC "Neurotomie vestibulaire par voie translabyrinthique"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E150"
MAIN incising
	ACTS_ON vestibular nerve
	HAS_APPROACH translabyrinthine approach

RUBRIC "Neurotomie vestibulaire par voie rtrolabyrinthique"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E151"
MAIN incising
	ACTS_ON vestibular nerve
	HAS_APPROACH retrolabyrinthine appoach

RUBRIC "Exrse d'une tumeur de l'angle ponto-crbelleux et/ou du conduit auditif interne par voie sus-ptreuse"
PARAPHRASE "a"
SOURCE ""
CODE "E152"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle & internal acoustic meatus
	HAS_APPROACH supra petrous bone approach
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle
	HAS_APPROACH supra petrous bone approach
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION internal acoustic meatus
	HAS_APPROACH supra petrous bone approach

RUBRIC "Exrse d'une tumeur de l'angle ponto-crbelleux et/ou du conduit auditif interne par voie sus-ptreuse"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E153"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle & internal acoustic meatus
	HAS_APPROACH supra petrous bone approach
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle
	HAS_APPROACH supra petrous bone approach
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION internal acoustic meatus
	HAS_APPROACH supra petrous bone approach

RUBRIC "Exrse d'une tumeur de l'angle ponto-crbelleux et/ou du conduit auditif interne par voie translabyrinthique (par crniotomie)"
PARAPHRASE "a"
SOURCE ""
CODE "E154"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle & internal acoustic meatus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON skull
	HAS_APPROACH translabyrinthine approach
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON skull
	HAS_APPROACH translabyrinthine approach
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION internal acoustic meatus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON skull
	HAS_APPROACH translabyrinthine approach

RUBRIC "Exrse d'une tumeur de l'angle ponto-crbelleux et/ou du conduit auditif interne par voie translabyrinthique (par crniotomie)"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E155"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle & internal acoustic meatus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON skull
	HAS_APPROACH translabyrinthine approach
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON skull
	HAS_APPROACH translabyrinthine approach
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION internal acoustic meatus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON skull
	HAS_APPROACH translabyrinthine approach

RUBRIC "Exrse d'une tumeur de l'angle ponto-crbelleux et/ou du conduit auditif interne par voie rtrolabyrinthique prsigmodienne"
PARAPHRASE "a"
SOURCE ""
CODE "E156"
HISTORY "
Manual accept at 10:08:06 am on October 8, 1998 by jon
Manual accept at 10:08:18 am on October 8, 1998 by jon"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle & internal acoustic meatus
	HAS_APPROACH retrolabyrinthine appoach & pre lateral sinus route
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle
	HAS_APPROACH retrolabyrinthine appoach
	HAS_APPROACH pre lateral sinus route
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION internal acoustic meatus
	HAS_APPROACH retrolabyrinthine appoach
	HAS_APPROACH pre lateral sinus route

RUBRIC "Exrse d'une tumeur de l'angle ponto-crbelleux et/ou du conduit auditif interne par voie rtrolabyrinthique prsigmodienne"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:16:02 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E157"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle & internal acoustic meatus
	HAS_APPROACH retrolabyrinthine appoach & pre lateral sinus route
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle
	HAS_APPROACH retrolabyrinthine appoach
	HAS_APPROACH pre lateral sinus route
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION internal acoustic meatus
	HAS_APPROACH retrolabyrinthine appoach
	HAS_APPROACH pre lateral sinus route

RUBRIC "Exrse d'une tumeur de l'angle ponto-crbelleux et/ou du conduit auditif interne par voie retrosigmodienne"
PARAPHRASE "a"
SOURCE ""
CODE "E158"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle & internal acoustic meatus
	HAS_APPROACH retro lateral sinus route
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle
	HAS_APPROACH retro lateral sinus route
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION internal acoustic meatus
	HAS_APPROACH retro lateral sinus route

RUBRIC "Exrse d'une tumeur de l'angle ponto-crbelleux et/ou du conduit auditif interne par voie retrosigmodienne"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E159"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle & internal acoustic meatus
	HAS_APPROACH retro lateral sinus route
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle
	HAS_APPROACH retro lateral sinus route
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION internal acoustic meatus
	HAS_APPROACH retro lateral sinus route

RUBRIC "Exrse d'une tumeur de l'angle ponto-crbelleux et/ou du conduit auditif interne par voies combines"
PARAPHRASE "a"
SOURCE ""
CODE "E160"
HISTORY "
Manual accept at 2:45:35 pm on November 3, 1998 by jon
Manual accept at 2:46:10 pm on November 3, 1998 by jon"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle & internal acoustic meatus
	HAS_APPROACH approach
		HAS_NUMBER 2
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle
	HAS_APPROACH approach
		HAS_NUMBER 2
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION internal acoustic meatus
	HAS_APPROACH approach
		HAS_NUMBER 2

RUBRIC "Exrse d'une tumeur de l'angle ponto-crbelleux et/ou du conduit auditif interne par voies combines"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:53:07 pm on November 3, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E161"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle & internal acoustic meatus
	HAS_APPROACH approach
		HAS_NUMBER 2
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle
	HAS_APPROACH approach
		HAS_NUMBER 2
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION internal acoustic meatus
	HAS_APPROACH approach
		HAS_NUMBER 2

RUBRIC "Exrse d'une tumeur de l'angle ponto-crbelleux et/ou du conduit auditif interne par voie transotique"
PARAPHRASE "a"
SOURCE ""
CODE "E162"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle & internal acoustic meatus
	HAS_APPROACH through ear
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle
	HAS_APPROACH through ear
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION internal acoustic meatus
	HAS_APPROACH through ear

RUBRIC "Exrse d'une tumeur de l'angle ponto-crbelleux et/ou du conduit auditif interne par voie transotique"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E163"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle & internal acoustic meatus
	HAS_APPROACH through ear
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pontocerebellar angle
	HAS_APPROACH through ear
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION internal acoustic meatus
	HAS_APPROACH through ear

RUBRIC "Ptrectomie totale"
PARAPHRASE "a"
SOURCE ""
CODE "E164"
MAIN excising
	ACTS_ON petrous part of temporal bone
	HAS_EXTENT total

RUBRIC "Exrse de lsion de la pointe du rocher par voie transptreuse sans droutement du nerf facial"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E165"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION petrous part of temporal bone spike
	HAS_APPROACH trans petrous bone route
WITHOUT_ACTION moving
	ACTS_ON facial nerve

RUBRIC "Exrse de lsion de la pointe du rocher par voie transptreuse avec droutement du nerf facial"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E166"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION petrous part of temporal bone spike
	HAS_APPROACH trans petrous bone route
WITH moving
	ACTS_ON facial nerve

RUBRIC "Exrse de lsion de la pointe du rocher par voie sus-ptreuse"
PARAPHRASE "a"
SOURCE ""
CODE "E167"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION petrous part of temporal bone spike
	HAS_APPROACH supra petrous bone approach

RUBRIC "Exrse de lsion de la pointe du rocher par voie translabyrinthique"
PARAPHRASE "a"
SOURCE ""
CODE "E168"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION petrous part of temporal bone spike
	HAS_APPROACH translabyrinthine approach

RUBRIC "Exrse de tumeur du glomus tympano-jugulaire tendue aux structures cervicales"
PARAPHRASE "a"
SOURCE ""
CODE "E169"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION glomus jugulare
WITH excising
	ACTS_ON segment
		IS_PART_OF cervical space

RUBRIC "Exrse de tumeur du glomus tympano-jugulaire avec abord de la base du crne sans droutement du nerf facial"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E170"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION glomus jugulare
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON base of skull
	HAS_APPROACH facial approach
WITHOUT_ACTION moving
	ACTS_ON facial nerve

RUBRIC "Exrse de tumeur du glomus tympano-jugulaire avec abord de la base du crne avec droutement du nerf facial"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E171"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION glomus jugulare
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON base of skull
	HAS_APPROACH facial approach
WITH moving
	ACTS_ON facial nerve

RUBRIC "Exrse de tumeur du glomus tympano-jugulaire tendue  la fosse postrieure par craniotomie"
PARAPHRASE "a"
SOURCE ""
CODE "E172"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION glomus jugulare
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON skull
WITH excising
	ACTS_ON segment
		IS_PART_OF fossa cranii posterior
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON skull

RUBRIC "Fermeture de fistule de L.C.S. par abord masto-attical"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E173"
MAIN closing
	ACTS_ON fistula
	HAS_APPROACH atticomastoid approach
TO_ACHIEVE_OVERALL blocking
	ACTS_ON cerebrospinal fluid

RUBRIC "Fermeture de fistule de L.C.S. par abord translabyrinthique"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E174"
MAIN closing
	ACTS_ON fistula
	HAS_APPROACH translabyrinthine approach
TO_ACHIEVE_OVERALL blocking
	ACTS_ON cerebrospinal fluid

RUBRIC "Fermeture de fistule de L.C.S. par abord sus-ptreux"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E175"
MAIN closing
	ACTS_ON fistula
	HAS_APPROACH supra petrous bone approach
TO_ACHIEVE_OVERALL blocking
	ACTS_ON cerebrospinal fluid

RUBRIC "Fermeture d'une fistule prilymphatique congnitale ou acquise par colmatage"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E176"
MAIN closing
	ACTS_ON fistula
		HAS_LOCATION perilymphatic labyrinth
	BY_TECHNIQUE filling
		ACTS_ON bony labyrinth
		BY_MEANS_OF material

RUBRIC "Dcompression du nerf facial par abord transmastodien"
PARAPHRASE "a"
SOURCE ""
CODE "E177"
MAIN decompressing
	ACTS_ON facial nerve
	HAS_APPROACH transmastoid approach

RUBRIC "Dcompression du nerf facial par abord sus-ptreux"
PARAPHRASE "a"
SOURCE ""
CODE "E178"
MAIN decompressing
	ACTS_ON facial nerve
	HAS_APPROACH supra petrous bone approach

RUBRIC "Dcompression du nerf facial par abord transmastodien et sus-ptreux"
PARAPHRASE "a"
SOURCE ""
CODE "E179"
MAIN decompressing
	ACTS_ON facial nerve
	HAS_APPROACH transmastoid approach & supra petrous bone approach

RUBRIC "Suture et droutement du nerf facial par abord transmastodien"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E180"
MAIN suturing
	ACTS_ON facial nerve
	HAS_APPROACH transmastoid approach
WITH moving
	ACTS_ON facial nerve

RUBRIC "Suture et droutement du nerf facial par abord sus-ptreux"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E181"
MAIN suturing
	ACTS_ON facial nerve
	HAS_APPROACH supra petrous bone approach
WITH moving
	ACTS_ON facial nerve

RUBRIC "Suture et droutement du nerf facial par abord translabyrinthique"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E182"
MAIN suturing
	ACTS_ON facial nerve
	HAS_APPROACH translabyrinthine approach
WITH moving
	ACTS_ON facial nerve

RUBRIC "Greffe et droutement du nerf facial par abord translabyrinthique"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E183"
MAIN grafting
	ACTS_ON facial nerve
	HAS_APPROACH translabyrinthine approach
WITH moving
	ACTS_ON facial nerve

RUBRIC "Greffe du nerf facial par abord transmastodien"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E184"
MAIN grafting
	ACTS_ON facial nerve
	HAS_APPROACH transmastoid approach

RUBRIC "Greffe du nerf facial par abord sus-ptreux et/ou retrosigmodien"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E185"
MAIN grafting
	ACTS_ON facial nerve
	HAS_APPROACH supra petrous bone approach & retro lateral sinus route
OR_MAIN grafting
	ACTS_ON facial nerve
	HAS_APPROACH supra petrous bone approach
OR_MAIN grafting
	ACTS_ON facial nerve
	HAS_APPROACH retro lateral sinus route

RUBRIC "Exrse d'une tumeur du nerf facial intraptreux avec rparation en 1 temps"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E186"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION facial nerve
			IS_CONTAINED_IN petrous part of temporal bone
WITH plastic repairing
	ACTS_ON facial nerve
	HAS_NUMBER 1

RUBRIC "Section des nerfs ptreux par voie sus-ptreuse"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E187"
MAIN dividing
	ACTS_ON petrosal nerve
	HAS_APPROACH supra petrous bone approach

RUBRIC "Suture du nerf facial extraptreux aprs traumatisme - Exclut : Parotidectomie ventuelle"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E188"
MAIN suturing
	ACTS_ON facial nerve
		IS_PART_OF face
WITHOUT_ACTION excising
	ACTS_ON parotid gland
MOTIVATED_OVERALL_BY curing
	ACTS_ON lesion (as structure)
		CAUSED_BY trauma
		HAS_LOCATION facial nerve

RUBRIC "Autogreffe du nerf facial extraptreux aprs traumatisme - Exclut : Parotidectomie ventuelle - Inclut : le prlvement"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:23:06 pm on October 7, 1998 by jon
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E189"
MAIN grafting
	ACTS_ON facial nerve
		IS_PART_OF face
	BY_MEANS_OF autograft
WITHOUT_ACTION excising
	ACTS_ON parotid gland
MOTIVATED_OVERALL_BY curing
	ACTS_ON trauma
WITH harvesting
	ACTS_ON nerve

RUBRIC "Anastomose hypoglosso-faciale ou spino-faciale"
PARAPHRASE "a"
SOURCE ""
CODE "E190"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 hypoglossal nerve
		CONNECTS_2 facial nerve
OR_MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 spinal nerve
		CONNECTS_2 facial nerve

RUBRIC "Exrse d'une tumeur du nerf facial extraptreux avec rparation en 1 temps"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E191"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION facial nerve
			IS_PART_OF face
WITH plastic repairing
	ACTS_ON facial nerve
	HAS_NUMBER 1

RUBRIC "Exrse d'une tumeur du nerf facial extraptreux sans rparation"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E192"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION facial nerve
			IS_PART_OF face
WITHOUT_ACTION plastic repairing
	ACTS_ON facial nerve

RUBRIC "Lifting cervico-facial unilatral [hmilifting facial]"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:49:04 pm on November 3, 1998 by jon
Manual accept at 2:49:07 pm on November 3, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E193"
MAIN plastic repairing
	ACTS_ON face & neck
	BY_TECHNIQUE resecting
		ACTS_ON cutaneous layer
	BY_TECHNIQUE inserting
		ACTS_ON band
			HAS_DESTINATION cutaneous layer
	HAS_LATERALITY unilateral

RUBRIC "Cerclage et suspension pour traitement palliatif de la paralysie, faciale geste inclus : prlvement de greffon tendineux ou aponvrotique"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:16:36 am on October 8, 1998 by jon
Manual accept at 10:17:35 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E194"
MAIN plastic repairing
	ACTS_ON face
	BY_TECHNIQUE hanging
		ACTS_ON muscle (striated)
			IS_PART_OF face
	BY_TECHNIQUE installing
		ACTS_ON cerclage device
			HAS_DESTINATION muscle (striated)
				IS_PART_OF face
MOTIVATED_OVERALL_BY curing
	ACTS_ON facial paralysis
WITH harvesting
	ACTS_ON tendon graft / aponeurosis graft

RUBRIC "Excision naso-gnienne, myotomie ou myectomie de symtrisation faciale pour squelle de paralysie faciale"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:18:21 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E195"
MAIN excising
	ACTS_ON plica genionasal
	TO_ACHIEVE refashioning
		ACTS_ON face
MOTIVATED_OVERALL_BY curing
	ACTS_ON facial paralysis
WITH incising
	ACTS_ON muscular layer
OR_MAIN excising
	ACTS_ON plica genionasal
	TO_ACHIEVE refashioning
		ACTS_ON face
MOTIVATED_OVERALL_BY curing
	ACTS_ON facial paralysis
WITH excising
	ACTS_ON muscular layer

RUBRIC "Excision du muscle frontal controlatral sain pour traitement palliatif de la paralysie faciale"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:18:33 am on October 8, 1998 by jon
Manual accept at 10:18:42 am on October 8, 1998 by jon
Manual accept at 10:19:02 am on October 8, 1998 by jon
Manual accept at 2:53:16 pm on November 3, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E196"
MAIN excising
	ACTS_ON frontal muscle
	HAS_LATERALITY contralateral
	TO_ACHIEVE refashioning
		ACTS_ON face
MOTIVATED_OVERALL_BY curing
	ACTS_ON facial paralysis
	HAS_LATERALITY unilateral

RUBRIC "Rsections cutanes des lvres pour traitement palliatif de la paralysie faciale"
STATUS "0"
HISTORY "19980928,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:19:34 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E197"
MAIN resecting
	ACTS_ON skin
		IS_PART_OF lip
	TO_ACHIEVE refashioning
		ACTS_ON face
MOTIVATED_OVERALL_BY curing
	ACTS_ON facial paralysis

RUBRIC "Ranimation de la commissure labiale par transfert musculaire pdicul pour paralysie faciale"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:49:32 pm on November 3, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E198"
MAIN constructing
	ACTS_ON commissure of lips of mouth
	BY_TECHNIQUE transposing
		ACTS_ON muscle (striated) & vascular pedicle
	TO_ACHIEVE repairing
MOTIVATED_OVERALL_BY curing
	ACTS_ON facial paralysis

RUBRIC "Ranimation de l'hmiface paralyse  par lambeau libre musculaire avec microanastomose vasculaire et nerveuse "
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;
Manual accept at 10:14:18 am on October 8, 1998 by jon
Manual accept at 10:14:35 am on October 8, 1998 by jon
Transformation - expanding descriptor (type II): reconstruction - applied at 2:50:35 pm on November 3, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E199"
MAIN constructing
	ACTS_ON face
	BY_MEANS_OF flap
	HAS_LATERALITY unilateral
	TO_ACHIEVE repairing
MOTIVATED_OVERALL_BY curing
	ACTS_ON facial paralysis
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 vessel
		CONNECTS_1 nerve
	BY_MEANS_OF microsurgical device

RUBRIC "Ranimation palpbrale suprieure par transfert musculaire  pour paralysie faciale"
STATUS "0"
HISTORY "19980925,rodrigues@univ-st-etienne.fr,0;
Transformation - expanding descriptor (type II): reconstruction - applied at 2:50:35 pm on November 3, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E200"
MAIN constructing
	ACTS_ON palpebra superior
	BY_TECHNIQUE transposing
		ACTS_ON muscle (striated)
	TO_ACHIEVE repairing
MOTIVATED_OVERALL_BY curing
	ACTS_ON facial paralysis

RUBRIC "Blpharoplastie suprieure unilatrale"
PARAPHRASE "a"
SOURCE ""
CODE "E201"
MAIN plastic repairing
	ACTS_ON palpebra superior
		HAS_LATERALITY unilateral

RUBRIC "Blpharoplastie suprieure bilatrale"
PARAPHRASE "a"
SOURCE ""
CODE "E202"
MAIN plastic repairing
	ACTS_ON palpebra superior
		HAS_LATERALITY bilateral

RUBRIC "Blpharoplastie infrieure unilatrale"
PARAPHRASE "a"
SOURCE ""
CODE "E203"
MAIN plastic repairing
	ACTS_ON palpebra inferior
		HAS_LATERALITY unilateral

RUBRIC "Blpharoplastie infrieure bilatrale"
PARAPHRASE "a"
SOURCE ""
CODE "E204"
MAIN plastic repairing
	ACTS_ON palpebra inferior
		HAS_LATERALITY bilateral

RUBRIC "Blpharoplastie bilatrale suprieure et infrieure"
PARAPHRASE "a"
SOURCE ""
CODE "E205"
MAIN plastic repairing
	ACTS_ON palpebra superior & palpebra inferior
		HAS_LATERALITY bilateral

RUBRIC "Lifting du 1/3 suprieur de la face par voie endoscopique"
STATUS "0"
HISTORY "19980928,rodrigues,0;
Manual accept at 10:00:34 am on October 8, 1998 by jon
Manual accept at 2:43:41 pm on November 3, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E206"
MAIN refashioning
	ACTS_ON upper portion
		IS_PART_OF face
	BY_TECHNIQUE separating
		ACTS_ON cutaneous layer
			HAS_LOCATION face
	BY_TECHNIQUE resecting
		ACTS_ON cutaneous layer
			HAS_LOCATION face
	BY_TECHNIQUE moving
		ACTS_ON cutaneous layer
			HAS_LOCATION face
	BY_TECHNIQUE inspecting
		ACTS_ON sub cutaneous layer
			HAS_LOCATION face

RUBRIC "Lifting du 1/3 suprieur de la face par voie coronale"
STATUS "0"
HISTORY "19980928,rodrigues,0;
Manual accept at 10:00:49 am on October 8, 1998 by jon
Manual accept at 2:43:36 pm on November 3, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E207"
MAIN refashioning
	ACTS_ON upper portion
		IS_PART_OF face
	BY_TECHNIQUE separating
		ACTS_ON cutaneous layer
			HAS_LOCATION face
	BY_TECHNIQUE resecting
		ACTS_ON cutaneous layer
			HAS_LOCATION face
	BY_TECHNIQUE moving
		ACTS_ON cutaneous layer
			HAS_LOCATION face
	HAS_APPROACH coronal suture approach

RUBRIC "Lifting cervico-facial bilatral"
STATUS "0"
HISTORY "19980928,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E208"
MAIN refashioning
	ACTS_ON neck & face
	BY_TECHNIQUE separating
		ACTS_ON cutaneous layer
			HAS_LOCATION face & neck
	BY_TECHNIQUE resecting
		ACTS_ON cutaneous layer
			HAS_LOCATION face & neck
	BY_TECHNIQUE moving
		ACTS_ON cutaneous layer
			HAS_LOCATION face & neck
	HAS_LATERALITY bilateral

RUBRIC "Lifting cervical infrieur"
STATUS "0"
HISTORY "19980928,rodrigues,0;
Manual accept at 9:52:34 am on October 8, 1998 by jon
Manual accept at 9:59:34 am on October 8, 1998 by jon
Manual accept at 2:43:26 pm on November 3, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E209"
MAIN refashioning
	ACTS_ON part
		IS_PART_OF neck
		HAS_POSITION inferior
	BY_TECHNIQUE separating
		ACTS_ON cutaneous layer
			HAS_LOCATION neck
	BY_TECHNIQUE resecting
		ACTS_ON cutaneous layer
			HAS_LOCATION neck
	BY_TECHNIQUE moving
		ACTS_ON cutaneous layer
			HAS_LOCATION neck

RUBRIC "Lifting temporal unilateral"
STATUS "0"
HISTORY "19980928,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E210"
MAIN refashioning
	ACTS_ON part
		IS_PART_OF temporal space
	BY_TECHNIQUE separating
		ACTS_ON cutaneous layer
			HAS_LOCATION temporal space
	BY_TECHNIQUE resecting
		ACTS_ON cutaneous layer
			HAS_LOCATION temporal space
	BY_TECHNIQUE moving
		ACTS_ON cutaneous layer
			HAS_LOCATION temporal space
	HAS_LATERALITY unilateral

RUBRIC "Lifting temporal bilateral"
STATUS "0"
HISTORY "19980928,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E211"
MAIN refashioning
	ACTS_ON part
		IS_PART_OF temporal space
	BY_TECHNIQUE separating
		ACTS_ON cutaneous layer
			HAS_LOCATION temporal space
	BY_TECHNIQUE resecting
		ACTS_ON cutaneous layer
			HAS_LOCATION temporal space
	BY_TECHNIQUE moving
		ACTS_ON cutaneous layer
			HAS_LOCATION temporal space
	HAS_LATERALITY bilateral

RUBRIC "Tests vasomoteurs de stimulation cutane pour rhinite"
STATUS "0"
HISTORY "19980928,rodrigues,0;
Manual accept at 10:04:17 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E212"
MAIN stimulating
	ACTS_ON skin
	TO_ACHIEVE vasomotortesting
MOTIVATED_OVERALL_BY curing
	ACTS_ON rhinitis

RUBRIC "Rhinomanomtrie antrieure"
STATUS "0"
HISTORY "19980928,rodrigues,0;
Manual accept at 9:52:08 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E213"
MAIN measuring pressure
	ACTS_ON part
		IS_PART_OF nose
		HAS_POSITION anterior

RUBRIC "Rhinomanomtrie postrieure"
STATUS "0"
HISTORY "19980928,rodrigues,0;
Manual accept at 9:51:57 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E214"
MAIN measuring pressure
	ACTS_ON part
		IS_PART_OF nose
		HAS_POSITION posterior

RUBRIC "Rhinomtrie acoustique"
STATUS "0"
HISTORY "19980928,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E215"
MAIN measuring
	ACTS_ON sound energy flow
	HAS_ROUTE nose

RUBRIC "Rhinomanomtrie antrieure avec tests de provocation"
STATUS "0"
HISTORY "19980928,rodrigues,0;
Manual accept at 9:51:44 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E216"
MAIN measuring pressure
	ACTS_ON part
		IS_PART_OF nose
		HAS_POSITION anterior
WITH stimulating
	ACTS_ON sneezing
	BY_MEANS_OF material

RUBRIC "Rhinomanomtrie postrieure avec tests de provocation"
STATUS "0"
HISTORY "19980928,rodrigues,0;
Manual accept at 9:50:57 am on October 8, 1998 by jon
Manual accept at 9:51:30 am on October 8, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E217"
MAIN measuring pressure
	ACTS_ON part
		IS_PART_OF nose
		HAS_POSITION posterior
WITH stimulating
	ACTS_ON sneezing
	BY_MEANS_OF material

RUBRIC "Rhinomtrie acoustique avec tests de provocation"
STATUS "0"
HISTORY "19980928,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E218"
MAIN measuring
	ACTS_ON sound energy flow
	HAS_ROUTE nose
WITH stimulating
	ACTS_ON sneezing

RUBRIC "Olfactomtrie"
STATUS "0"
HISTORY "19980928,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E219"
MAIN measuring
	ACTS_ON olfaction

RUBRIC "Examen endonasal avec optique souple ou rigide sans biopsie"
STATUS "0"
HISTORY "19980928,rodrigues,0;
Transformation - Replacing WITHOUT - applied at 11:29:05 am on October 8, 1998"
PARAPHRASE "a"
SOURCE ""
CODE "E220"
MAIN inspecting
	ACTS_ON nose
	BY_MEANS_OF endoscope / fibroscope
WITHOUT_ACTION biopsying

RUBRIC "Examen endonasal avec optique souple ou rigide et prlvements ( anat path, cyto et bacterio)"
STATUS "0"
HISTORY "19980928,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E221"
MAIN inspecting
	ACTS_ON nose
	BY_MEANS_OF endoscope / fibroscope
WITH harvesting
	ACTS_ON nose
	HAS_APPROACH closed
	TO_ACHIEVE pathology testing
	TO_ACHIEVE cytology testing
	TO_ACHIEVE bacteriology testing

RUBRIC "Excision ou dcortication d'un rhinophyma"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E222"
MAIN excising
	ACTS_ON rhinophyma
OR_MAIN decorticating
	ACTS_ON rhinophyma

RUBRIC "Parage d'une plaie du nez avec ou sans perte de substance"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E223"
MAIN repairing
	ACTS_ON wound
		HAS_LOCATION nose

RUBRIC "Rimplantation d'un fragment du nez avec anastomoses vasculaires microchirurgicales"
STATUS "0"
HISTORY "19980930,rodrigues,0;
Manual accept at 4:25:23 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E224"
MAIN reimplanting
	ACTS_ON segment
		IS_PART_OF nose
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS vessel
			HAS_NUMBER several
	BY_MEANS_OF microsurgical device

RUBRIC "Reposition d'un fragment du nez amput sans anastomoses vasculaires "
STATUS "0"
HISTORY "19980930,rodrigues,0;
Manual accept at 4:25:36 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E225"
MAIN repositioning
	ACTS_ON segment
		IS_PART_OF nose
MOTIVATED_OVERALL_BY curing
	ACTS_ON defect
		CAUSED_BY trauma
		HAS_LOCATION nose
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure
		CONNECTS vessel

RUBRIC "Plastie osto-cutano-cartilagineuse pour stnose narinaire"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E226"
MAIN plastic repairing
	ACTS_ON bone layer & cutaneous layer
		IS_PART_OF nose
MOTIVATED_OVERALL_BY curing
	ACTS_ON stenosis
		HAS_LOCATION naris

RUBRIC "Plastie pour collapsus de la valve nasale interne sans septoplastie"
STATUS "0"
HISTORY "19980930,rodrigues,0;
Manual accept at 4:27:21 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E227"
MAIN plastic repairing
	ACTS_ON valve
		IS_PART_OF nose
MOTIVATED_OVERALL_BY curing
	ACTS_ON prolapse
		HAS_LOCATION valve
			IS_PART_OF nose
WITHOUT_ACTION plastic repairing
	ACTS_ON septum
		IS_PART_OF nose

RUBRIC "Plastie pour collapsus de la valve nasale interne avec septoplastie"
STATUS "0"
HISTORY "19980930,rodrigues,0;
Manual accept at 5:04:24 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E228"
MAIN plastic repairing
	ACTS_ON valve
		IS_PART_OF nose
MOTIVATED_OVERALL_BY curing
	ACTS_ON prolapse
		HAS_LOCATION valve
			IS_PART_OF nose
WITH plastic repairing
	ACTS_ON septum
		IS_PART_OF nose

RUBRIC "Plastie des orifices piriformes malforms chez le nourrison"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E229"
MAIN plastic repairing
	ACTS_ON meatus of nose
HAS_PATIENT infant
MOTIVATED_OVERALL_BY curing
	ACTS_ON malformation

RUBRIC "Reconstruction de fosses nasales hypoplasiques ou aplasiques chez l'enfant"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E230"
MAIN plastic constructing
	ACTS_ON cavity of nose
MOTIVATED_OVERALL_BY curing
	ACTS_ON aplasia / hypoplastic lesion

RUBRIC "Mise en place d'une prothse de calibrage des fosses nasales uni ou bilatrale"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E231"
MAIN installing
	ACTS_ON prosthetic implant
		HAS_LOCATION cavity of nose
	HAS_LATERALITY bilateral / unilateral
TO_ACHIEVE_OVERALL enlarging
	ACTS_ON cavity of nose

RUBRIC "Ablation d'une prothse de calibrage des fosses nasales uni ou bilatrale"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E232"
MAIN removing
	ACTS_ON prosthetic implant
		HAS_LOCATION cavity of nose
	HAS_LATERALITY bilateral / unilateral

RUBRIC "Exrse de corps tranger d'une fosse nasale"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E233"
MAIN removing
	ACTS_ON foreign body
		HAS_LOCATION cavity of nose

RUBRIC "Polypectomie(s) endonasale avec ou sans endoscopie"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E234"
MAIN excising
	ACTS_ON polyp
		HAS_LOCATION cavity of nose
		HAS_NUMBER 1 / several
WITH_GUIDANCE_BY inspecting
	ACTS_ON cavity of nose
	BY_MEANS_OF endoscope
OR_MAIN excising
	ACTS_ON polyp
		HAS_LOCATION cavity of nose
		HAS_NUMBER 1 / several
	HAS_APPROACH closed

RUBRIC "Exrse d'une tumeur (exclus : polype) ou malformation des fosses nasales (y compris septum) par voie endonasale"
STATUS "0"
HISTORY "19980930,rodrigues,0;
Manual accept at 3:18:16 pm on November 25, 1998 by jon
Manual accept at 3:18:36 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E235"
MAIN excising
	ACTS_ON tumour / malformation
		HAS_LOCATION nasal septum
	HAS_APPROACH closed
OR_MAIN excising
	ACTS_ON tumour / malformation
		HAS_LOCATION cavity of nose
	HAS_APPROACH closed

RUBRIC "Exrse d'une tumeur ou malformation des fosses nasales par voie paralatronasale (gliome inclus)"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E236"
MAIN excising
	ACTS_ON tumour / malformation
		HAS_LOCATION cavity of nose
	HAS_APPROACH para latero-nasal approach

RUBRIC "Cautrisation uni ou bilatrale du cornet infrieur par procd physique ou chimique"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E237"
MAIN destroying
	ACTS_ON inferior nasal concha
	BY_MEANS_OF cauterizing device
	HAS_LATERALITY bilateral / unilateral

RUBRIC "Neurotomie vidienne"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E238"
MAIN incising
	ACTS_ON nerve of pterygoid canal

RUBRIC "Turbinoplastie ou turbinectomie infrieure partielle ou totale uni ou bilatrale sous endoscopie"
STATUS "0"
HISTORY "19980930,rodrigues,0;
Manual accept at 3:19:51 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E239"
MAIN plastic repairing
	ACTS_ON inferior nasal concha
	HAS_EXTENT partial
	HAS_LATERALITY bilateral / unilateral
WITH_GUIDANCE_BY inspecting
	ACTS_ON inferior nasal concha
	BY_MEANS_OF endoscope
OR_MAIN excising
	ACTS_ON inferior nasal concha
	HAS_EXTENT partial
	HAS_LATERALITY bilateral / unilateral
WITH_GUIDANCE_BY inspecting
	ACTS_ON inferior nasal concha
	BY_MEANS_OF endoscope
OR_MAIN plastic repairing
	ACTS_ON inferior nasal concha
	HAS_EXTENT total
	HAS_LATERALITY bilateral / unilateral
WITH_GUIDANCE_BY inspecting
	ACTS_ON inferior nasal concha
	BY_MEANS_OF endoscope
OR_MAIN excising
	ACTS_ON inferior nasal concha
	HAS_EXTENT total
	HAS_LATERALITY bilateral / unilateral
WITH_GUIDANCE_BY inspecting
	ACTS_ON inferior nasal concha
	BY_MEANS_OF endoscope

RUBRIC "Turbinoplastie ou turbinectomie moyenne partielle ou totale uni ou bilatrale sous endoscopie"
STATUS "0"
HISTORY "19980930,rodrigues,0;
Manual accept at 3:21:24 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E240"
MAIN plastic repairing
	ACTS_ON middle nasal concha
	HAS_EXTENT partial
	HAS_LATERALITY bilateral / unilateral
WITH_GUIDANCE_BY inspecting
	ACTS_ON middle nasal concha
	BY_MEANS_OF endoscope
OR_MAIN excising
	ACTS_ON middle nasal concha
	HAS_EXTENT partial
	HAS_LATERALITY bilateral / unilateral
WITH_GUIDANCE_BY inspecting
	ACTS_ON middle nasal concha
	BY_MEANS_OF endoscope
OR_MAIN plastic repairing
	ACTS_ON middle nasal concha
	HAS_EXTENT total
	HAS_LATERALITY bilateral / unilateral
WITH_GUIDANCE_BY inspecting
	ACTS_ON middle nasal concha
	BY_MEANS_OF endoscope
OR_MAIN excising
	ACTS_ON middle nasal concha
	HAS_EXTENT total
	HAS_LATERALITY bilateral / unilateral
WITH_GUIDANCE_BY inspecting
	ACTS_ON middle nasal concha
	BY_MEANS_OF endoscope

RUBRIC "Dacryocysto-rhinostomie endonasale sous endoscopie"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E241"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 lacrimal sac
		CONNECTS_2 cavity of nose
WITH_GUIDANCE_BY inspecting
	ACTS_ON cavity of nose
	BY_MEANS_OF endoscope

RUBRIC "Plastie des fosses nasales avec ou sans inclusion pour rhinite atrophique uni ou bilatrale sous endoscopie"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E242"
MAIN plastic repairing
	ACTS_ON cavity of nose
	HAS_LATERALITY bilateral / unilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON atrophic rhinitis
WITH_GUIDANCE_BY inspecting
	ACTS_ON cavity of nose
	BY_MEANS_OF endoscope
WITH_OPTIONALLY closing
	ACTS_ON cavity of nose

RUBRIC "Evacuation d'un hmatome ou d'un abcs du septum nasal"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E243"
MAIN evacuating
	ACTS_ON haematoma / abscess
		HAS_LOCATION nasal septum

RUBRIC "Septoplastie avec ou sans rinclusion"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E244"
MAIN plastic repairing
	ACTS_ON nasal septum
WITH_OPTIONALLY closing
	ACTS_ON cavity of nose

RUBRIC "Septoplastie avec ou sans rinclusion avec ou sans turbinectomie infrieure"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E245"
MAIN plastic repairing
	ACTS_ON nasal septum
WITH_OPTIONALLY closing
	ACTS_ON cavity of nose
WITH_OPTIONALLY excising
	ACTS_ON inferior nasal concha

RUBRIC "Septoplastie chez l'enfant (<12 ans)"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E246"
MAIN plastic repairing
	ACTS_ON nasal septum
HAS_PATIENT child

RUBRIC "Rduction orthopdique d'un traumatisme nasal obsttrical chez le nouveau-n"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E247"
MAIN reducing (a fracture)
	ACTS_ON nose
	HAS_APPROACH closed
	HAS_TEMPORAL_MARKER after birth
HAS_PATIENT newborn
MOTIVATED_OVERALL_BY curing
	ACTS_ON trauma
		CAUSED_BY delivery

RUBRIC "Fermeture d'une perforation septale"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E248"
MAIN closing
	ACTS_ON defect
		HAS_LOCATION nasal septum

RUBRIC "Exrse non transfixiante de lsion cutane ou muqueuse du nez - Inclut : suture ventuelle"
STATUS "0"
HISTORY "19980930,rodrigues,0;
Manual accept at 4:28:16 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E249"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION cutaneous layer / mucous membrane
	HAS_EXTENT limited extent
WITH_OPTIONALLY suturing
	ACTS_ON cutaneous layer / mucous membrane

RUBRIC "Exrse transfixiante (de pleine paisseur) de lsion cutane ou muqueuse du nez - Inclut : suture ventuelle"
STATUS "0"
HISTORY "19980930,rodrigues,0;
Manual accept at 4:28:31 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E250"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION cutaneous layer / mucous membrane
	HAS_EXTENT full thickness
WITH_OPTIONALLY suturing
	ACTS_ON cutaneous layer / mucous membrane

RUBRIC "Amputation totale de la pyramide nasale"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E251"
MAIN excising
	ACTS_ON nose
	HAS_EXTENT total

RUBRIC "Amputation de la pyramide nasale tendue au philtrum et/ou  la joue"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E252"
MAIN excising
	HAS_EXTENT extended
OR_MAIN excising
	HAS_EXTENT extended

RUBRIC "Amputation subtotale ou totale de la pointe et/ou de l'aile du nez de pleine paisseur"
STATUS "0"
HISTORY "19980930,rodrigues,0;
Manual accept at 5:05:13 pm on November 25, 1998 by jon
Manual accept at 5:05:33 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E253"
MAIN excising
	ACTS_ON part
		IS_PART_OF nose
		HAS_FEATURE full thickness
	HAS_EXTENT total / subtotal

RUBRIC "Rduction orthopdique de fracture des os du nez"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E254"
MAIN reducing (a fracture)
	ACTS_ON bone
		IS_PART_OF nose
	HAS_APPROACH closed

RUBRIC "Rduction chirurgicale de fracture des os du nez"
STATUS "0"
HISTORY "19980930,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E255"
MAIN reducing (a fracture)
	ACTS_ON bone
		IS_PART_OF nose
	HAS_APPROACH open

RUBRIC "Rhinoplastie primitive (de 1re intention) de la pointe sans ostotomie"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:24:37 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E256"
MAIN plastic repairing
	ACTS_ON part
		HAS_POSITION distal
		IS_PART_OF nose
	HAS_TEMPORAL_MARKER primary
WITHOUT_ACTION incising
	ACTS_ON bone tissue
		IS_PART_OF nose

RUBRIC "Rhinoplastie primitive sans ostotomie avec autogreffe cartilagineuse de septum nasal inclut:- prlvement des greffons et traitement des zones de prlvement"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:24:24 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E257"
MAIN plastic repairing
	ACTS_ON nose
	HAS_TEMPORAL_MARKER primary
WITH grafting
	ACTS_ON cartilage
		HAS_DESTINATION nasal septum
	BY_MEANS_OF autograft
WITH harvesting
	ACTS_ON graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON autograft
WITHOUT_ACTION incising
	ACTS_ON bone tissue
		IS_PART_OF nose

RUBRIC "Rhinoplastie primitive avec ostotomie "
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E258"
MAIN plastic repairing
	ACTS_ON nose
	HAS_TEMPORAL_MARKER primary
WITH incising
	ACTS_ON bone tissue
		IS_PART_OF nose

RUBRIC "Rhinoplastie primitive avec ostotomie avec autogreffe cartilagineuse de septum nasal inclut:- prlvement des greffons et traitement des zones de prlvement"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;
Manual accept at 5:02:59 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E259"
MAIN plastic repairing
	ACTS_ON nose
	HAS_TEMPORAL_MARKER primary
WITH grafting
	ACTS_ON cartilage
		HAS_DESTINATION nasal septum
	BY_MEANS_OF autograft
WITH harvesting
	ACTS_ON graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON autograft
WITH incising
	ACTS_ON bone tissue
		IS_PART_OF nose

RUBRIC "Rhinoplastie rpararatrice avec autogreffe osseuse  et cartilagineuse  inclut:- prlvement des greffons et traitement des zones de prlvement"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;
Manual accept at 5:03:13 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E260"
MAIN plastic repairing
	ACTS_ON nose
WITH grafting
	ACTS_ON cartilage & bone tissue
		HAS_DESTINATION nasal septum
	BY_MEANS_OF autograft
WITH harvesting
	ACTS_ON graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON autograft

RUBRIC "Rhinoplastie secondaire pour affinement esthtique"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E261"
MAIN plastic repairing
	ACTS_ON nose
	HAS_TEMPORAL_MARKER secondary
TO_ACHIEVE_OVERALL refashioning
	ACTS_ON nose

RUBRIC "Rhinoseptoplastie primitive sans ostotomie avec autogreffe cartilagineuse de septum nasal inclut:- prlvement des greffons et traitement des zones de prlvement"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:23:25 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E263"
MAIN plastic repairing
	ACTS_ON nose & nasal septum
	HAS_TEMPORAL_MARKER primary
WITH grafting
	ACTS_ON cartilage
		HAS_DESTINATION nasal septum
	BY_MEANS_OF autograft
WITH harvesting
	ACTS_ON graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON autograft
WITHOUT_ACTION incising
	ACTS_ON bone tissue
		IS_PART_OF nose

RUBRIC "Rhinoseptoplastie primitive avec ostotomie "
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E264"
MAIN plastic repairing
	ACTS_ON nose & nasal septum
	HAS_TEMPORAL_MARKER primary
WITH incising
	ACTS_ON bone tissue
		IS_PART_OF nose

RUBRIC "Rhinoseptoplastie primitive avec ostotomie avec autogreffe cartilagineuse de septum nasal inclut:- prlvement des greffons et traitement des zones de prlvement"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;
Manual accept at 5:02:39 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E265"
MAIN plastic repairing
	ACTS_ON nose & nasal septum
	HAS_TEMPORAL_MARKER primary
WITH grafting
	ACTS_ON cartilage
		HAS_DESTINATION nasal septum
	BY_MEANS_OF autograft
WITH harvesting
	ACTS_ON graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON autograft
WITH incising
	ACTS_ON bone tissue
		IS_PART_OF nose

RUBRIC "Rhinoseptoplastie secondaire pour echec grave"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E266"
MAIN plastic repairing
	ACTS_ON nose & nasal septum
	HAS_TEMPORAL_MARKER secondary
MOTIVATED_OVERALL_BY curing
	ACTS_ON deformation
		CAUSED_BY surgical deed
		HAS_LOCATION nose

RUBRIC "Rparation d'une perte de substance du nez par autogreffe compose auriculaire - Inclut : prlvement du greffon et rparation de la zone de prlvement"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;
Manual accept at 5:02:17 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E267"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION nose
	BY_MEANS_OF part
		IS_PART_OF flap of the ear
	BY_MEANS_OF autograft
WITH harvesting
	ACTS_ON graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON graft

RUBRIC "Rparation d'une perte de substance du nez par lambeau local,rotation,avancement,transposition hachette,... - Inclut : prlvement du greffon et rparation de la zone de prlvement"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E268"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION nose
	BY_MEANS_OF flap
		IS_PART_OF nose
WITH harvesting
	ACTS_ON graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON graft
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION nose
	BY_TECHNIQUE rotating
		ACTS_ON flap
WITH harvesting
	ACTS_ON graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON graft
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION nose
	BY_TECHNIQUE advancing
		ACTS_ON flap
WITH harvesting
	ACTS_ON graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON graft
OR_MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION nose
	BY_TECHNIQUE transposing
		ACTS_ON flap
WITH harvesting
	ACTS_ON graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON graft

RUBRIC "Rparation d'une perte de substance du nez par lambeau rgional Rieger,naso-gnien,jugal,frontogabellaire,labial- Inclut : prlvement du greffon et rparation de la zone de prlvement"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E269"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION nose
	BY_MEANS_OF flap
		IS_PART_OF face
WITH harvesting
	ACTS_ON graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON graft

RUBRIC "Rparation d'une perte de substance du nez par lambeau frontal  pdicule infrieur,mdian,oblique en aile de mouette et quivalents - Inclut : prlvement du greffon et rparation de la zone de prlvement"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E270"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION nose
	BY_MEANS_OF pedicle flap
		IS_PART_OF forehead
WITH harvesting
	ACTS_ON graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON graft

RUBRIC "Rparation d'une perte de substance du nez par lambeau scalpant, type converse,frontal  pdicule suprieur faucille Washioi et quivalents - Inclut : prlvement du greffon et rparation de la zone de prlvement"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E271"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION nose
	BY_MEANS_OF pedicle flap
		IS_PART_OF scalp
WITH harvesting
	ACTS_ON graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON graft

RUBRIC "Rparation d'une perte de substance du nez par lambeau scalpant doubl par une autogreffe cutane, type converse,frontal  pdicule suprieur faucille Washioi et quivalents - Inclut : prlvement du greffon et rparation de la zone de prlvement"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;
Manual accept at 5:01:56 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E272"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION nose
	BY_MEANS_OF pedicle flap
		IS_PART_OF scalp
	BY_TECHNIQUE implanting
		ACTS_ON skin
			HAS_DESTINATION pedicle flap
				IS_PART_OF scalp
		BY_MEANS_OF autograft
WITH harvesting
	ACTS_ON graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON graft

RUBRIC "Rparation d'une perte de substance du nez par lambeau scalpant doubl par un lambeau frontal, type converse,frontal  pdicule suprieur faucille Washioi et quivalents - Inclut : prlvement du greffon et rparation de la zone de prlvement"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E273"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION nose
	BY_MEANS_OF pedicle flap
		IS_PART_OF scalp
	BY_TECHNIQUE implanting
		ACTS_ON flap
			HAS_DESTINATION flap
				IS_PART_OF scalp
			IS_PART_OF forehead
WITH harvesting
	ACTS_ON graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON graft

RUBRIC "Rparation d'une perte de substance du nez par lambeau scalpant doubl par des lambeaux en charnire , type converse,frontal  pdicule suprieur faucille Washioi et quivalents - Inclut : prlvement du greffon et rparation de la zone de prlvement"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:17:37 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E274"
MAIN plastic repairing
	ACTS_ON defect
		HAS_LOCATION nose
	BY_MEANS_OF pedicle flap
		IS_PART_OF scalp
	BY_TECHNIQUE implanting
		ACTS_ON flap
			HAS_DESTINATION pedicle flap
				IS_PART_OF scalp
		HAS_NUMBER several
WITH harvesting
	ACTS_ON graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON graft

RUBRIC "Reconstruction complexe d'un nez,d'un hemi nez ou d'une pointe de nez comprtant un lambeau de couverture cutane,un lambeau de doublure muqueuse et une armature cartilagineuse - Inclut : prlvement du greffon et rparation de la zone de prlvement"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:18:15 pm on November 25, 1998 by jon
Manual accept at 4:18:40 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E275"
MAIN constructing
	TO_ACHIEVE repairing
	ACTS_ON nose
	BY_MEANS_OF flap
		IS_MADE_OF cutaneous tissue
		IS_MADE_OF mucosa
		IS_MADE_OF cartilage
	HAS_EXTENT total / partial
WITH harvesting
	ACTS_ON graft
WITH repairing
	ACTS_ON lesion (as structure)
		CAUSED_BY harvesting
			ACTS_ON graft

RUBRIC "Reconstruction complexe d'un nez,d'un hemi nez ou d'une pointe de nez comportant un lambeau de couverture cutane,un lambeau libre micro-anastomos et une armature osteo-cartilagineuse "
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:15:48 pm on November 25, 1998 by jon
Manual accept at 4:16:10 pm on November 25, 1998 by jon
Manual accept at 4:16:39 pm on November 25, 1998 by jon
Manual accept at 4:17:11 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E276"
MAIN constructing
	TO_ACHIEVE repairing
	ACTS_ON nose
	BY_MEANS_OF flap
		IS_MADE_OF cutaneous tissue
		IS_MADE_OF bone tissue
		IS_MADE_OF cartilage
	BY_TECHNIQUE creating
		ACTS_ON anastomosis structure
			CONNECTS flap
		BY_MEANS_OF microsurgical device
	HAS_EXTENT total / partial

RUBRIC "Reconstruction complexe d'un nez,d'un hemi nez ou d'une pointe de nez par lambeau prfabriqu"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:15:36 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E277"
MAIN constructing
	TO_ACHIEVE repairing
	ACTS_ON nose
	BY_MEANS_OF flap
		CAUSED_BY fashioning
			ACTS_ON flap
			HAS_TEMPORAL_MARKER earlierMarker
	HAS_EXTENT total / partial

RUBRIC "Rparation par lambeau brachial ou antibrachial  pdicule transitoire du nez"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E278"
MAIN repairing
	ACTS_ON nose
	BY_MEANS_OF pedicle flap
		HAS_TEMPORAL_MARKER temporary
		IS_PART_OF arm / forearm

RUBRIC "Mise en place d'un tamponnement nasal antrieur "
STATUS "0"
HISTORY "19981106,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E279"
MAIN installing
	ACTS_ON mesh
		HAS_DESTINATION cavity of nose

RUBRIC "Mise en place d'un tamponnement nasal postrieur et antrieur avec ou sans sonde  ballonnets"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E280"
MAIN installing
	ACTS_ON balloon catheter / mesh
		HAS_DESTINATION nasopharynx & cavity of nose

RUBRIC "Cautrisation et lectrocoagulation endonasale pour pistaxis"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E281"
MAIN destroying
	ACTS_ON cavity of nose
	BY_MEANS_OF cauterizing device
MOTIVATED_OVERALL_BY curing
	ACTS_ON epistaxis
WITH destroying
	ACTS_ON cavity of nose
	BY_MEANS_OF electrocoagulation equipment

RUBRIC "Coagulation unilatrale de l'artre sphno-palatine sous endoscopie"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E282"
MAIN obliterating
	ACTS_ON sphenopalatine artery
	BY_MEANS_OF electrocoagulation equipment
	HAS_LATERALITY unilateral
	WITH_GUIDANCE_BY endoscope

RUBRIC "Coagulation bilatrale de l'artre sphno-palatine sous endoscopie"
STATUS "0"
HISTORY "19981106,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E283"
MAIN obliterating
	ACTS_ON sphenopalatine artery
	BY_MEANS_OF electrocoagulation equipment
	HAS_LATERALITY bilateral
	WITH_GUIDANCE_BY endoscope

RUBRIC "Injection endonasale uni ou bilatrale de substance coagulante ou sclrosante sous endoscopie"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E284"
MAIN injecting
	ACTS_ON chemical substance
		HAS_FUNCTION coagulating
		HAS_LOCATION cavity of nose
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON cavity of nose
		BY_MEANS_OF endoscope
	HAS_LATERALITY bilateral / unilateral
	WITH_GUIDANCE_BY endoscope
OR_MAIN injecting
	ACTS_ON sclerosing agent
		HAS_DESTINATION cavity of nose
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON cavity of nose
		BY_MEANS_OF endoscope
	HAS_LATERALITY bilateral / unilateral
	WITH_GUIDANCE_BY endoscope

RUBRIC "Ligature unilatrale de l'artre sphno-palatine ou maxillaire"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:14:57 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E285"
MAIN occluding
	BY_MEANS_OF ligature
	ACTS_ON sphenopalatine artery / maxillary artery
	HAS_LATERALITY unilateral

RUBRIC "Ligature unilatrale des artres ethmodales antrieure et/ou postrieure"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:12:53 pm on November 25, 1998 by jon
Manual accept at 4:13:11 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E286"
MAIN occluding
	BY_MEANS_OF ligature
	ACTS_ON ethmoidal artery anterior & ethmoidal artery posterior
	HAS_LATERALITY unilateral
OR_MAIN occluding
	BY_MEANS_OF ligature
	ACTS_ON ethmoidal artery anterior
	HAS_LATERALITY unilateral
OR_MAIN occluding
	BY_MEANS_OF ligature
	ACTS_ON ethmoidal artery posterior
	HAS_LATERALITY unilateral

RUBRIC "Ligature bilatrale des artres ethmodales antrieure et/ou postrieure"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:13:43 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E287"
MAIN occluding
	BY_MEANS_OF ligature
	ACTS_ON ethmoidal artery anterior & ethmoidal artery posterior
	HAS_LATERALITY bilateral
OR_MAIN occluding
	BY_MEANS_OF ligature
	ACTS_ON ethmoidal artery anterior
	HAS_LATERALITY bilateral
OR_MAIN occluding
	BY_MEANS_OF ligature
	ACTS_ON ethmoidal artery posterior
	HAS_LATERALITY bilateral

RUBRIC "Ligature unilatrale des artres sphno-palatine et ethmodale"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:14:12 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E288"
MAIN occluding
	BY_MEANS_OF ligature
	ACTS_ON sphenopalatine artery & ethmoidal artery anterior & ethmoidal artery posterior
	HAS_LATERALITY unilateral

RUBRIC "Sinusotomie maxillaire unilatrale par voie matale infrieure ou de la fosse canine avec ou sans sinusoscopie"
STATUS "0"
HISTORY "19981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E289"
MAIN incising
	ACTS_ON maxillary sinus
	HAS_APPROACH nasal meatus inferior
	HAS_LATERALITY unilateral
WITH_OPTIONALLY inspecting
	ACTS_ON maxillary sinus
	BY_MEANS_OF endoscope
OR_MAIN incising
	ACTS_ON maxillary sinus
	HAS_APPROACH canine fossa
	HAS_LATERALITY unilateral
WITH_OPTIONALLY inspecting
	ACTS_ON maxillary sinus
	BY_MEANS_OF endoscope

RUBRIC "Sinusotomie maxillaire unilatrale par voie matale infrieure et/ou de la fosse canine avec ou sans sinusoscopie"
STATUS "0"
HISTORY "19981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E290"
MAIN incising
	ACTS_ON maxillary sinus
	HAS_APPROACH nasal meatus inferior & canine fossa
	HAS_LATERALITY unilateral
WITH_OPTIONALLY inspecting
	ACTS_ON maxillary sinus
	BY_MEANS_OF endoscope
OR_MAIN incising
	ACTS_ON maxillary sinus
	HAS_APPROACH nasal meatus inferior
	HAS_LATERALITY unilateral
WITH_OPTIONALLY inspecting
	ACTS_ON maxillary sinus
	BY_MEANS_OF endoscope
OR_MAIN incising
	ACTS_ON maxillary sinus
	HAS_APPROACH canine fossa
	HAS_LATERALITY unilateral
WITH_OPTIONALLY inspecting
	ACTS_ON maxillary sinus
	BY_MEANS_OF endoscope

RUBRIC "Sinusotomie maxillaire bilatrale par voie matale infrieure et/ou de la fosse canine avec ou sans sinusoscopie"
STATUS "0"
HISTORY "19981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E291"
MAIN incising
	ACTS_ON maxillary sinus
	HAS_APPROACH nasal meatus inferior & canine fossa
	HAS_LATERALITY bilateral
WITH_OPTIONALLY inspecting
	ACTS_ON maxillary sinus
	BY_MEANS_OF endoscope
OR_MAIN incising
	ACTS_ON maxillary sinus
	HAS_APPROACH nasal meatus inferior
	HAS_LATERALITY bilateral
WITH_OPTIONALLY inspecting
	ACTS_ON maxillary sinus
	BY_MEANS_OF endoscope
OR_MAIN incising
	ACTS_ON maxillary sinus
	HAS_APPROACH canine fossa
	HAS_LATERALITY bilateral
WITH_OPTIONALLY inspecting
	ACTS_ON maxillary sinus
	BY_MEANS_OF endoscope

RUBRIC "Sinusoscopie frontale"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E292"
MAIN inspecting
	ACTS_ON frontal sinus
	BY_MEANS_OF endoscope

RUBRIC "Sinusoscopie sphnodale"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E293"
MAIN inspecting
	ACTS_ON sphenoid sinus
	BY_MEANS_OF endoscope

RUBRIC "Manomtrie sinusienne (sinusoscopie incluse)"
STATUS "0"
HISTORY "19981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E294"
MAIN measuring pressure
	ACTS_ON nasal sinus
	BY_MEANS_OF pressure captor device
WITH inspecting
	ACTS_ON nasal sinus
	BY_MEANS_OF endoscope

RUBRIC "Vido-endoscopie des fosses nasales et du cavum avec ou sans biopsie"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E295"
MAIN inspecting
	ACTS_ON cavity of nose & nasopharynx
	BY_MEANS_OF endoscope
WITH recording
	ACTS_ON cavity of nose & nasopharynx
	BY_MEANS_OF videotape recorder device
WITH_OPTIONALLY biopsying
	ACTS_ON cavity of nose / nasopharynx

RUBRIC "Drainage d'une collection priorbitaire par voie externe"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E296"
MAIN draining
	ACTS_ON abscess
		HAS_LOCATION peri orbit space
	HAS_APPROACH transcranial

RUBRIC "Ponction de sinus maxillaire unilatrale avec ou sans drainage"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E297"
MAIN puncturing
	ACTS_ON maxillary sinus
	HAS_LATERALITY unilateral
WITH_OPTIONALLY draining
	ACTS_ON maxillary sinus

RUBRIC "Ponction de sinus maxillaire bilatrale avec ou sans drainage"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E298"
MAIN puncturing
	ACTS_ON maxillary sinus
	HAS_LATERALITY bilateral
WITH_OPTIONALLY draining
	ACTS_ON maxillary sinus

RUBRIC "Exrse de la superstructure du maxillaire"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:36:20 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E299"
MAIN excising
	ACTS_ON part
		IS_PART_OF maxilla
		HAS_POSITION superior

RUBRIC "Exrse de la superstructure du maxillaire avec reconstruction par lambeau septal"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:37:11 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E300"
MAIN excising
	ACTS_ON part
		IS_PART_OF maxilla
		HAS_POSITION superior
WITH plastic repairing
	ACTS_ON maxilla
	BY_TECHNIQUE grafting
		ACTS_ON flap
			IS_PART_OF septum

RUBRIC "Exrse de la mesostructure du maxillaire"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:37:42 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E301"
MAIN excising
	ACTS_ON part
		IS_PART_OF maxilla
		HAS_POSITION medial

RUBRIC "Exrse de l'infrastructure du maxillaire"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:37:57 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E302"
MAIN excising
	ACTS_ON part
		IS_PART_OF maxilla
		HAS_POSITION inferior

RUBRIC "Exrse de la totostructure du maxillaire"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:37:26 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E303"
MAIN excising
	ACTS_ON part
		IS_PART_OF maxilla
	HAS_EXTENT total

RUBRIC "Exrse de la totostructure du maxillaire avec reconstruction par lambeau septal"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:34:50 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E304"
MAIN excising
	ACTS_ON part
		IS_PART_OF maxilla
	HAS_EXTENT total
WITH plastic repairing
	ACTS_ON maxilla
	BY_TECHNIQUE grafting
		ACTS_ON flap
			IS_PART_OF septum

RUBRIC "Fermeture de communication bucco-sinusienne par lambeau de glissement vestibulo-jugal"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E305"
MAIN closing
	ACTS_ON defect
		CONNECTS_1 mouth
		CONNECTS_2 maxillary sinus
	BY_TECHNIQUE transposing
		ACTS_ON flap
			IS_PART_OF buccal vestibule

RUBRIC "Sinusotomie maxillaire unilatrale par voie vestibulaire avec ou sans matotomie infrieure"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E306"
MAIN incising
	ACTS_ON maxillary sinus
	HAS_APPROACH buccal vestibule
	HAS_LATERALITY unilateral
WITH_OPTIONALLY incising
	ACTS_ON inferior nasal concha

RUBRIC "Sinusotomie maxillaire unilatrale par voie vestibulaire et matale moyenne avec ou sans matotomie infrieure"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E307"
MAIN incising
	ACTS_ON maxillary artery
	HAS_APPROACH middle nasal concha & buccal vestibule
	HAS_LATERALITY unilateral
WITH_OPTIONALLY incising
	ACTS_ON inferior nasal concha

RUBRIC "Matotomie moyenne unilatrale sous endoscopie avec ou sans matotomie infrieure"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E308"
MAIN incising
	ACTS_ON middle nasal concha
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON middle nasal concha
		BY_MEANS_OF endoscope
	HAS_LATERALITY unilateral
	WITH_GUIDANCE_BY endoscope
WITH_OPTIONALLY incising
	ACTS_ON inferior nasal concha

RUBRIC "Ablation d'un corps tranger du sinus maxillaire quelque soit la voie d'abord"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E309"
MAIN extracting
	ACTS_ON foreign body
		HAS_LOCATION maxillary sinus

RUBRIC "Sinusotomie maxillaire bilatrale par voie vestibulaire avec ou sans matotomie infrieure"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E310"
MAIN incising
	ACTS_ON maxillary sinus
	HAS_APPROACH buccal vestibule
	HAS_LATERALITY bilateral
WITH_OPTIONALLY incising
	ACTS_ON inferior nasal concha

RUBRIC "Sinusotomie maxillaire bilatrale par voie vestibulaire et matale moyenne avec ou sans matotomie infrieure"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E311"
MAIN incising
	ACTS_ON maxillary sinus
	HAS_APPROACH middle nasal concha
	HAS_APPROACH buccal vestibule
	HAS_LATERALITY bilateral
WITH_OPTIONALLY incising
	ACTS_ON inferior nasal concha

RUBRIC "Matotomie moyenne bilatrale sous endoscopie avec ou sans matotomie infrieure"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E312"
MAIN incising
	ACTS_ON middle nasal concha
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON middle nasal concha
		BY_MEANS_OF endoscope
	HAS_LATERALITY bilateral
	WITH_GUIDANCE_BY endoscope
WITH_OPTIONALLY incising
	ACTS_ON inferior nasal concha

RUBRIC "Matotomie infrieure bilatrale sous endoscopie"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E313"
MAIN incising
	ACTS_ON inferior nasal concha
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON inferior nasal concha
		BY_MEANS_OF endoscope
	HAS_LATERALITY bilateral
	WITH_GUIDANCE_BY endoscope

RUBRIC "Exrse d'une lsion ethmodale bnigne par voie paralatronasale ou bivestibulaire (ostome, mucocle, papillome invers inclus)"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E314"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION ethmoid sinus
	HAS_APPROACH para latero-nasal approach
OR_MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION ethmoid sinus
	HAS_APPROACH buccal vestibule approach

RUBRIC "Ethmodectomie totale par voie paralatronasale avec sinusotomie sphnodale et maxillaire pour tumeur maligne"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E315"
MAIN excising
	ACTS_ON ethmoid cells
	HAS_APPROACH para latero-nasal approach
	HAS_EXTENT total
MOTIVATED_OVERALL_BY curing
	ACTS_ON tumour
WITH incising
	ACTS_ON sphenoid sinus & maxillary sinus

RUBRIC "Ethmodectomie totale par voie paralatronasale avec exrse meninge et de la lame crible pour tumeur maligne"
STATUS "0"
HISTORY "19981108,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E316"
MAIN excising
	ACTS_ON ethmoid cells
	HAS_APPROACH para latero-nasal approach
	HAS_EXTENT total
MOTIVATED_OVERALL_BY curing
	ACTS_ON tumour
WITH excising
	ACTS_ON_1 meninges
	ACTS_ON_2 cribriform plate of ethmoidal bone

RUBRIC "Ethmodectomie totale bilatrale par voie paralatronasale et/ou sous fronto-orbito-nasale avec sinusotomie sphnodale et maxillaire pour tumeur maligne"
STATUS "0"
HISTORY "19981108,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E317"
MAIN excising
	ACTS_ON ethmoid cells
	HAS_APPROACH para latero-nasal approach
	HAS_EXTENT total
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON tumour
WITH incising
	ACTS_ON sphenoid sinus & maxillary sinus
OR_MAIN excising
	ACTS_ON ethmoid cells
	HAS_APPROACH infra frontal approach & trans-orbit route & latero-nasal approach
	HAS_EXTENT total
	HAS_LATERALITY bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON tumour
WITH incising
	ACTS_ON sphenoid sinus & maxillary sinus

RUBRIC "Dcompression d'un nerf optique par voie transsinusienne"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E318"
MAIN decompressing
	ACTS_ON optic nerve
	HAS_APPROACH trans-sinus route

RUBRIC "Plastie de la base du crne pour mningocle ou brche osto-durale par voie paralatronasale"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E319"
MAIN plastic repairing
	ACTS_ON base of skull
	HAS_APPROACH para latero-nasal approach
MOTIVATED_OVERALL_BY curing
	ACTS_ON meningocele / osteo-dural breach

RUBRIC "Exrse et/ou fermeture d'une mningoencphalocle de la base"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E320"
MAIN excising
	ACTS_ON encephalomeningocele
		HAS_LOCATION base of skull
WITH closing
	ACTS_ON encephalomeningocele
		HAS_LOCATION base of skull
OR_MAIN excising
	ACTS_ON encephalomeningocele
		HAS_LOCATION base of skull
OR_MAIN closing
	ACTS_ON encephalomeningocele
		HAS_LOCATION base of skull

RUBRIC "Ethmodectomie totale unilatrale sous endoscopie avec ou sans matotomie moyenne"
STATUS "0"
HISTORY "19981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E321"
MAIN excising
	ACTS_ON ethmoid cells
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON cavity of nose
		BY_MEANS_OF endoscope
	HAS_EXTENT total
	HAS_LATERALITY unilateral
	WITH_GUIDANCE_BY endoscope
WITH_OPTIONALLY incising
	ACTS_ON middle nasal concha

RUBRIC "Ethmodectomie totale unilatrale avec sphnodotomie sous endoscopie avec ou sans matotomie moyenne"
STATUS "0"
HISTORY "19981108,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E322"
MAIN excising
	ACTS_ON ethmoid cells
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON cavity of nose
		BY_MEANS_OF endoscope
	HAS_EXTENT total
	HAS_LATERALITY unilateral
	WITH_GUIDANCE_BY endoscope
WITH incising
	ACTS_ON sphenoid sinus
WITH_OPTIONALLY incising
	ACTS_ON middle nasal concha

RUBRIC "Ethmodectomie totale unilatrale avec septoplastie sous endoscopie avec ou sans matotomie moyenne"
STATUS "0"
HISTORY "19981108,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E323"
MAIN excising
	ACTS_ON ethmoid cells
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON cavity of nose
		BY_MEANS_OF endoscope
	HAS_EXTENT total
	HAS_LATERALITY unilateral
	WITH_GUIDANCE_BY endoscope
WITH plastic repairing
	ACTS_ON nasal septum
WITH_OPTIONALLY incising
	ACTS_ON middle nasal concha

RUBRIC "Ethmodectomie totale unilatrale avec sphnodotomie et septoplastie sous endoscopie avec ou sans matotomie moyenne"
STATUS "0"
HISTORY "19981108,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E324"
MAIN excising
	ACTS_ON ethmoid cells
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON cavity of nose
		BY_MEANS_OF endoscope
	HAS_EXTENT total
	HAS_LATERALITY unilateral
	WITH_GUIDANCE_BY endoscope
WITH plastic repairing
	ACTS_ON nasal septum
WITH incising
	ACTS_ON sphenoid sinus
WITH_OPTIONALLY incising
	ACTS_ON middle nasal concha

RUBRIC "Ethmodectomie antrieure unilatrale sous endoscopie avec ou sans matotomie moyenne"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:34:27 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E325"
MAIN excising
	ACTS_ON ethmoid cells
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON cavity of nose
		BY_MEANS_OF endoscope
	HAS_POSITION anterior
	HAS_LATERALITY unilateral
	WITH_GUIDANCE_BY endoscope
WITH_OPTIONALLY incising
	ACTS_ON middle nasal concha

RUBRIC "Ethmodectomie antrieure unilatrale avec septoplastie sous endoscopie avec ou sans matotomie moyenne"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:34:12 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E326"
MAIN excising
	ACTS_ON ethmoid cells
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON cavity of nose
		BY_MEANS_OF endoscope
	HAS_POSITION anterior
	HAS_LATERALITY unilateral
	WITH_GUIDANCE_BY endoscope
WITH plastic repairing
	ACTS_ON nasal septum
WITH_OPTIONALLY incising
	ACTS_ON middle nasal concha

RUBRIC "Marsupialisation d'une mucocle ethmodale, frontale ou ethmodo-frontale sous endoscopie"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E327"
MAIN marsupialising
	ACTS_ON mucocele
		HAS_LOCATION ethmoid sinus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON ethmoid sinus
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN marsupialising
	ACTS_ON mucocele
		HAS_LOCATION ethmoid sinus & frontal sinus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON ethmoid sinus & frontal sinus
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN marsupialising
	ACTS_ON mucocele
		HAS_LOCATION frontal sinus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON frontal sinus
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Plastie de la base du crne pour mningocle ou brche osto-durale sous endoscopie"
STATUS "0"
HISTORY "19981108,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E328"
MAIN plastic repairing
	ACTS_ON base of skull
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON base of skull
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
MOTIVATED_OVERALL_BY curing
	ACTS_ON meningocele / osteo-dural breach

RUBRIC "Ethmodectomie totale bilatrale sous endoscopie avec ou sans matotomie moyenne"
STATUS "0"
HISTORY "19981108,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E329"
MAIN excising
	ACTS_ON ethmoid cells
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON cavity of nose
		BY_MEANS_OF endoscope
	HAS_EXTENT total
	HAS_LATERALITY bilateral
	WITH_GUIDANCE_BY endoscope
WITH_OPTIONALLY incising
	ACTS_ON middle nasal concha

RUBRIC "Ethmodectomie totale bilatrale avec sphnodotomie sous endoscopie avec ou sans matotomie moyenne"
STATUS "0"
HISTORY "19981108,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E330"
MAIN excising
	ACTS_ON ethmoid cells
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON cavity of nose
		BY_MEANS_OF endoscope
	HAS_EXTENT total
	HAS_LATERALITY bilateral
	WITH_GUIDANCE_BY endoscope
WITH incising
	ACTS_ON sphenoid sinus
WITH_OPTIONALLY incising
	ACTS_ON middle nasal concha

RUBRIC "Ethmodectomie totale bilatrale avec septoplastie sous endoscopie avec ou sans matotomie moyenne"
STATUS "0"
HISTORY "19981108,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E331"
MAIN excising
	ACTS_ON ethmoid cells
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON cavity of nose
		BY_MEANS_OF endoscope
	HAS_EXTENT total
	HAS_LATERALITY bilateral
	WITH_GUIDANCE_BY endoscope
WITH plastic repairing
	ACTS_ON nasal septum
WITH_OPTIONALLY incising
	ACTS_ON middle nasal concha

RUBRIC "Ethmodectomie totale bilatrale avec sphnodotomie et septoplastie sous endoscopie avec ou sans matotomie moyenne"
STATUS "0"
HISTORY "19981108,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E332"
MAIN excising
	ACTS_ON ethmoid cells
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON cavity of nose
		BY_MEANS_OF endoscope
	HAS_EXTENT total
	HAS_LATERALITY bilateral
	WITH_GUIDANCE_BY endoscope
WITH plastic repairing
	ACTS_ON nasal septum
WITH incising
	ACTS_ON sphenoid sinus
WITH_OPTIONALLY incising
	ACTS_ON middle nasal concha

RUBRIC "Ethmodectomie antrieure bilatrale sous endoscopie avec ou sans matotomie moyenne"
STATUS "0"
HISTORY "19981108,rodrigues,0;
Manual accept at 4:33:26 pm on November 25, 1998 by jon
Manual accept at 4:33:47 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E333"
MAIN excising
	ACTS_ON ethmoid cells
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON cavity of nose
		BY_MEANS_OF endoscope
	HAS_POSITION anterior
	HAS_LATERALITY bilateral
	WITH_GUIDANCE_BY endoscope
WITH_OPTIONALLY incising
	ACTS_ON middle nasal concha

RUBRIC "Ethmodectomie antrieure bilatrale avec septoplastie sous endoscopie avec ou sans matotomie moyenne"
STATUS "0"
HISTORY "19981108,rodrigues,0;
Manual accept at 4:32:20 pm on November 25, 1998 by jon
Manual accept at 4:33:16 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E334"
MAIN excising
	ACTS_ON ethmoid cells
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON cavity of nose
		BY_MEANS_OF endoscope
	HAS_POSITION anterior
	HAS_LATERALITY bilateral
	WITH_GUIDANCE_BY endoscope
WITH plastic repairing
	ACTS_ON nasal septum
WITH_OPTIONALLY incising
	ACTS_ON middle nasal concha

RUBRIC "Drainage d'une collection sphnodale sous endoscopie (directe ou trans-ethmodale)"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E335"
MAIN draining
	ACTS_ON abscess
		HAS_LOCATION sphenoidal sinus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON sphenoid sinus
		BY_MEANS_OF endoscope
		HAS_APPROACH open / transethmoidal
	WITH_GUIDANCE_BY endoscope

RUBRIC "Exrse d'une lsion sphnodale sous endoscopie"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E336"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION sphenoid sinus
	BY_TECHNIQUE inspecting
		ACTS_ON sphenoid sinus
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Ponction du sinus frontal unilatrale avec ou sans drainage"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E337"
MAIN puncturing
	ACTS_ON frontal sinus
	HAS_LATERALITY unilateral
WITH_OPTIONALLY draining
	ACTS_ON frontal sinus

RUBRIC "Ponction de sinus frontal bilatrale avec ou sans drainage"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E338"
MAIN puncturing
	ACTS_ON frontal sinus
	HAS_LATERALITY bilateral
WITH_OPTIONALLY draining
	ACTS_ON frontal sinus

RUBRIC "Drainage d'une collection du sinus frontal par voie sus orbitaire ou coronale"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E339"
MAIN draining
	ACTS_ON abscess
		HAS_LOCATION frontal sinus
	HAS_APPROACH supra orbit approach / coronal suture approach

RUBRIC "Exrse d'une lsion bnigne du sinus frontal par voie orbitaire (ostome, mucocle inclus)"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E340"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION frontal sinus
	HAS_APPROACH trans-orbit route

RUBRIC "Exrse d'une lsion bnigne du sinus frontal par voie coronale (ostome, mucocle inclus)"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E341"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION frontal sinus
	HAS_APPROACH coronal suture approach

RUBRIC "Crnialisation d'un ou des sinus frontaux"
STATUS "0"
HISTORY "19981030,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:31:55 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E342"
MAIN excising
	ACTS_ON bone tissue
		HAS_LOCATION frontal sinus
	HAS_LATERALITY bilateral / unilateral

RUBRIC "Exclusion d'un ou des sinus frontaux"
STATUS "0"
HISTORY "19981030,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E343"
MAIN occluding
	ACTS_ON frontal sinus
	HAS_LATERALITY bilateral / unilateral

RUBRIC "Plastie de la brche osto-durale au niveau du sinus frontal par voie orbitaire"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E344"
MAIN plastic repairing
	ACTS_ON osteo-dural breach
		HAS_LOCATION frontal sinus
	HAS_APPROACH trans-orbit route

RUBRIC "Plastie de brche osto-durale au niveau du sinus frontal par voie coronale"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E345"
MAIN plastic repairing
	ACTS_ON osteo-dural breach
		HAS_LOCATION frontal sinus
	HAS_APPROACH coronal suture approach

RUBRIC "Drainage d'une collection du sinus frontal unilatrale sous endoscopie"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E346"
MAIN draining
	ACTS_ON abscess
		HAS_LOCATION frontal sinus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON frontal sinus
		BY_MEANS_OF endoscope
	HAS_LATERALITY unilateral
	WITH_GUIDANCE_BY endoscope

RUBRIC "Drainage d'une collection du sinus frontal bilatrale sous endoscopie"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E347"
MAIN draining
	ACTS_ON abscess
		HAS_LOCATION frontal sinus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON frontal sinus
		BY_MEANS_OF endoscope
	HAS_LATERALITY bilateral
	WITH_GUIDANCE_BY endoscope

RUBRIC "Drainage d'une collection du sinus frontal uni ou bilatrale sous endoscopie et voie externe"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:29:47 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E348"
MAIN draining
	ACTS_ON abscess
		HAS_LOCATION frontal sinus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON frontal sinus
		BY_MEANS_OF endoscope
	HAS_APPROACH open
	HAS_LATERALITY unilateral / bilateral
	WITH_GUIDANCE_BY endoscope

RUBRIC "Sinusotomie frontale uni ou bilatrale par voie endonasale ou externe avec rsection septale et du plancher"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E349"
MAIN incising
	ACTS_ON frontal sinus
	HAS_APPROACH cavity of nose
	HAS_LATERALITY unilateral / bilateral
WITH resecting
	ACTS_ON nasal septum & floor of the anterior cranial fossa
OR_MAIN incising
	ACTS_ON frontal sinus
	HAS_APPROACH open
	HAS_LATERALITY unilateral / bilateral
WITH resecting
	ACTS_ON nasal septum & floor of the anterior cranial fossa

RUBRIC "Drainage sinusien par mthode de dplacement"
STATUS "0"
HISTORY "19981030,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E350"
MAIN draining
	ACTS_ON nasal sinus
	BY_TECHNIQUE transposing
		ACTS_ON nasal sinus

RUBRIC "Dmchage ou nettoyage (aspiration, cautrisation, synchie) aprs chirurgie naso-sinusienne avec ou sans endoscopie"
STATUS "0"
HISTORY "19981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E351"
MAIN removing
	ACTS_ON mesh
		HAS_LOCATION nasal sinus
	FOLLOWS surgical deed
		ACTS_ON nasal sinus
OR_MAIN washing
	ACTS_ON nasal sinus
	FOLLOWS surgical deed
		ACTS_ON nasal sinus

RUBRIC "Sinusotomie unilatrale maxillaire, ethmodale et/ou sphnodale par voie vestibulaire"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E352"
MAIN incising
	ACTS_ON maxillary sinus & ethmoid sinus & sphenoid sinus
	HAS_APPROACH buccal vestibule
	HAS_LATERALITY unilateral
OR_MAIN incising
	ACTS_ON maxillary sinus & sphenoid sinus
	HAS_APPROACH buccal vestibule
	HAS_LATERALITY unilateral

RUBRIC "Rsection fronto-ethmodo-maxillaire  par voie paralatronasale  pour tumeur maligne"
STATUS "0"
HISTORY "19981109,rodrigues,0;"
PARAPHRASE "a"
SOURCE "use"
CODE "E353"
MAIN resecting
	ACTS_ON frontal bone & ethmoidal bone & maxilla
	HAS_APPROACH para latero-nasal approach
MOTIVATED_OVERALL_BY curing
	ACTS_ON tumour

RUBRIC "Rsection fronto-ethmodo-maxillaire  par voie paralatronasale avec exrse meninge et de la lame crible pour tumeur maligne"
STATUS "0"
HISTORY "19981109,rodrigues,0;"
PARAPHRASE "a"
SOURCE "use"
CODE "E354"
MAIN resecting
	ACTS_ON frontal bone & ethmoidal bone & maxilla
	HAS_APPROACH para latero-nasal approach
MOTIVATED_OVERALL_BY curing
	ACTS_ON tumour
WITH excising
	ACTS_ON_1 meninges
	ACTS_ON_2 cribriform plate of ethmoidal bone

RUBRIC "Rsection fronto-ethmodo-maxillaire  par voie paralatronasale  et sous frontale pour tumeur maligne"
STATUS "0"
HISTORY "19981109,rodrigues,0;"
PARAPHRASE "a"
SOURCE "use"
CODE "E355"
MAIN resecting
	ACTS_ON frontal bone & ethmoidal bone & maxilla
	HAS_APPROACH para latero-nasal approach & infra frontal approach
MOTIVATED_OVERALL_BY curing
	ACTS_ON tumour

RUBRIC "Examen du cavum sous anesthsie gnrale, avec ou sans biopsie"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E356"
MAIN examining
	ACTS_ON nasopharynx
WITH injecting
	ACTS_ON general anesthetic agent
WITH_OPTIONALLY biopsying
	ACTS_ON nasopharynx

RUBRIC "Adnodectomie isole"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E357"
MAIN excising
	ACTS_ON adenoids

RUBRIC "Adnodectomie et mise en place d'un arateur transtympanique unilatral, examen d'oreille inclus"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E358"
MAIN excising
	ACTS_ON adenoids
WITH installing
	ACTS_ON ear airway device
	HAS_LATERALITY unilateral
WITH examining
	ACTS_ON ear

RUBRIC "Adnodectomie et mise en place d'un arateur transtympanique bilatral examen d'oreille inclus"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E359"
MAIN excising
	ACTS_ON adenoids
WITH installing
	ACTS_ON ear airway device
	HAS_LATERALITY bilateral
WITH examining
	ACTS_ON ear

RUBRIC "Adnodectomie et myringotomie uni ou bilatrale, examen d'oreille inclus"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E360"
MAIN excising
	ACTS_ON adenoid
WITH draining
	ACTS_ON tympanic cavity
	BY_TECHNIQUE incising
		ACTS_ON tympanic membrane
	HAS_LATERALITY unilateral / bilateral
WITH examining
	ACTS_ON ear

RUBRIC "Exrse d'une tumeur du cavum par les voies naturelles"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E361"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nasopharynx
	HAS_APPROACH cavity of nose

RUBRIC "Exrse d'une tumeur du cavum par les voies naturelles au LASER"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E362"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nasopharynx
	BY_MEANS_OF laser
	HAS_APPROACH cavity of nose

RUBRIC "Exrse d'une tumeur du cavum par voie transpalatine"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E363"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nasopharynx
	HAS_APPROACH through palatine bone route

RUBRIC "Exrse d'une tumeur du cavum par voie transpalatine au LASER"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E364"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nasopharynx
	BY_MEANS_OF laser
	HAS_APPROACH through palatine bone route

RUBRIC "Exrse d'une tumeur du cavum et/ou de la fosse infratemporale (angiofibrome compris) par voie transmaxillaire"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E365"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nasopharynx & infra temporal fossa
	HAS_APPROACH trans maxillary bone route
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nasopharynx
	HAS_APPROACH trans maxillary bone route
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION infra temporal fossa
	HAS_APPROACH trans maxillary bone route

RUBRIC "Exrse d'une tumeur du cavum et/ou de la fosse infratemporale (angiofibrome compris) par voie transmandibulaire latrale ou mdiane"
STATUS "0"
HISTORY "19981106,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E366"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nasopharynx & infra temporal fossa
	HAS_APPROACH through mandibula route
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nasopharynx
	HAS_APPROACH through mandibula route
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION infra temporal fossa
	HAS_APPROACH through mandibula route

RUBRIC "Exrse d'une tumeur du cavum et/ou de la fosse infratemporale (angiofibrome compris) par voie transfaciale et transmandibulaire latrale "
STATUS "0"
HISTORY "19981106,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E367"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nasopharynx & infra temporal fossa
	HAS_APPROACH through mandibula route
	HAS_APPROACH facial approach
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nasopharynx
	HAS_APPROACH through mandibula route
	HAS_APPROACH facial approach
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION infra temporal fossa
	HAS_APPROACH through mandibula route
	HAS_APPROACH facial approach

RUBRIC "Exrse d'une tumeur du cavum et/ou de la fosse infratemporale (angiofibrome compris) par voie pr auriculaire et/ou transzygomatique"
STATUS "0"
HISTORY "19981106,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E368"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nasopharynx & infra temporal fossa
	HAS_APPROACH through zygomatic arch route
	HAS_APPROACH pre ear approach
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nasopharynx
	HAS_APPROACH through zygomatic arch route
	HAS_APPROACH pre ear approach
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION infra temporal fossa
	HAS_APPROACH through zygomatic arch route
	HAS_APPROACH pre ear approach

RUBRIC "Exrse d'une tumeur du cavum et/ou de la fosse infratemporale (angiofibrome compris) par voie transptreuse antrieure"
STATUS "0"
HISTORY "19981106,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E369"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nasopharynx & infra temporal fossa
	HAS_APPROACH trans petrous bone route & anterior approach
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nasopharynx
	HAS_APPROACH trans petrous bone route & anterior approach
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION infra temporal fossa
	HAS_APPROACH trans petrous bone route & anterior approach

RUBRIC "Discision et calibrage choanal pour imperforation uni ou bilatrale"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E370"
MAIN incising
	ACTS_ON posterior apertures of nose
	HAS_LATERALITY unilateral / bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON imperforation
		HAS_LOCATION posterior apertures of nose
WITH enlarging
	ACTS_ON posterior apertures of nose

RUBRIC "Plastie choanale, sous endoscopie par voie nasale, pour imperforation unilatrale"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E371"
MAIN plastic repairing
	ACTS_ON posterior apertures of nose
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON posterior apertures of nose
		BY_MEANS_OF endoscope
		HAS_APPROACH cavity of nose
	HAS_LATERALITY unilateral
	WITH_GUIDANCE_BY endoscope
MOTIVATED_OVERALL_BY curing
	ACTS_ON imperforation
		HAS_LOCATION posterior apertures of nose

RUBRIC "Plastie choanale, sous endoscopie par voie nasale, pour imperforation unilatrale au laser"
STATUS "0"
HISTORY "19981109,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E372"
MAIN plastic repairing
	ACTS_ON posterior apertures of nose
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON posterior apertures of nose
		BY_MEANS_OF endoscope
		HAS_APPROACH cavity of nose
	BY_MEANS_OF laser
	HAS_LATERALITY unilateral
	WITH_GUIDANCE_BY endoscope
MOTIVATED_OVERALL_BY curing
	ACTS_ON imperforation
		HAS_LOCATION posterior apertures of nose

RUBRIC "Plastie choanale, sous endoscopie par voie nasale, pour imperforation bilatrale"
STATUS "0"
HISTORY "19981109,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E373"
MAIN plastic repairing
	ACTS_ON posterior apertures of nose
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON posterior apertures of nose
		BY_MEANS_OF endoscope
		HAS_APPROACH cavity of nose
	HAS_LATERALITY bilateral
	WITH_GUIDANCE_BY endoscope
MOTIVATED_OVERALL_BY curing
	ACTS_ON imperforation
		HAS_LOCATION posterior apertures of nose

RUBRIC "Plastie choanale, sous endoscopie par voie nasale, pour imperforation bilatrale au Laser"
STATUS "0"
HISTORY "19981109,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E374"
MAIN plastic repairing
	ACTS_ON posterior apertures of nose
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON posterior apertures of nose
		BY_MEANS_OF endoscope
		HAS_APPROACH cavity of nose
	BY_MEANS_OF laser
	HAS_LATERALITY bilateral
	WITH_GUIDANCE_BY endoscope
MOTIVATED_OVERALL_BY curing
	ACTS_ON imperforation
		HAS_LOCATION posterior apertures of nose

RUBRIC "Plastie choanale par voie transpalatine, pour imperforation uni ou bilatrale"
STATUS "0"
HISTORY "19981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E375"
MAIN plastic repairing
	ACTS_ON posterior apertures of nose
	HAS_APPROACH through palatine bone route
	HAS_LATERALITY unilateral / bilateral
MOTIVATED_OVERALL_BY curing
	ACTS_ON imperforation
		HAS_LOCATION posterior apertures of nose

RUBRIC "Biopsie de la cavit buccale et/ou de l'oropharynx sans anesthsie gnrale"
STATUS "0"
HISTORY "19981026,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:38:02 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E376"
MAIN biopsying
	ACTS_ON_1 mouth
	ACTS_ON_2 oropharynx
WITHOUT_ACTION injecting
	ACTS_ON general anesthetic agent
OR_MAIN biopsying
	ACTS_ON mouth
WITHOUT_ACTION injecting
	ACTS_ON general anesthetic agent
OR_MAIN biopsying
	ACTS_ON oropharynx
WITHOUT_ACTION injecting
	ACTS_ON general anesthetic agent

RUBRIC "Exploration, parage et suture d'une plaie linguale"
STATUS "0"
HISTORY "19981026,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E377"
MAIN exploring
	ACTS_ON wound
		HAS_LOCATION tongue
WITH revising
	ACTS_ON wound
		HAS_LOCATION tongue
WITH suturing
	ACTS_ON wound
		HAS_LOCATION tongue

RUBRIC "Section de brides muqueuses endobuccales ou du frein de langue"
STATUS "0"
HISTORY "19981026,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:23:59 pm on November 25, 1998 by jon
Manual accept at 3:25:12 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E378"
MAIN dividing
	ACTS_ON bridle
		HAS_LOCATION mucosal membrane
			IS_PART_OF mouth
OR_MAIN dividing
	ACTS_ON frenulum of tongue

RUBRIC "Glossectomie partielle de langue mobile par voie endobuccale"
STATUS "0"
HISTORY "19981026,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E379"
MAIN excising
	ACTS_ON movable tongue
	HAS_APPROACH transoral access
	HAS_EXTENT partial

RUBRIC "Glossectomie partielle de langue mobile par voie endobuccale avec curage ganglionnaire cervical complet bilatral"
STATUS "0"
HISTORY "19981026,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E380"
MAIN excising
	ACTS_ON movable tongue
	HAS_APPROACH transoral access
	HAS_EXTENT partial
WITH excising
	ACTS_ON cervical lymph node
	HAS_EXTENT complete
	HAS_LATERALITY bilateral

RUBRIC "Glossectomie partielle de langue mobile par voie endobuccale avec curage ganglionnaire cervical complet d'un ct, partiel de l'autre"
STATUS "0"
HISTORY "19981026,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E381"
MAIN excising
	ACTS_ON movable tongue
	HAS_APPROACH transoral access
	HAS_EXTENT partial
WITH excising
	ACTS_ON cervical lymph node
	HAS_EXTENT complete
	HAS_LATERALITY unilateral
WITH excising
	ACTS_ON cervical lymph node
	HAS_EXTENT partial
	HAS_LATERALITY contralateral

RUBRIC "Glossectomie totale de langue mobile par voie endobuccale"
STATUS "0"
HISTORY "19981026,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E382"
MAIN excising
	ACTS_ON movable tongue
	HAS_APPROACH transoral access
	HAS_EXTENT total

RUBRIC "Pelvi-glossectomie de langue mobile par voie endobuccale"
STATUS "0"
HISTORY "19981026,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E383"
MAIN excising
	ACTS_ON movable tongue & floor of the mouth
	HAS_APPROACH transoral access

RUBRIC "Pelvi-glossectomie de langue mobile par voie endobuccale avec curage ganglionnaire cervical complet d'un ct, partiel de l'autre et avec lambeau local ou rgional, avec pdicule vasculaire ou vasculo-nerveux anatomique, dissqu en lot"
STATUS "0"
HISTORY "19981028,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:38:26 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E384"
MAIN excising
	ACTS_ON movable tongue & floor of the mouth
	HAS_APPROACH transoral access
WITH excising
	ACTS_ON cervical lymph node
	HAS_EXTENT total
	HAS_LATERALITY unilateral
WITH grafting
	ACTS_ON mouth
	BY_MEANS_OF pedicle flap
		CONTAINS vessel
		CONTAINS nerve
WITH excising
	ACTS_ON cervical lymph node
	HAS_EXTENT partial
	HAS_LATERALITY contralateral

RUBRIC "Pelvi-mandibulectomie non interruptrice par voie endobuccale"
STATUS "0"
HISTORY "19981026,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E385"
MAIN excising
	ACTS_ON floor of the mouth
	HAS_APPROACH transoral access
WITH excising
	ACTS_ON part
		IS_PART_OF mandibula
	HAS_APPROACH transoral access
	HAS_EXTENT partial

RUBRIC "Pelvi-glosso-mandibulectomie non interruptrice par voie endobuccale"
STATUS "0"
HISTORY "19981106,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E386"
MAIN excising
	ACTS_ON_1 floor of the mouth
	ACTS_ON_2 tongue
	HAS_APPROACH transoral access
WITH excising
	ACTS_ON part
		IS_PART_OF mandibula
	HAS_APPROACH transoral access
	HAS_EXTENT partial

RUBRIC "Pelvi-glosso-mandibulectomie non interruptrice par voie endobuccale avec curage ganglionnaire cervical complet d'un ct ,partiel de l'autre"
STATUS "0"
HISTORY "19981106,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E387"
MAIN excising
	ACTS_ON_1 floor of the mouth
	ACTS_ON_2 tongue
	HAS_APPROACH transoral access
WITH excising
	ACTS_ON part
		IS_PART_OF mandibula
	HAS_APPROACH transoral access
	HAS_EXTENT partial
WITH excising
	ACTS_ON cervical lymph node
	HAS_EXTENT total
	HAS_LATERALITY ipsilateral
WITH excising
	ACTS_ON cervical lymph node
	HAS_EXTENT partial
	HAS_LATERALITY contralateral

RUBRIC "Ablation de sequestre osseux de la mandibule par voie endobuccale"
STATUS "0"
HISTORY "19981026,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E388"
MAIN excising
	ACTS_ON sequestrum
		HAS_LOCATION mandibula
	HAS_APPROACH transoral access

RUBRIC "Glossectomie totale de langue mobile par voie cervico-faciale"
STATUS "0"
HISTORY "19981026,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E389"
MAIN excising
	ACTS_ON movable tongue
	HAS_APPROACH cervical approach & facial approach
	HAS_EXTENT total

RUBRIC "Glossectomie totale de langue mobile par voie cervico-faciale avec lambeau musculo-cutan de grand pectoral"
STATUS "0"
HISTORY "19981026,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E390"
MAIN excising
	ACTS_ON movable tongue
	HAS_APPROACH cervical approach & facial approach
	HAS_EXTENT total
WITH grafting
	ACTS_ON myocutaneous flap
		IS_PART_OF pectoralis major muscle

RUBRIC "Glossectomie totale de langue mobile par voie cervico-faciale avec curage ganglionnaire cervical complet bilatral et avec lambeau musculo-cutan de grand pectoral"
STATUS "0"
HISTORY "19981026,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E391"
MAIN excising
	ACTS_ON movable tongue
	HAS_APPROACH cervical approach & facial approach
	HAS_EXTENT total
WITH excising
	ACTS_ON cervical lymph node
	HAS_EXTENT complete
WITH grafting
	ACTS_ON myocutaneous flap
		IS_PART_OF pectoralis major muscle

RUBRIC "Pelvi-glossectomie de langue mobile par voie cervico-faciale"
STATUS "0"
HISTORY "19981026,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E392"
MAIN excising
	ACTS_ON movable tongue & floor of the mouth
	HAS_APPROACH cervical approach & facial approach

RUBRIC "Pelvi-mandibulectomie non interruptrice par voie cervico-faciale"
STATUS "0"
HISTORY "19981106,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E393"
MAIN excising
	ACTS_ON floor of the mouth
	HAS_APPROACH cervical approach & facial approach
WITH excising
	ACTS_ON part
		IS_PART_OF mandibula
	HAS_EXTENT partial

RUBRIC "Pelvi-glosso-mandibulectomie non interruptrice par voie cervico-faciale"
STATUS "0"
HISTORY "19981106,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E394"
MAIN excising
	ACTS_ON_1 floor of the mouth
	ACTS_ON_2 tongue
	HAS_APPROACH cervical approach & facial approach
WITH excising
	ACTS_ON part
		IS_PART_OF mandibula
	HAS_EXTENT partial

RUBRIC "Pelvi-mandibulectomie interruptrice par voie cervico-faciale"
STATUS "0"
HISTORY "19981106,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E395"
MAIN excising
	ACTS_ON floor of the mouth
	HAS_APPROACH cervical approach & facial approach
WITH excising
	ACTS_ON part
		IS_PART_OF mandibula
	HAS_EXTENT complete

RUBRIC "Pelvi-glosso-mandibulectomie non interruptrice par voie cervico-faciale avec lambeau libre osseux ou osto- musculaire avec anastomose vasculaire"
STATUS "0"
HISTORY "19981106,rodrigues,0;
Manual accept at 3:37:04 pm on November 25, 1998 by jon
Manual accept at 3:37:34 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E396"
MAIN excising
	ACTS_ON_1 floor of the mouth
	ACTS_ON_2 tongue
	HAS_APPROACH cervical approach & facial approach
WITH excising
	ACTS_ON part
		IS_PART_OF mandibula
	HAS_EXTENT complete
WITH grafting
	ACTS_ON flap
		IS_MADE_OF bone tissue
	BY_TECHNIQUE creating
		ACTS_ON anastomosis structure
			CONNECTS vessel
OR_MAIN excising
	ACTS_ON_1 floor of the mouth
	ACTS_ON_2 tongue
	HAS_APPROACH cervical approach & facial approach
WITH excising
	ACTS_ON part
		IS_PART_OF mandibula
	HAS_EXTENT complete
WITH grafting
	ACTS_ON flap
		IS_MADE_OF bone tissue
		IS_MADE_OF muscle tissue
	BY_TECHNIQUE creating
		ACTS_ON anastomosis structure
			CONNECTS vessel

RUBRIC "Exrse d'une tumeur jugale transfixiante par voie faciale"
STATUS "0"
HISTORY "19981026,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E397"
MAIN excising
	ACTS_ON tumour
		HAS_DESTINATION skin
		HAS_LOCATION cheek
	HAS_APPROACH facial approach

RUBRIC "Exrse d'une tumeur jugale transfixiante par voie faciale avec lambeau musculo-cutan de grand pectoral"
STATUS "0"
HISTORY "19981026,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E398"
MAIN excising
	ACTS_ON tumour
		HAS_DESTINATION skin
		HAS_LOCATION cheek
	HAS_APPROACH facial approach
WITH grafting
	ACTS_ON myocutaneous flap
		IS_PART_OF pectoralis major muscle

RUBRIC "Labioglossopexie pour glossoptose"
STATUS "0"
HISTORY "19981022,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E399"
MAIN fixing
	ACTS_ON lip & tongue
MOTIVATED_OVERALL_BY curing
	ACTS_ON prolapse
		HAS_LOCATION tongue

RUBRIC "Pelviglossoplastie pour glossoptose"
STATUS "0"
HISTORY "19981022,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E400"
MAIN plastic repairing
	ACTS_ON floor of the mouth & tongue
MOTIVATED_OVERALL_BY curing
	ACTS_ON prolapse
		HAS_LOCATION tongue

RUBRIC "Exploration, parage et suture d'une plaie du voile du palais"
STATUS "0"
HISTORY "19981022,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E401"
MAIN exploring
	ACTS_ON wound
		HAS_LOCATION soft palate
WITH revising
	ACTS_ON wound
		HAS_LOCATION soft palate
WITH suturing
	ACTS_ON wound
		HAS_LOCATION soft palate

RUBRIC "Uvulectomie"
STATUS "0"
HISTORY "19981022,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E402"
MAIN excising
	ACTS_ON palatine uvula

RUBRIC "Uvulo-vlectomie"
STATUS "0"
HISTORY "19981022,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E403"
MAIN excising
	ACTS_ON palatine uvula & soft palate

RUBRIC "Uvulo-vlectomie avec curage ganglionnaire cervical complet bilatral"
STATUS "0"
HISTORY "19981029,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E404"
MAIN excising
	ACTS_ON palatine uvula & soft palate
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
	HAS_LATERALITY bilateral

RUBRIC "Uvulo-vlectomie avec curage ganglionnaire cervical complet d'un cot et partiel de l'autre"
STATUS "0"
HISTORY "19981029,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E405"
MAIN excising
	ACTS_ON palatine uvula & soft palate
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
	HAS_LATERALITY unilateral
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT radical
	HAS_LATERALITY contralateral

RUBRIC "Uvulo-vlectomie avec palatectomie partielle"
STATUS "0"
HISTORY "19981029,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E406"
MAIN excising
	ACTS_ON palatine uvula & soft palate
WITH excising
	ACTS_ON palate
	HAS_EXTENT partial

RUBRIC "Plastie d'allongement du voile du palais avec lambeau palatin"
STATUS "0"
HISTORY "19981022,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E407"
MAIN lengthening
	ACTS_ON soft palate
	BY_MEANS_OF flap
		IS_PART_OF soft palate
TO_ACHIEVE_OVERALL plastic repairing

RUBRIC "Vlo-pharyngoplastie avec lambeau pharyng"
STATUS "0"
HISTORY "19981022,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E408"
MAIN plastic repairing
	ACTS_ON soft palate & pharynx
	BY_MEANS_OF flap
		IS_PART_OF pharynx

RUBRIC "Vlo-pharyngoplastie avec lambeau pharyng et allongement du voile par lambeau palatin"
STATUS "0"
HISTORY "19981029,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E409"
MAIN plastic repairing
	ACTS_ON soft palate & pharynx
	BY_MEANS_OF flap
		IS_PART_OF pharynx
WITH lengthening
	ACTS_ON soft palate
	BY_MEANS_OF flap
		IS_PART_OF soft palate

RUBRIC "Pharyngoplastie pour stnose vlo-oro-rhinopharynge"
STATUS "0"
HISTORY "19981022,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E410"
MAIN plastic repairing
	ACTS_ON pharynx
MOTIVATED_OVERALL_BY curing
	ACTS_ON stenosis
		HAS_LOCATION oropharynx & nasopharynx

RUBRIC "Uvulo-pharyngoplastie avec ou sans amygdalectomie"
STATUS "0"
HISTORY "19981022,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E411"
MAIN plastic repairing
	ACTS_ON palatine uvula & pharynx
WITH_OPTIONALLY excising
	ACTS_ON tonsil

RUBRIC "Uvulo-pharyngoplastie avec ou sans amygdalectomie et septoplastie"
STATUS "0"
HISTORY "19981022,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E412"
MAIN plastic repairing
	ACTS_ON palatine uvula & pharynx
WITH plastic repairing
	ACTS_ON nasal septum
WITH_OPTIONALLY excising
	ACTS_ON tonsil

RUBRIC "Uvulo-pharyngoplastie avec ou sans amygdalectomie, avec turbinectomie infrieure uni ou bilatrale"
STATUS "0"
HISTORY "19981022,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E413"
MAIN plastic repairing
	ACTS_ON palatine uvula & pharynx
WITH excising
	ACTS_ON inferior nasal concha
	HAS_LATERALITY unilateral / bilateral
WITH_OPTIONALLY excising
	ACTS_ON tonsil

RUBRIC "Uvulo-pharyngoplastie avec ou sans amygdalectomie au LASER en une ou plusieurs sances"
STATUS "0"
HISTORY "19981022,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:59:03 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E414"
MAIN plastic repairing
	ACTS_ON palatine uvula & pharynx
WITH_OPTIONALLY excising
	ACTS_ON tonsil
	BY_MEANS_OF laser
	HAS_NUMBER at least 1

RUBRIC "Ponction d'un abcs pri-amygdalien et/ou rtropharyngien"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E415"
MAIN puncturing
	ACTS_ON abscess
		HAS_LOCATION retropharyngeal space
OR_MAIN puncturing
	ACTS_ON abscess
		HAS_LOCATION peritonsil space
OR_MAIN puncturing
	ACTS_ON abscess
		HAS_LOCATION retropharyngeal space & peritonsil space

RUBRIC "Ponction d'un abcs rtro-stylien"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E416"
MAIN puncturing
	ACTS_ON abscess
		HAS_LOCATION retrostyloidprocess space

RUBRIC "Incision et drainage par les voies naturelles, d'un abcs pri-amygdalien et/ou rtropharyngien"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E417"
MAIN incising
	ACTS_ON abscess
		HAS_LOCATION peritonsil space
	HAS_APPROACH transoral access
WITH draining
	ACTS_ON abscess
		HAS_LOCATION peritonsil space
	HAS_APPROACH transoral access
OR_MAIN incising
	ACTS_ON abscess
		HAS_LOCATION retropharyngeal space
	HAS_APPROACH transoral access
WITH draining
	ACTS_ON abscess
		HAS_LOCATION retropharyngeal space
	HAS_APPROACH transoral access
OR_MAIN incising
	ACTS_ON abscess
		HAS_LOCATION peritonsil space & retropharyngeal space
	HAS_APPROACH transoral access
WITH draining
	ACTS_ON abscess
		HAS_LOCATION peritonsil space & retropharyngeal space
	HAS_APPROACH transoral access

RUBRIC "Incision d'un abcs ou marsupialisation d'un kyste de la base de langue"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E418"
MAIN incising
	ACTS_ON abscess
		HAS_LOCATION tongue root
OR_MAIN marsupialising
	ACTS_ON cyst
		HAS_LOCATION tongue root

RUBRIC "Exrse de corps tranger de l'oropharynx sans anesthsie gnrale"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:59:16 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E419"
MAIN excising
	ACTS_ON foreign body
		HAS_LOCATION oropharynx
WITHOUT_ACTION injecting
	ACTS_ON general anesthetic agent

RUBRIC "Amygdalectomie uni ou bilatrale  l'amygdalotome [Sluder]"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:59:54 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E420"
MAIN excising
	ACTS_ON tonsil
	BY_MEANS_OF incising
		ACTS_ON tonsil
	HAS_LATERALITY unilateral / bilateral

RUBRIC "Amygdalectomie uni ou bilatrale  l'amygdalotome [Sluder] avec adnodectomie"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:00:12 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E421"
MAIN excising
	ACTS_ON tonsil
	BY_MEANS_OF incising
		ACTS_ON tonsil
	HAS_LATERALITY unilateral / bilateral
WITH excising
	ACTS_ON adenoids

RUBRIC "Amygdalectomie uni ou bilatrale  l'amygdalotome [Sluder] avec adnodectomie et mise en place d'un arateur transtympanique unilatral, examen d'oreille inclus"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:00:29 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E422"
MAIN excising
	ACTS_ON tonsil
	BY_MEANS_OF incising
		ACTS_ON tonsil
	HAS_LATERALITY unilateral / bilateral
WITH excising
	ACTS_ON adenoids
WITH installing
	ACTS_ON ear airway device
	HAS_APPROACH trans tympanic membrane approach
	HAS_LATERALITY unilateral

RUBRIC "Amygdalectomie uni ou bilatrale  l'amygdalotome [Sluder] avec adnodectomie et mise en place d'un arateur transtympanique bilatral, examen d'oreille inclus"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:00:47 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E423"
MAIN excising
	ACTS_ON tonsil
	BY_MEANS_OF incising
		ACTS_ON tonsil
	HAS_LATERALITY bilateral / unilateral
WITH excising
	ACTS_ON adenoids
WITH installing
	ACTS_ON ear airway device
	HAS_APPROACH trans tympanic membrane approach
	HAS_LATERALITY bilateral

RUBRIC "Amygdalectomie uni ou bilatrale  l'amygdalotome [Sluder] avec adnodectomie et myringotomie uni ou bilatrale, examen d'oreille inclus"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:01:08 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E424"
MAIN excising
	ACTS_ON tonsil
	BY_MEANS_OF incising
		ACTS_ON tonsil
	HAS_LATERALITY unilateral / bilateral
WITH excising
	ACTS_ON adenoids
WITH draining
	ACTS_ON tympanic cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON tympanic membrane
	HAS_LATERALITY unilateral / bilateral

RUBRIC "Amygdalectomie uni ou bilatrale par dissection"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E425"
MAIN excising
	ACTS_ON tonsil
	BY_TECHNIQUE dissecting
		ACTS_ON tonsil
	HAS_LATERALITY unilateral / bilateral

RUBRIC "Amygdalectomie uni ou bilatrale par dissection avec adnodectomie"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E426"
MAIN excising
	ACTS_ON tonsil
	BY_TECHNIQUE dissecting
		ACTS_ON tonsil
	HAS_LATERALITY unilateral / bilateral
WITH excising
	ACTS_ON adenoids

RUBRIC "Amygdalectomie uni ou bilatrale par dissection avec adnodectomie et mise en place d'un arateur transtympanique unilatral, examen d'oreille inclus"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E427"
MAIN excising
	ACTS_ON tonsil
	BY_TECHNIQUE dissecting
		ACTS_ON tonsil
	HAS_LATERALITY unilateral / bilateral
WITH excising
	ACTS_ON adenoids
WITH installing
	ACTS_ON ear airway device
	HAS_APPROACH trans tympanic membrane approach
	HAS_LATERALITY unilateral

RUBRIC "Amygdalectomie uni ou bilatrale par dissection avec adnodectomie et mise en place d'un arateur transtympanique bilatral, examen d'oreille inclus"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E428"
MAIN excising
	ACTS_ON tonsil
	BY_TECHNIQUE dissecting
		ACTS_ON tonsil
	HAS_LATERALITY unilateral / bilateral
WITH excising
	ACTS_ON adenoids
WITH installing
	ACTS_ON ear airway device
	HAS_APPROACH trans tympanic membrane approach
	HAS_LATERALITY bilateral

RUBRIC "Amygdalectomie uni ou bilatrale par dissection avec adnodectomie et myringotomie uni ou bilatrale, examen d'oreille inclus"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E429"
MAIN excising
	ACTS_ON tonsil
	BY_TECHNIQUE dissecting
		ACTS_ON tonsil
	HAS_LATERALITY unilateral / bilateral
WITH draining
	ACTS_ON tympanic cavity
	BY_TECHNIQUE incising
		ACTS_ON tympanic membrane
	HAS_LATERALITY unilateral / bilateral

RUBRIC "Reprise chirurgicale pour hmorragie post-amygdalectomie et/ou adnodectomie"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E430"
MAIN surgical deed
	ACTS_ON tonsil
	HAS_TEMPORAL_MARKER revision
MOTIVATED_OVERALL_BY curing
	ACTS_ON haemorrhage
		CAUSED_BY excising
			ACTS_ON tonsil
OR_MAIN surgical deed
	ACTS_ON adenoid
	HAS_TEMPORAL_MARKER revision
MOTIVATED_OVERALL_BY curing
	ACTS_ON haemorrhage
		CAUSED_BY excising
			ACTS_ON adenoid
OR_MAIN surgical deed
	ACTS_ON tonsil & adenoids
	HAS_TEMPORAL_MARKER revision
MOTIVATED_OVERALL_BY curing
	ACTS_ON haemorrhage
		CAUSED_BY excising

RUBRIC "Exrse de moignon amygdalien"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E431"
MAIN excising
	ACTS_ON stump
		IS_PART_OF tonsil

RUBRIC "Destruction du tissu amygdalien par procds physiques en une ou plusieurs sances (y compris l'amygdale linguale)"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:01:39 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E432"
MAIN destroying
	ACTS_ON tissue
		IS_PART_OF tonsil
	BY_MEANS_OF physical process device
	HAS_NUMBER at least 1
OR_MAIN destroying
	ACTS_ON tissue
		IS_PART_OF tonsil
			IS_CONTAINED_IN tongue
	BY_MEANS_OF physical process device
	HAS_NUMBER at least 1

RUBRIC "Glossectomie partielle de base de langue et/ou du sillon amygdalo-glosse par voie endobuccale"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E433"
MAIN excising
	ACTS_ON tongue root
	HAS_APPROACH transoral access
	HAS_EXTENT partial
WITH excising
	ACTS_ON sulcus amygdalo lingual
	HAS_APPROACH transoral access
OR_MAIN excising
	ACTS_ON tongue root
	HAS_APPROACH transoral access
	HAS_EXTENT partial
OR_MAIN excising
	ACTS_ON sulcus amygdalo lingual
	HAS_APPROACH transoral access

RUBRIC "Oropharyngectomie partielle latrale avec amygdalectomie par voie endobuccale"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:50:40 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E434"
MAIN excising
	ACTS_ON oropharynx
	HAS_APPROACH transoral access
	HAS_EXTENT partial
	HAS_LATERALITY lateral
WITH excising
	ACTS_ON tonsil
	HAS_APPROACH transoral access

RUBRIC "Oropharyngectomie partielle postrieure par voie endobuccale"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:50:54 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E435"
MAIN excising
	ACTS_ON oropharynx
	HAS_APPROACH transoral access
	HAS_EXTENT partial
	HAS_POSITION posterior

RUBRIC "Bucco-pharyngectomie avec mandibulotomie (ostosynthse incluse)"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E436"
MAIN excising
	ACTS_ON mouth & pharynx
WITH incising
	ACTS_ON mandibula
WITH fixing
	ACTS_ON mandibula
	BY_MEANS_OF fixation device

RUBRIC "Bucco-pharyngectomie avec mandibulotomie (ostosynthse incluse) avec curage ganglionnaire cervical partiel unilatral"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E437"
MAIN excising
	ACTS_ON mouth & pharynx
WITH incising
	ACTS_ON mandibula
WITH fixing
	ACTS_ON mandibula
	BY_MEANS_OF fixation device
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT partial
	HAS_LATERALITY unilateral

RUBRIC "Bucco-pharyngectomie avec hmimandibulectomie"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E438"
MAIN excising
	ACTS_ON mouth & pharynx
WITH excising
	ACTS_ON mandibula
	HAS_EXTENT hemi

RUBRIC "Bucco-pharyngectomie avec mandibulotomie (ostosynthse incluse) et pharyngolaryngectomie totale"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E439"
MAIN excising
	ACTS_ON mouth & pharynx
WITH incising
	ACTS_ON mandibula
WITH fixing
	ACTS_ON mandibula
	BY_MEANS_OF fixation device
WITH excising
	ACTS_ON larynx
	HAS_EXTENT total

RUBRIC "Bucco-pharyngectomie avec hmimandibulectomie et pharyngolaryngectomie totale"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E440"
MAIN excising
	ACTS_ON mouth & pharynx
WITH excising
	ACTS_ON mandibula
	HAS_EXTENT hemi
WITH excising
	ACTS_ON larynx
	HAS_EXTENT total

RUBRIC "Glossectomie partielle de base de langue par voie cervicale"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E441"
MAIN excising
	ACTS_ON tongue root
	HAS_APPROACH cervical approach
	HAS_EXTENT partial

RUBRIC "Glossectomie partielle de base de langue par voie cervicale avec curage ganglionnaire cervical partiel unilatral"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E442"
MAIN excising
	ACTS_ON tongue root
	HAS_APPROACH cervical approach
	HAS_EXTENT partial
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT partial
	HAS_LATERALITY unilateral

RUBRIC "Glossectomie totale de base de langue"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E443"
MAIN excising
	ACTS_ON tongue root
	HAS_EXTENT total

RUBRIC "Glossectomie totale de base de langue avec lambeau musculo-cutan de grand pectoral"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E444"
MAIN excising
	ACTS_ON tongue root
	HAS_EXTENT total
WITH transplanting
	ACTS_ON myocutaneous flap
		IS_PART_OF pectoralis major muscle

RUBRIC "Glossectomie totale de langue mobile et de base de langue"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E445"
MAIN excising
	ACTS_ON movable tongue & tongue root
	HAS_EXTENT total

RUBRIC "Glossectomie totale de langue mobile et de base de langue avec lambeau musculo-cutan de grand dorsal"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E446"
MAIN excising
	ACTS_ON movable tongue & tongue root
	HAS_EXTENT total
WITH transplanting
	ACTS_ON myocutaneous flap
		IS_PART_OF latissimus dorsi muscle

RUBRIC "Glosso-pharyngo-laryngectomie totale"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E447"
MAIN excising
	ACTS_ON tongue & pharynx & larynx
	HAS_EXTENT total

RUBRIC "Glosso-pharyngo-laryngectomie totale avec lambeau musculo-cutan de grand pectoral"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E448"
MAIN excising
	ACTS_ON tongue & pharynx & larynx
	HAS_EXTENT total
WITH transplanting
	ACTS_ON myocutaneous flap
		IS_PART_OF pectoralis major muscle

RUBRIC "Glosso-pharyngo-laryngectomie totale avec curage ganglionnaire cervical complet d'un ct, partiel de l'autre et avec lambeau musculo-cutan de grand pectoral"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E449"
MAIN excising
	ACTS_ON tongue & pharynx & larynx
	HAS_EXTENT total
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
	HAS_LATERALITY ipsilateral
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT partial
	HAS_LATERALITY contralateral
WITH transplanting
	ACTS_ON myocutaneous flap
		IS_PART_OF pectoralis major muscle

RUBRIC "Oropharyngectomie partielle latrale avec ou sans amygdalectomie par voie cervicale"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E450"
MAIN excising
	ACTS_ON oropharynx
	HAS_APPROACH cervical approach
	HAS_EXTENT partial
	HAS_LATERALITY unilateral
WITH_OPTIONALLY excising
	ACTS_ON tonsil
	HAS_APPROACH cervical approach

RUBRIC "Oropharyngectomie partielle postrieure par voie cervicale"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:51:04 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E451"
MAIN excising
	ACTS_ON oropharynx
	HAS_APPROACH cervical approach
	HAS_EXTENT partial
	HAS_POSITION posterior

RUBRIC "Hyo-mandibulopexie"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E452"
MAIN fixing
	ACTS_ON hyoid bone & mandibula

RUBRIC "Exrse d'une lsion bnigne ou maligne non infiltrante de la muqueuse buccale ou de l'oropharynx de moins de 2 cm de grand axe"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:02:03 pm on November 25, 1998 by jon
Manual accept at 4:02:17 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E453"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION mucosa
		HAS_SIZE less than or equal to 20mm
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION mucosa
		HAS_SIZE less than or equal to 20mm

RUBRIC "Exrse d'une lsion bnigne ou maligne non infiltrante de la muqueuse buccal ou de l'oropharynx comprise entre 2 et 4 cm de grand axe"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:51:57 pm on November 25, 1998 by jon
Manual accept at 4:52:15 pm on November 25, 1998 by jon
Manual accept at 4:53:46 pm on November 25, 1998 by jon
Manual accept at 12:01:31 pm on November 26, 1998 by jon
Manual accept at 12:01:49 pm on November 26, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E454"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION mucosa
		HAS_SIZE more than 20 mm
WITH excising
	ACTS_ON benign tumour
		HAS_LOCATION mucosa
		HAS_SIZE less than 40 mm
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION mucosa
		HAS_SIZE more than 20 mm
WITH excising
	ACTS_ON tumour
		HAS_LOCATION mucosa
		HAS_SIZE less than 40 mm

RUBRIC "Exrse d'une lsion bnigne ou maligne non infiltrante de la muqueuse buccale ou de l'oropharynx suprieure  4 cm de grand axe et avec exrse ganglionnaire cervicale du niveau 6 (cervicaux antrieurs)"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:02:40 pm on November 25, 1998 by jon
Manual accept at 4:03:06 pm on November 25, 1998 by jon
Manual accept at 4:03:26 pm on November 25, 1998 by jon
Manual accept at 4:03:34 pm on November 25, 1998 by jon
Manual accept at 4:04:36 pm on November 25, 1998 by jon
Manual accept at 4:04:56 pm on November 25, 1998 by jon
Manual accept at 4:07:17 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E455"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION mucosa
		HAS_SIZE more than 40 mm
WITH excising
	ACTS_ON lymphnode
		HAS_LOCATION part
			IS_PART_OF cervical space
			HAS_POSITION anterior
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION mucosa
		HAS_SIZE more than 40 mm
WITH excising
	ACTS_ON lymphnode
		HAS_LOCATION part
			IS_PART_OF cervical space
			HAS_POSITION anterior

RUBRIC "Exrse au Laser d'une lsion bnigne ou maligne non infiltrante de la muqueuse buccale ou de l'oropharynx de moins de 2 cm de grand axe"
STATUS "0"
HISTORY "19981030,rodrigues,0;
Manual accept at 4:07:44 pm on November 25, 1998 by jon
Manual accept at 4:08:26 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E456"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION mucosa
		HAS_SIZE less than or equal to 20mm
	BY_MEANS_OF laser
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION mucosa
		HAS_SIZE less than or equal to 20mm
	BY_MEANS_OF laser

RUBRIC "Exrse au Laser d'une lsion bnigne ou maligne non infiltrante de la muqueuse buccal ou de l'oropharynx comprise entre 2 et 4 cm de grand axe"
STATUS "0"
HISTORY "19981030,rodrigues,0;
Manual accept at 4:55:35 pm on November 25, 1998 by jon
Manual accept at 12:03:06 pm on November 26, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E457"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION mucosa
		HAS_SIZE more than 20 mm
	BY_MEANS_OF laser
WITH excising
	ACTS_ON benign tumour
		HAS_LOCATION mucosa
		HAS_SIZE more than 40 mm
	BY_MEANS_OF laser
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION mucosa
		HAS_SIZE more than 20 mm
	BY_MEANS_OF laser
WITH excising
	ACTS_ON tumour
		HAS_LOCATION mucosa
		HAS_SIZE more than 40 mm
	BY_MEANS_OF laser

RUBRIC "Exrse au Laser d'une lsion bnigne ou maligne non infiltrante de la muqueuse buccale ou de l'oropharynx suprieure  4 cm de grand axe "
STATUS "0"
HISTORY "19981030,rodrigues,0;
Manual accept at 4:09:20 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E458"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION mucosa
		HAS_SIZE more than 40 mm
	BY_MEANS_OF laser
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION mucosa
		HAS_SIZE more than 40 mm
	BY_MEANS_OF laser

RUBRIC "NasoFibroscopie pharyngolarynge"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E459"
MAIN inspecting
	ACTS_ON nasopharynx & larynx
	BY_MEANS_OF fibroscope

RUBRIC "Biopsie oropharyngo-larynge en laryngoscopie indirecte"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E460"
MAIN biopsying
	ACTS_ON oropharynx & larynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Fibroscopie larynge et trachale"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E461"
MAIN inspecting
	ACTS_ON larynx & trachea
	BY_MEANS_OF fibroscope

RUBRIC "Vido-endoscopie du pharyngo-larynx"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:55:56 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E462"
MAIN inspecting
	ACTS_ON pharynx & larynx
	BY_MEANS_OF videotape recorder device
	BY_MEANS_OF endoscope

RUBRIC "Examen stroboscopique du larynx"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E463"
MAIN exploring
	ACTS_ON larynx
	BY_MEANS_OF stroboscope device

RUBRIC "Electromyographie larynge"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E464"
MAIN recording
	ACTS_ON electric potentials
	BY_MEANS_OF electromyograph device
		HAS_LOCATION muscle (striated)
			IS_PART_OF larynx

RUBRIC "Bilan instrumental de la phonation (vido, photo, stroboscopie inclus)"
STATUS "0"
HISTORY "19981021,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E465"
MAIN exploring
	ACTS_ON phonation
	BY_MEANS_OF device

RUBRIC "Analyse informatis de la voix"
AUTHOR "rodrigues"
STATUS "0"
HISTORY "19981030,rodrigues,0;"
PARAPHRASE "a"
SOURCE "USE"
CODE "E466"
MAIN recording
	ACTS_ON phonation
	BY_MEANS_OF computer

RUBRIC "Laryngoscopie directe avec ou sans biopsie (suspension, microscope inclus)"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E467"
MAIN inspecting
	ACTS_ON larynx
	BY_MEANS_OF endoscope
WITH_OPTIONALLY biopsying
	ACTS_ON larynx

RUBRIC "Examen panendoscopique des voies aro-digestives suprieures (VADS) avec ou sans biopsie (trachoscopie et oesophagoscopie comprises)"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E468"
MAIN inspecting
	ACTS_ON nasopharynx & pharynx & larynx & trachea & oesophagus
	BY_MEANS_OF endoscope
WITH_OPTIONALLY biopsying
	ACTS_ON nasopharynx / pharynx / larynx / trachea / oesophagus

RUBRIC "Oro-hypopharyngoscopie et laryngoscopie directe avec ou sans biopsie, avec ou sans pose de sonde naso-oesophagienne"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E469"
MAIN inspecting
	ACTS_ON hypopharynx & oropharynx & larynx
	BY_MEANS_OF endoscope
WITH_OPTIONALLY biopsying
	ACTS_ON oropharynx & hypopharynx & larynx
WITH_OPTIONALLY installing
	ACTS_ON tube
		HAS_LOCATION nasopharynx & oesophagus

RUBRIC "Laryngoscopie et tracho-bronchoscopie"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E470"
MAIN inspecting
	ACTS_ON larynx & trachea & bronchus
	BY_MEANS_OF endoscope

RUBRIC "Laryngoscopie et tracho-bronchoscopie chez l'enfant de moins de 12 mois"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E471"
MAIN inspecting
	ACTS_ON larynx & trachea & bronchus
	BY_MEANS_OF endoscope
HAS_PATIENT infant

RUBRIC "Oesophagoscopie au tube rigide avec ou sans biopsie"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E472"
MAIN inspecting
	ACTS_ON oesophagus
	BY_MEANS_OF endoscope
WITH_OPTIONALLY biopsying
	ACTS_ON oesophagus

RUBRIC "Fibroscopie oesophagienne avec ou sans biopsie"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E473"
MAIN inspecting
	ACTS_ON oesophagus
	BY_MEANS_OF fibroscope
WITH_OPTIONALLY biopsying
	ACTS_ON oesophagus

RUBRIC "Extraction de corps tranger pharyng par voie endoscopique"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E474"
MAIN extracting
	ACTS_ON foreign body
		HAS_LOCATION pharynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON pharynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Extraction de corps tranger oesophagien par voie endoscopique"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E475"
MAIN extracting
	ACTS_ON foreign body
		HAS_LOCATION oesophagus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON oesophagus
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Mise en place d'une prothse endo-oesophagienne par voie endoscopique"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E476"
MAIN installing
	ACTS_ON prosthetic implant
		HAS_LOCATION oesophagus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON oesophagus
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Mise en place d'un fil sans fin pour dilatation oesophagienne rtrograde par voie endoscopique"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E477"
MAIN dilatating
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON oesophagus
		BY_MEANS_OF endoscope
		HAS_APPROACH retrograde
	BY_MEANS_OF wire
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope

RUBRIC "Dilatation oesophagienne par voie endoscopique haute"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E478"
MAIN dilatating
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON oesophagus
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Dilatation oesophagienne rtrograde par voie endoscopique"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E479"
MAIN dilatating
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON oesophagus
		BY_MEANS_OF endoscope
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rsection et/ou dilatation d'une stnose pharynge par voie endoscopique"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E480"
MAIN resecting
	ACTS_ON stenosis
		HAS_LOCATION pharynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON pharynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
WITH dilatating
	ACTS_ON stenosis
		HAS_LOCATION pharynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON pharynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN resecting
	ACTS_ON stenosis
		HAS_LOCATION pharynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON pharynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN dilatating
	ACTS_ON stenosis
		HAS_LOCATION pharynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON pharynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rsection et/ou dilatation d'une stnose pharynge par voie endoscopique au LASER"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E481"
MAIN resecting
	ACTS_ON stenosis
		HAS_LOCATION pharynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON pharynx
		BY_MEANS_OF endoscope
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY endoscope
WITH dilatating
	ACTS_ON stenosis
		HAS_LOCATION pharynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON pharynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN resecting
	ACTS_ON stenosis
		HAS_LOCATION pharynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON pharynx
		BY_MEANS_OF endoscope
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY endoscope
OR_MAIN dilatating
	ACTS_ON stenosis
		HAS_LOCATION pharynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON pharynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Exrse de tumeur bnigne du pharynx par voie endoscopique"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E482"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION pharynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON pharynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Exrse de tumeur bnigne du pharynx par voie endoscopique au LASER"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E483"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION pharynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON pharynx
		BY_MEANS_OF endoscope
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY endoscope

RUBRIC "Exrse ou destruction de lsion maligne du pharynx sous microscope au LASER"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E484"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pharynx
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY microscope
OR_MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION pharynx
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY microscope

RUBRIC "Exrse ou destruction de lsion maligne du pharynx sous microscope"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E485"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pharynx
	WITH_GUIDANCE_BY microscope
OR_MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION pharynx
	WITH_GUIDANCE_BY microscope

RUBRIC "Myotomie du crico-pharyngien par voie endoscopique avec ou sans marsupialisation de diverticule pharyngo-oesophagien"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E486"
MAIN incising
	ACTS_ON cricopharyngeal muscle
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
WITH_OPTIONALLY marsupialising
	ACTS_ON diverticulum
		HAS_LOCATION pharynx & oesophagus

RUBRIC "Myotomie du crico-pharyngien par voie endoscopique au LASER avec ou sans marsupialisation de diverticule pharyngo-oesophagien"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E487"
MAIN incising
	ACTS_ON cricopharyngeal muscle
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY endoscope
WITH_OPTIONALLY marsupialising
	ACTS_ON diverticulum
		HAS_LOCATION pharynx & oesophagus

RUBRIC "Extraction de corps tranger pharyngo-oesophagien par voie cervicale"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E488"
MAIN extracting
	ACTS_ON foreign body
		HAS_LOCATION pharynx & oesophagus
	HAS_APPROACH cervical approach

RUBRIC "Pharyngostomie ou oesophagostomie"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E489"
MAIN creating
	ACTS_ON stoma
		HAS_LOCATION pharynx
OR_MAIN creating
	ACTS_ON stoma
		HAS_LOCATION oesophagus

RUBRIC "Suture isole d'une brche du pharynx ou de l'oesophage cervical"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E490"
MAIN suturing
	ACTS_ON breach
		HAS_LOCATION pharynx
OR_MAIN suturing
	ACTS_ON breach
		HAS_LOCATION oesophagus
			IS_CONTAINED_IN cervical space

RUBRIC "Myotomie du crico-pharyngien par voie cervicale"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E491"
MAIN incising
	ACTS_ON cricopharyngeal muscle
	HAS_APPROACH cervical approach

RUBRIC "Exrse de tumeur bnigne du pharynx par pharyngotomie"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E492"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION pharynx
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON pharynx

RUBRIC "Rsection de diverticule pharyngo-oesophagien par voie cervicale"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E493"
MAIN resecting
	ACTS_ON diverticulum
		HAS_LOCATION pharynx & oesophagus
	HAS_APPROACH cervical approach

RUBRIC "Rsection d'une rcidive de diverticule pharyngo-oesophagien par voie cervicale"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E494"
MAIN resecting
	ACTS_ON diverticulum
		HAS_LOCATION pharynx & oesophagus
	HAS_APPROACH cervical approach
	HAS_TEMPORAL_MARKER revision

RUBRIC "Pharyngectomie partielle latrale par voie cervicale"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E495"
MAIN excising
	ACTS_ON pharynx
	HAS_APPROACH cervical approach & lateral approach
	HAS_EXTENT partial

RUBRIC "Pharyngectomie partielle postrieure par voie cervicale"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E496"
MAIN excising
	ACTS_ON pharynx
	HAS_APPROACH cervical approach & posterior approach
	HAS_EXTENT partial

RUBRIC "Hmilaryngo-pharyngectomie"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E497"
MAIN excising
	ACTS_ON larynx
	HAS_EXTENT hemi
WITH excising
	ACTS_ON pharynx
	HAS_EXTENT hemi

RUBRIC "Hmilaryngo-pharyngectomie avec curage ganglionnaire cervical complet et mdiastino-rcurrentiel unilatral"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E498"
MAIN excising
	ACTS_ON larynx
	HAS_EXTENT hemi
WITH excising
	ACTS_ON pharynx
	HAS_EXTENT hemi
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF mediastinum cavity
	HAS_LATERALITY unilateral

RUBRIC "Laryngo-pharyngectomie partielle supraglottique"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E499"
MAIN excising
	ACTS_ON supraglottis larynx
WITH excising
	ACTS_ON pharynx
	HAS_EXTENT partial

RUBRIC "Laryngo-pharyngectomie partielle supracricodienne avec crico-hyodo-pexie"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E500"
MAIN excising
	ACTS_ON supracricoidcartilage larynx
WITH excising
	ACTS_ON pharynx
	HAS_EXTENT partial
WITH fixing
	ACTS_ON cricoid cartilage & hyoid bone

RUBRIC "Pharyngo-laryngectomie totale"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E501"
MAIN excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH excising
	ACTS_ON pharynx
	HAS_EXTENT partial

RUBRIC "Pharyngo-laryngectomie totale avec curage ganglionnaire cervical complet d'un ct, partiel de l'autre"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E502"
MAIN excising
	ACTS_ON pharynx
	HAS_EXTENT partial
WITH excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
	HAS_LATERALITY ipsilateral
WITH excising
	ACTS_ON ganglion (as cystic tumor)
		HAS_LOCATION cervical space
	HAS_EXTENT partial
	HAS_LATERALITY contralateral

RUBRIC "Pharyngo-laryngectomie totale avec curage ganglionnaire cervical complet et mdiastino-rcurrentiel unilatral"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E503"
MAIN excising
	ACTS_ON pharynx
	HAS_EXTENT partial
WITH excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
WITH excising
	ACTS_ON lymphnode & recurrentlaryngealnerve lymphnode
		IS_PART_OF mediastinum cavity
	HAS_LATERALITY unilateral

RUBRIC "Pharyngo-laryngectomie totale avec curage ganglionnaire cervical complet et mdiastino-rcurrentiel bilatral"
STATUS "0"
HISTORY "19981101,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E504"
MAIN excising
	ACTS_ON pharynx
	HAS_EXTENT partial
WITH excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
WITH excising
	ACTS_ON lymphnode & recurrentlaryngealnerve lymphnode
		IS_PART_OF mediastinum cavity
	HAS_LATERALITY bilateral

RUBRIC "Pharyngo-laryngectomie totale avec curage ganglionnaire cervical complet unilatral et lobo-isthmectomie thyrodienne"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E505"
MAIN excising
	ACTS_ON pharynx
	HAS_EXTENT partial
WITH excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
	HAS_LATERALITY unilateral
WITH excising
	ACTS_ON lobe of thyroid gland & isthmus of thyroid gland

RUBRIC "Pharyngo-laryngectomie totale avec curage ganglionnaire cervical complet bilatral et lobo-isthmectomie thyrodienne"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E506"
MAIN excising
	ACTS_ON pharynx
	HAS_EXTENT partial
WITH excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH excising
	ACTS_ON lobe of thyroid gland & isthmus of thyroid gland
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
	HAS_LATERALITY bilateral

RUBRIC "Pharyngo-laryngectomie totale avec curage ganglionnaire cervical complet et curage mdiastino-rcurrentiel unilatral et lobo-isthmectomie thyrodienne"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E507"
MAIN excising
	ACTS_ON pharynx
	HAS_EXTENT partial
WITH excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
WITH excising
	ACTS_ON lymphnode & recurrentlaryngealnerve lymphnode
		IS_PART_OF mediastinum cavity
	HAS_LATERALITY unilateral
WITH excising
	ACTS_ON lobe of thyroid gland & isthmus of thyroid gland

RUBRIC "Pharyngo-laryngectomie totale tendue  la base de langue et avec lambeau  distance  pdicule dfinitif"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E508"
MAIN excising
	ACTS_ON pharynx
	HAS_EXTENT partial
WITH excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH excising
	ACTS_ON tongue root
WITH grafting
	ACTS_ON pedicle flap
	HAS_TEMPORAL_MARKER permanent

RUBRIC "Pharyngo-laryngectomie totale circulaire"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E509"
MAIN excising
	ACTS_ON pharynx
	HAS_EXTENT total
WITH excising
	ACTS_ON larynx
	HAS_EXTENT total

RUBRIC "Oeso-pharyngo-laryngectomie totale  thorax ferm avec coloplastie"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:09:40 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E510"
MAIN excising
	ACTS_ON oesophagus & pharynx & larynx
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS colon
WITHOUT_ACTION surgical deed
	HAS_APPROACH thoracic approach

RUBRIC "Oeso-pharyngo-laryngectomie totale  thorax ferm avec gastroplastie"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:09:52 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E511"
MAIN excising
	ACTS_ON oesophagus & pharynx & larynx
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS stomach
WITHOUT_ACTION surgical deed
	HAS_APPROACH thoracic approach

RUBRIC "Pharyngo-laryngectomie totale circulaire avec transplant libre microanastomos"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E512"
MAIN excising
	ACTS_ON pharynx
	HAS_EXTENT total
WITH excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH transplanting
	ACTS_ON graft
	BY_TECHNIQUE creating
		ACTS_ON anastomosis structure
			CONNECTS vessel
		BY_MEANS_OF microsurgical device

RUBRIC "Pharyngo-laryngectomie totale circulaire avec coloplastie rtro-sternale"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E513"
MAIN excising
	ACTS_ON pharynx
	HAS_EXTENT total
WITH excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS colon
		IS_PART_OF retrosternal space

RUBRIC "Plastie d'largissement de l'hypopharynx"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E514"
MAIN plastic repairing
	ACTS_ON hypopharynx
TO_ACHIEVE_OVERALL enlarging
	ACTS_ON hypopharynx

RUBRIC "Fermeture d'orostome ou de pharyngostome ncessitant un lambeau (lambeau non compris)"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E515"
MAIN closing
	ACTS_ON stoma
		HAS_LOCATION oropharynx
OR_MAIN closing
	ACTS_ON stoma
		HAS_LOCATION pharynx

RUBRIC "Avivement et suture directe d'orostome ou de pharyngostome"
STATUS "0"
HISTORY "19981020,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E516"
MAIN abrading
	ACTS_ON stoma
		HAS_LOCATION oropharynx
WITH suturing
	ACTS_ON stoma
		HAS_LOCATION oropharynx
OR_MAIN abrading
	ACTS_ON stoma
		HAS_LOCATION pharynx
WITH suturing
	ACTS_ON stoma
		HAS_LOCATION pharynx

RUBRIC "Fermeture de fistule oesophagienne cervicale"
STATUS "0"
HISTORY "19981016,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E517"
MAIN closing
	ACTS_ON fistula
		HAS_LOCATION oesophagus
			IS_CONTAINED_IN cervical space

RUBRIC "Oesophagoplastie par transplant colique rtro-sternale avec anastomose pharyngo-colique"
STATUS "0"
HISTORY "19981019,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E518"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 pharynx
		CONNECTS_2 colon
	BY_TECHNIQUE moving
		ACTS_ON colon
			HAS_DESTINATION retrosternal space

RUBRIC "Oesophagoplastie par transplant gastrique rtro-sternale avec anastomose pharyngo-gastrique"
STATUS "0"
HISTORY "19981031,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E519"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 pharynx
		CONNECTS_2 stomach
	BY_TECHNIQUE moving
		ACTS_ON stomach
			HAS_DESTINATION retrosternal space

RUBRIC "Injection intra-cordale par voie per-cutane"
STATUS "0"
HISTORY "19981016,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E520"
MAIN injecting
	ACTS_ON chemical substance
		HAS_DESTINATION plica vocalis
	HAS_APPROACH transcutaneous approach

RUBRIC "Ablation d'un implant phonatoire oeso-trachale"
STATUS "0"
HISTORY "19981016,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E521"
MAIN removing
	ACTS_ON phonatory implant
		HAS_LOCATION oesophagus & trachea

RUBRIC "Changement d'un implant phonatoire oeso-trachale"
STATUS "0"
HISTORY "19981016,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E522"
MAIN changing
	ACTS_ON phonatory implant
		HAS_LOCATION oesophagus & trachea

RUBRIC "Injection intra-cordale par voie endoscopique"
STATUS "0"
HISTORY "19981016,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E523"
MAIN injecting
	ACTS_ON chemical substance
		HAS_DESTINATION plica vocalis
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Mise en place ou changement d'un calibrage endolaryng"
STATUS "0"
HISTORY "19981006,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E524"
MAIN installing
	ACTS_ON prosthetic implant
		HAS_LOCATION larynx
OR_MAIN replacing
	ACTS_ON prosthetic implant
		HAS_LOCATION larynx
	TO_ACHIEVE enlarging
		ACTS_ON larynx

RUBRIC "Rsection et/ou dilatation endoscopique de stnose larynge"
STATUS "0"
HISTORY "19981006,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E525"
MAIN resecting
	ACTS_ON stenosis
		HAS_LOCATION larynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
WITH dilatating
	ACTS_ON stenosis
		HAS_LOCATION larynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN resecting
	ACTS_ON stenosis
		HAS_LOCATION larynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN dilatating
	ACTS_ON stenosis
		HAS_LOCATION larynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rsection et/ou dilatation endoscopique de stnose larynge au LASER"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E526"
MAIN resecting
	ACTS_ON stenosis
		HAS_LOCATION larynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY endoscope
WITH dilatating
	ACTS_ON stenosis
		HAS_LOCATION larynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY endoscope
OR_MAIN resecting
	ACTS_ON stenosis
		HAS_LOCATION larynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY endoscope
OR_MAIN dilatating
	ACTS_ON stenosis
		HAS_LOCATION larynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rsection et/ou dilatation endoscopique de stnose trachale"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E527"
MAIN resecting
	ACTS_ON stenosis
		HAS_LOCATION trachea
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON trachea
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
WITH dilatating
	ACTS_ON stenosis
		HAS_LOCATION trachea
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON trachea
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN resecting
	ACTS_ON stenosis
		HAS_LOCATION trachea
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON trachea
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN dilatating
	ACTS_ON stenosis
		HAS_LOCATION trachea
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON trachea
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rsection et/ou dilatation endoscopique de stnose trachale au LASER"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E528"
MAIN resecting
	ACTS_ON stenosis
		HAS_LOCATION trachea
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON trachea
		BY_MEANS_OF endoscope
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY endoscope
WITH dilatating
	ACTS_ON stenosis
		HAS_LOCATION trachea
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON trachea
		BY_MEANS_OF endoscope
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY endoscope
OR_MAIN resecting
	ACTS_ON stenosis
		HAS_LOCATION trachea
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON trachea
		BY_MEANS_OF endoscope
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY endoscope
OR_MAIN dilatating
	ACTS_ON stenosis
		HAS_LOCATION trachea
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON trachea
		BY_MEANS_OF endoscope
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY endoscope

RUBRIC "Intubation difficile sous endoscopie souple ou rigide"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:22:18 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E529"
MAIN inserting
	ACTS_ON cannula
		CONNECTS oxygenator
		HAS_DESTINATION trachea
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON trachea
		BY_MEANS_OF flexible endoscope / endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN inserting
	ACTS_ON cannula
		CONNECTS oxygenator
		HAS_DESTINATION trachea
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON trachea
		BY_MEANS_OF flexible endoscope / endoscope
	WITH_GUIDANCE_BY flexible endoscope

RUBRIC "Extraction de corps tranger laryng par voie endoscopique"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E530"
MAIN extracting
	ACTS_ON foreign body
		HAS_LOCATION larynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Extraction de corps tranger tracho-bronchique par voie endoscopique"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E531"
MAIN extracting
	ACTS_ON foreign body
		HAS_LOCATION trachea & bronchus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON trachea & bronchus
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Cration d'une fistule oeso-trachale par voie endoscopique avec mise en place d'un implant phonatoire"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;
Manual accept at 5:06:40 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E532"
MAIN creating
	ACTS_ON fistula
		CONNECTS_1 oesophagus
		CONNECTS_2 trachea
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON oesophagus & trachea
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
WITH installing
	ACTS_ON phonatory implant
		HAS_LOCATION trachea
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON fistula
			CONNECTS_1 oesophagus
			CONNECTS_1 trachea
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Ablation sous endoscopie d'un implant phonatoire oeso-trachale ou d'un tube de calibrage endolaryng"
STATUS "0"
HISTORY "19981008,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E533"
MAIN removing
	ACTS_ON phonatory implant
		HAS_LOCATION_1 oesophagus
		HAS_LOCATION_2 trachea
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON fistula
			CONNECTS_1 oesophagus
			CONNECTS_2 trachea
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN removing
	ACTS_ON tube
		HAS_LOCATION larynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Changement sous endoscopie d'un implant phonatoire oeso-trachale"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;
Manual accept at 5:06:08 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E534"
MAIN replacing
	ACTS_ON phonatory implant
		HAS_LOCATION_1 oesophagus
		HAS_LOCATION_2 trachea
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON fistula
			CONNECTS_1 oesophagus
			CONNECTS_1 trachea
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Exrse de lsion bnigne du plan glottique sous microscope (polype, nodule...)"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E535"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION glottis
	WITH_GUIDANCE_BY microscope

RUBRIC "Exrse de lsion bnigne du plan glottique sous microscope au LASER (polype, nodule...)"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E536"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION glottis
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY microscope

RUBRIC "Cordotomie postrieure au LASER par voie endoscopique"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E537"
MAIN incising
	ACTS_ON plica vocalis
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	BY_MEANS_OF laser
	HAS_APPROACH posterior approach
	WITH_GUIDANCE_BY endoscope

RUBRIC "Arytnodectomie au LASER par voie endoscopique"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E538"
MAIN excising
	ACTS_ON arytenoid cartilage
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY endoscope

RUBRIC "Exrse d'un kyste ou sulcus du plan glottique sous microscope (injection comprise)"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E539"
MAIN excising
	ACTS_ON cyst
		HAS_LOCATION glottis
	WITH_GUIDANCE_BY microscope
WITH injecting
	ACTS_ON chemical substance
		HAS_DESTINATION cyst
OR_MAIN excising
	ACTS_ON sulcus
		IS_PART_OF glottis
	WITH_GUIDANCE_BY microscope
WITH injecting
	ACTS_ON chemical substance
		HAS_DESTINATION sulcus
			IS_PART_OF glottis

RUBRIC "Destruction de lsion bnigne du larynx sous microscope au LASER (exclus : plan glottique)"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:28:55 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E540"
MAIN destroying
	ACTS_ON benign tumour
		HAS_LOCATION larynx
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY microscope
WITHOUT_ACTION destroying
	ACTS_ON benign tumour
		HAS_LOCATION glottis

RUBRIC "Destruction de lsion bnigne du larynx sous microscope (exclus : plan glottique)"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:28:43 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E541"
MAIN destroying
	ACTS_ON benign tumour
		HAS_LOCATION larynx
	WITH_GUIDANCE_BY microscope
WITHOUT_ACTION destroying
	ACTS_ON benign tumour
		HAS_LOCATION glottis

RUBRIC "Exrse d'angiome sous-glottique par voie endoscopique"
STATUS "0"
HISTORY "19981016,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E542"
MAIN excising
	ACTS_ON arterio-veinous malformation
		HAS_LOCATION infraglottis larynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Exrse d'angiome sous-glottique au LASER par voie endoscopique"
STATUS "0"
HISTORY "19981016,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E543"
MAIN excising
	ACTS_ON arterio-veinous malformation
		HAS_LOCATION infraglottis larynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF laser
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rsection ou section des plis arypiglottiques"
STATUS "0"
HISTORY "19981016,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E544"
MAIN resecting
	ACTS_ON aryepiglottic fold
WITH dividing
	ACTS_ON aryepiglottic fold

RUBRIC "Rsection ou section des plis arypiglottiques au LASER"
STATUS "0"
HISTORY "19981016,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E545"
MAIN resecting
	ACTS_ON aryepiglottic fold
	BY_MEANS_OF laser
WITH dividing
	ACTS_ON aryepiglottic fold
	BY_MEANS_OF laser

RUBRIC "Dsobstruction larynge au LASER"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E546"
MAIN removing
	ACTS_ON obstruction
		HAS_LOCATION larynx
	BY_MEANS_OF laser

RUBRIC "Dsobstruction larynge au LASER chez l'enfant de moins de 12 mois"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E547"
MAIN removing
	ACTS_ON obstruction
		HAS_LOCATION larynx
	BY_MEANS_OF laser
HAS_PATIENT Baby

RUBRIC "Epluchage ou exrse de la muqueuse du plan glottique"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E548"
MAIN abrading
	ACTS_ON mucosa
		HAS_LOCATION glottis
OR_MAIN excising
	ACTS_ON mucosa
		HAS_LOCATION glottis

RUBRIC "Epluchage ou exrse de la muqueuse du plan glottique au LASER"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E549"
MAIN abrading
	ACTS_ON mucosa
		HAS_LOCATION glottis
	BY_MEANS_OF laser
OR_MAIN excising
	ACTS_ON mucosa
		HAS_LOCATION glottis
	BY_MEANS_OF laser

RUBRIC "Cordectomie par voie endoscopique"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E550"
MAIN excising
	ACTS_ON plica vocalis
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Cordectomie au LASER par voie endoscopique"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E551"
MAIN excising
	ACTS_ON plica vocalis
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY endoscope

RUBRIC "Epiglottectomie partielle par voie endoscopique"
STATUS "0"
HISTORY "19981011,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E552"
MAIN excising
	ACTS_ON epiglottic cartilage
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	HAS_EXTENT partial
	WITH_GUIDANCE_BY endoscope

RUBRIC "Epiglottectomie partielle au laser par voie endoscopique"
STATUS "0"
HISTORY "19981011,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E553"
MAIN excising
	ACTS_ON epiglottic cartilage
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	BY_MEANS_OF laser
	HAS_EXTENT partial
	WITH_GUIDANCE_BY endoscope

RUBRIC "Exrse du vestibule laryng par voie endoscopique"
STATUS "0"
HISTORY "19981011,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E554"
MAIN excising
	ACTS_ON vestibule of larynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON larynx
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Exrse du vestibule laryng au LASER par voie endoscopique"
STATUS "0"
HISTORY "19981007,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E555"
MAIN excising
	ACTS_ON vestibule of larynx
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON vestibule of larynx
		BY_MEANS_OF endoscope
	BY_MEANS_OF laser
	WITH_GUIDANCE_BY endoscope

RUBRIC "Coagulation d'un oedme laryng"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E556"
MAIN destroying
	ACTS_ON mucosa
		HAS_LOCATION larynx
	BY_MEANS_OF electrocoagulation equipment
MOTIVATED_OVERALL_BY curing
	ACTS_ON edema
		HAS_LOCATION larynx

RUBRIC "Coagulation d'un oedme laryng au laser"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981012,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E557"
MAIN destroying
	ACTS_ON mucosa
		HAS_LOCATION larynx
	BY_MEANS_OF electrocoagulation equipment
	BY_MEANS_OF laser
MOTIVATED_OVERALL_BY curing
	ACTS_ON edema
		HAS_LOCATION larynx

RUBRIC "Suture d'une plaie larynge"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E558"
MAIN suturing
	ACTS_ON wound
		HAS_LOCATION larynx

RUBRIC "Rparation d'un fracas laryng avec ou sans calibrage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:24:54 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E559"
MAIN repairing
	ACTS_ON larynx
MOTIVATED_OVERALL_BY curing
	ACTS_ON dislocation
		HAS_LOCATION larynx
WITH installing
	ACTS_ON tube
		HAS_FUNCTION enlarging
			ACTS_ON larynx
		HAS_LOCATION larynx
OR_MAIN repairing
	ACTS_ON traumatic lesion
		HAS_LOCATION larynx
MOTIVATED_OVERALL_BY curing
	ACTS_ON dislocation
		HAS_LOCATION larynx
WITHOUT_ACTION installing
	ACTS_ON tube
		HAS_FUNCTION enlarging
			ACTS_ON larynx
		HAS_LOCATION larynx

RUBRIC "Mdialisation de la corde vocale par voie externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E560"
MAIN refashioning
	ACTS_ON plica vocalis
	WITH_GUIDANCE_BY endoscope

RUBRIC "Exclusion larynge pour fausses routes de dglutition"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E561"
MAIN unshunting
	ACTS_ON larynx
MOTIVATED_OVERALL_BY curing
	ACTS_ON deglutition false passage

RUBRIC "Trachotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E562"
MAIN incising
	ACTS_ON trachea
WITH installing
	ACTS_ON cannula
		HAS_DESTINATION trachea

RUBRIC "Pose d'un cathter percutan laryng ou trachal (trachotomie  minima)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E563"
MAIN installing
	ACTS_ON catheter
		CONNECTS oxygenator
		HAS_LOCATION larynx / trachea
	HAS_APPROACH transcutaneous approach

RUBRIC "Suture de plaie trachale cervicale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E564"
MAIN suturing
	ACTS_ON wound
		HAS_LOCATION trachea
			IS_CONTAINED_IN cervical space

RUBRIC "Arytnodectomie ou Arytnodopexie par voie externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E565"
MAIN excising
	ACTS_ON arytenoid cartilage
	HAS_APPROACH cervical approach
OR_MAIN fixing
	ACTS_ON arytenoid cartilage
	HAS_APPROACH cervical approach

RUBRIC "Exrse d'angiome sous-glottique par voie chirurgicale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E566"
MAIN excising
	ACTS_ON arterio-veinous malformation
		HAS_LOCATION infraglottis larynx
	HAS_APPROACH open

RUBRIC "Exrse d'une tumeur bnigne du larynx par thyrotomie mdiane ou latrale extra-muqueuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:29:31 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E567"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION larynx
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thyroid cartilage
WITHOUT_ACTION incising
	ACTS_ON mucosa
		HAS_LOCATION larynx

RUBRIC "Cordectomie unilatrale par voie externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E568"
MAIN excising
	ACTS_ON plica vocalis
	HAS_APPROACH cervical approach
	HAS_LATERALITY unilateral

RUBRIC "Laryngectomie partielle verticale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 5:03:32 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E569"
MAIN excising
	ACTS_ON part
		IS_PART_OF larynx
		HAS_POSITION lateral

RUBRIC "Laryngectomie frontale antrieure avec piglottoplastie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 5:03:48 pm on November 25, 1998 by jon
Manual accept at 5:03:59 pm on November 25, 1998 by jon
Manual accept at 5:04:07 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E570"
MAIN excising
	ACTS_ON part
		IS_PART_OF larynx
		HAS_POSITION anterior
WITH plastic repairing
	ACTS_ON epiglottic cartilage

RUBRIC "Cordectomie double"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E571"
MAIN excising
	ACTS_ON plica vocalis
	HAS_LATERALITY bilateral

RUBRIC "Hyo-thyro-piglottectomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E572"
MAIN excising
	ACTS_ON hyoid bone & thyroid cartilage & epiglottic cartilage

RUBRIC "Laryngectomie partielle supraglottique tendue  la base de langue"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E573"
MAIN excising
	ACTS_ON supraglottis larynx
	HAS_EXTENT partial
WITH excising
	ACTS_ON tongue root

RUBRIC "Laryngectomie partielle supracricodienne avec crico-hyodo-pexie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E574"
MAIN excising
	ACTS_ON supracricoidcartilage larynx
	HAS_EXTENT partial
WITH fixing
	ACTS_ON cricoid cartilage & hyoid bone

RUBRIC "Laryngectomie partielle supracricodienne avec crico-hyodo-piglotto-pexie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E575"
MAIN excising
	ACTS_ON supracricoidcartilage larynx
	HAS_EXTENT partial
WITH fixing
	ACTS_ON hyoid bone & epiglottic cartilage & cricoid cartilage

RUBRIC "Laryngectomie partielle supraglottique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E576"
MAIN excising
	ACTS_ON supraglottis larynx

RUBRIC "Laryngectomie partielle supraglottique avec curage ganglionnaire cervical complet d'un ct, partiel de l'autre"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E577"
MAIN excising
	ACTS_ON supraglottis larynx
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
	HAS_LATERALITY unilateral
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT partial
	HAS_LATERALITY contralateral

RUBRIC "Glottectomie horizontale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E578"
MAIN excising
	ACTS_ON glottis
	HAS_LATERALITY bilateral

RUBRIC "Laryngectomie totale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E579"
MAIN excising
	ACTS_ON larynx
	HAS_EXTENT total

RUBRIC "Laryngectomie totale avec curage ganglionnaire cervical complet d'un cot et partiel de l'autre"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981015,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E580"
MAIN excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
	HAS_LATERALITY unilateral
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT partial
	HAS_LATERALITY contralateral

RUBRIC "Laryngectomie totale avec curage ganglionnaire cervical complet et mdiastino-rcurrentiel unilatral "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981015,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E581"
MAIN excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
WITH excising
	ACTS_ON_1 lymphnode
		IS_PART_OF mediastinum cavity
	ACTS_ON_2 recurrentlaryngealnerve lymphnode
	HAS_LATERALITY unilateral

RUBRIC "Laryngectomie totale avec curage ganglionnaire cervical complet et mdiastino-rcurrentiel bilatral "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981015,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E582"
MAIN excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
WITH excising
	ACTS_ON_1 lymphnode
		IS_PART_OF mediastinum cavity
	ACTS_ON_2 recurrentlaryngealnerve lymphnode
	HAS_LATERALITY bilateral

RUBRIC "Laryngectomie totale avec curage ganglionnaire cervical complet et mdiastino-rcurrentiel bilatral et lobo-isthmectomie thyrodienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E583"
MAIN excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
WITH excising
	ACTS_ON_1 lymphnode
		IS_PART_OF mediastinum cavity
	ACTS_ON_2 recurrentlaryngealnerve lymphnode
	HAS_LATERALITY bilateral
WITH excising
	ACTS_ON isthmus of thyroid gland & lobe of thyroid gland

RUBRIC "Laryngectomie totale tendue  la base de langue"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E584"
MAIN excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH excising
	ACTS_ON segment
		IS_PART_OF tongue root

RUBRIC "Laryngoplastie avec ou sans prothse de calibrage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E585"
MAIN plastic repairing
	ACTS_ON larynx
WITH_OPTIONALLY installing
	ACTS_ON tube
	TO_ACHIEVE enlarging
		ACTS_ON larynx

RUBRIC "Fermeture d'un diastme laryng congnital"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E586"
MAIN closing
	ACTS_ON larynx diastema
		CAUSED_BY congenital malformation

RUBRIC "Fermeture de trachotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E587"
MAIN closing
	ACTS_ON wound
		CAUSED_BY incising
			ACTS_ON trachea

RUBRIC "Rsection-anastomose de la trache par voie cervicale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E588"
MAIN resecting
	ACTS_ON segment
		IS_PART_OF trachea
	HAS_APPROACH cervical approach
WITH creating
	ACTS_ON anastomosis structure
		IS_CONTAINED_IN trachea
	HAS_APPROACH cervical approach

RUBRIC "Rsection-anastomose de la trache par voie cervico-thoracique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E589"
MAIN resecting
	ACTS_ON segment
		IS_PART_OF trachea
	HAS_APPROACH cervical approach & thoracic approach
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS trachea
	HAS_APPROACH cervical approach & thoracic approach

RUBRIC "Rparation de fistule oeso-trachale par voie cervicale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E590"
MAIN repairing
	ACTS_ON fistula
		CONNECTS_1 oesophagus
		CONNECTS_2 trachea
	HAS_APPROACH cervical approach

RUBRIC "Rparation de fistule oeso-trachale acquise avec rsection anastomose de trache par voie cervicale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E591"
MAIN repairing
	ACTS_ON fistula
		CONNECTS_1 oesophagus
		CONNECTS_2 trachea
	HAS_APPROACH cervical approach
WITH resecting
	ACTS_ON segment
		IS_PART_OF trachea
	HAS_APPROACH cervical approach
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS trachea
	HAS_APPROACH cervical approach

RUBRIC "Fermeture d'une fistule oeso-trachale aprs implant phonatoire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E592"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 oesophagus
		CONNECTS_2 trachea
	FOLLOWS ablating
		ACTS_ON phonatory implant

RUBRIC "Plastie d'largissement de trachostome"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E593"
MAIN plastic repairing
	ACTS_ON anastomosis structure
		CONNECTS_1 trachea
		CONNECTS_2 skin
	BY_TECHNIQUE enlarging
		ACTS_ON anastomosis structure
			CONNECTS_1 trachea
			CONNECTS_2 skin

RUBRIC "Plastie de la trache cervicale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E594"
MAIN plastic repairing
	ACTS_ON trachea
		IS_CONTAINED_IN cervical space

RUBRIC "Laryngo-trachoplastie avec ou sans prothse de calibrage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:29:20 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E595"
MAIN plastic repairing
	ACTS_ON larynx & trachea
WITH installing
	ACTS_ON tube
		HAS_LOCATION larynx
	TO_ACHIEVE enlarging
OR_MAIN plastic repairing
	ACTS_ON larynx & trachea
WITHOUT_ACTION installing
	ACTS_ON tube
		HAS_LOCATION larynx
	TO_ACHIEVE enlarging

RUBRIC "Fermeture d'un diastme laryngo-trachal congnital"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E596"
MAIN closing
	ACTS_ON laryngo tracheal diastema
		CAUSED_BY congenital malformation

RUBRIC "Rsection-anastomose crico-trachale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981101,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E597"
MAIN resecting
	ACTS_ON larynx
	HAS_EXTENT partial
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 cricoid cartilage
		CONNECTS_2 trachea

RUBRIC "Rsection-anastomose thyro-trachale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E598"
MAIN resecting
	ACTS_ON larynx
	HAS_EXTENT partial
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 thyroid cartilage
		CONNECTS_2 trachea

RUBRIC "Exrse de ganglion cervical  vise diagnostique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E599"
MAIN excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
TO_ACHIEVE_OVERALL diagnosis

RUBRIC "Cervicotomie exploratrice isole"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E600"
MAIN exploring
	ACTS_ON cervical space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck

RUBRIC "Ponction ou cytoponction d'une tumfaction cervicale (adnopathie, thyrode, glande salivaire)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E601"
MAIN puncturing
	ACTS_ON tumour
		HAS_LOCATION cervical space
OR_MAIN cell aspirating
	ACTS_ON tumour
		HAS_LOCATION cervical space

RUBRIC "Incision et drainage d'adno-phlegmons ou de tumfaction infectieuse cervico-faciaux par voie cervicale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E602"
MAIN incising
	ACTS_ON abscess
		HAS_LOCATION cervical space & face
		IS_CONTAINED_IN ganglion
	HAS_APPROACH cervical approach
WITH draining
	ACTS_ON abscess
		HAS_LOCATION cervical space & face
		IS_CONTAINED_IN ganglion
	HAS_APPROACH cervical approach
OR_MAIN incising
	ACTS_ON abscess
		HAS_LOCATION cervical space & face
	HAS_APPROACH cervical approach
WITH draining
	ACTS_ON abscess
		HAS_LOCATION cervical space & face
	HAS_APPROACH cervical approach

RUBRIC "Reprise chirurgicale pour drainage et/ou dbridement et/ou pansement cervical"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E603"
MAIN draining
	ACTS_ON abscess
		HAS_LOCATION cervical space
	HAS_TEMPORAL_MARKER postoperative
WITH debriding
	ACTS_ON adhesion
WITH protecting
	ACTS_ON cervical space
OR_MAIN draining
	ACTS_ON abscess
		HAS_LOCATION cervical space
	HAS_TEMPORAL_MARKER postoperative
OR_MAIN debriding
	ACTS_ON adhesion
		HAS_LOCATION cervical space
OR_MAIN protecting
	ACTS_ON cervical space

RUBRIC "Incision et drainage de phlegmon diffus cervico-facial et mdiastinal par voie cervicale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E604"
MAIN incising
	ACTS_ON abscess
		HAS_LOCATION cervical space & face & mediastinum cavity
	HAS_APPROACH cervical approach
WITH draining
	ACTS_ON abscess
		HAS_LOCATION cervical space & face & mediastinum cavity
	HAS_APPROACH cervical approach

RUBRIC "Reprise de cervicotomie pour hmostase"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E605"
MAIN incising
	ACTS_ON neck
	HAS_TEMPORAL_MARKER postoperative
TO_ACHIEVE_OVERALL control
	ACTS_ON haemorrhage

RUBRIC "Exrse d'une tumeur parapharynge (inclus paragangliome du X)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E606"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION peripharyngeal structure
WITH excising
	ACTS_ON ganglion (as cystic tumor)
		HAS_LOCATION vagus nerve

RUBRIC "Exrse d'un lymphangiome cervical"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E607"
MAIN excising
	ACTS_ON lymphangioma
		HAS_LOCATION cervical space

RUBRIC "Exrse d'un lymphangiome cervico-parotidien"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E608"
MAIN excising
	ACTS_ON lymphangioma
		HAS_LOCATION_1 cervical space
		HAS_LOCATION_2 parotid space

RUBRIC "Exrse d'un lymphangiome cervico-parotidien avec extension bucco-pharynge"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E609"
MAIN excising
	ACTS_ON lymphangioma
		HAS_LOCATION_1 cervical space
		HAS_LOCATION_2 parotid space
		HAS_LOCATION_3 oropharynx

RUBRIC "Exrse d'un lymphangiome cervico-parotidien avec extension bucco-pharynge et mdiastinale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E610"
MAIN excising
	ACTS_ON lymphangioma
		HAS_LOCATION_1 cervical space & parotid space
		HAS_LOCATION_2 mediastinum cavity
		HAS_LOCATION_3 oropharynx

RUBRIC "Exrse d'un lymphangiome cervical avec extension mdiastinale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E611"
MAIN excising
	ACTS_ON lymphangioma
		HAS_LOCATION_1 cervical space
		HAS_LOCATION_2 mediastinum cavity

RUBRIC "Exrse d'une adnolipomatose cervicale de Launois-Bensaude"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:44:02 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E612"
MAIN excising
	ACTS_ON lipoma
		HAS_LOCATION cervical space
		HAS_NUMBER several

RUBRIC "Exrse d'une tumeur nerveuse cervicale profonde"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E613"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nerve
			HAS_POSITION deep
			IS_PART_OF cervical space

RUBRIC "Exrse d'une tumeur nerveuse cervicale superficielle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981015,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E614"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION nerve
			HAS_POSITION superficial
			IS_PART_OF cervical space

RUBRIC "Exrse d'un lipome cervical profond"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E615"
MAIN excising
	ACTS_ON lipoma
		HAS_LOCATION part
			HAS_POSITION deep
			IS_PART_OF cervical space

RUBRIC "Curage ganglionnaire cervical partiel unilatral"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E616"
MAIN excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT partial
	HAS_LATERALITY unilateral

RUBRIC "Curage ganglionnaire cervical partiel bilatral"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981031,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E617"
MAIN excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT partial
	HAS_LATERALITY bilateral

RUBRIC "Curage ganglionnaire cervical complet unilatral"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E618"
MAIN excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
	HAS_LATERALITY unilateral

RUBRIC "Curage ganglionnaire cervical complet bilatral"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:10:09 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E619"
MAIN excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_LATERALITY bilateral
	HAS_EXTENT all

RUBRIC "Curage ganglionnaire cervical complet d'un ct, partiel de l'autre"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE "use"
CODE "E620"
MAIN excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
	HAS_LATERALITY ipsilateral
WITH excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT partial
	HAS_LATERALITY contralateral

RUBRIC "Curage ganglionnaire cervical complet et mediastino-rcurrentiel unilatral"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981031,rodrigues,0;"
PARAPHRASE "a"
SOURCE "use"
CODE "E621"
MAIN excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
	HAS_LATERALITY unilateral
WITH excising
	ACTS_ON_1 lymphnode
		IS_PART_OF mediastinum cavity
	ACTS_ON_2 recurrentlaryngealnerve lymphnode
	HAS_LATERALITY unilateral

RUBRIC "Curage ganglionnaire cervical complet et mediastino-rcurrentiel bilatral"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981101,rodrigues,0;"
PARAPHRASE "a"
SOURCE "use"
CODE "E622"
MAIN excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
	HAS_LATERALITY bilateral
WITH excising
	ACTS_ON_1 lymphnode
		IS_PART_OF mediastinum cavity
	ACTS_ON_2 recurrentlaryngealnerve lymphnode
	HAS_LATERALITY bilateral

RUBRIC "Curage ganglionnaire cervical complet unilatral largi aux muscles profonds et/ou aux nerfs et/ou  la carotide externe et/ou  la glande parotide"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E623"
MAIN excising
	ACTS_ON lymphnode
		IS_PART_OF cervical space
	HAS_EXTENT complete
	HAS_LATERALITY unilateral
WITH_OPTIONALLY excising
	ACTS_ON muscle (striated)
		HAS_POSITION deep
		IS_PART_OF cervical space
WITH_OPTIONALLY excising
	ACTS_ON nerve
		IS_PART_OF cervical space
WITH_OPTIONALLY excising
	ACTS_ON external carotid artery
WITH_OPTIONALLY excising
	ACTS_ON parotid gland

RUBRIC "Biopsie de glandes salivaires accessoires"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E624"
MAIN biopsying
	ACTS_ON accessory salivary glands

RUBRIC "Biopsie d'une glande salivaire principale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E625"
MAIN biopsying
	ACTS_ON salivary gland

RUBRIC "Rtablissement de la continuit d'un canal salivaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E626"
MAIN restoring
	ACTS_ON duct
		HAS_DESTINATION salivary gland

RUBRIC "Transposition des canaux de Wharton"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E627"
MAIN transposing
	ACTS_ON duct
		HAS_DESTINATION parotid gland
	HAS_LATERALITY bilateral

RUBRIC "Marsupialisation d'une glande salivaire et/ou drainage d'une collection salivaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E628"
MAIN marsupialising
	ACTS_ON salivary gland
WITH draining
	ACTS_ON abscess
		HAS_LOCATION salivary gland
OR_MAIN draining
	ACTS_ON abscess
		HAS_LOCATION salivary gland

RUBRIC "Fermeture d'une fistule salivaire parenchymateuse ou juxta-glandulaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E629"
MAIN closing
	ACTS_ON fistula
		HAS_LOCATION salivary gland
	HAS_EXTENT extended

RUBRIC "Cathtrisme de canal salivaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:10:46 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E630"
MAIN inserting
	ACTS_ON catheter
		HAS_LOCATION duct
		HAS_DESTINATION salivary gland

RUBRIC "Exrse d'une lithiase canalaire par voie endobuccale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E631"
MAIN removing
	ACTS_ON calculus
		HAS_LOCATION duct
			HAS_DESTINATION salivary gland
	HAS_APPROACH transoral access

RUBRIC "Lithotripsie de glande salivaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E632"
MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION salivary gland
	BY_MEANS_OF lithotriptor

RUBRIC "Exrse d'une lithiase canalaire par voie externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E633"
MAIN removing
	ACTS_ON calculus
		HAS_LOCATION duct
			HAS_DESTINATION salivary gland
	BY_TECHNIQUE incising
		ACTS_ON duct
	HAS_APPROACH cervical approach

RUBRIC "Exrse de glande sublinguale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E634"
MAIN excising
	ACTS_ON sub lingual gland

RUBRIC "Sousmandibulectomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E635"
MAIN excising
	ACTS_ON sub mandibular gland

RUBRIC "Sousmandibulectomie largie  sa loge"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E636"
MAIN excising
	ACTS_ON sub mandibular gland
	HAS_EXTENT extended

RUBRIC "Parotidectomie partielle avec dissection du nerf facial"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E637"
MAIN excising
	ACTS_ON segment
		IS_PART_OF parotid gland
WITH dissecting
	ACTS_ON facial nerve

RUBRIC "Parotidectomie partielle sans dissection du nerf facial"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:43:49 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E638"
MAIN excising
	ACTS_ON segment
		IS_PART_OF parotid gland
WITHOUT_ACTION dissecting
	ACTS_ON facial nerve

RUBRIC "Parotidectomie totale avec dissection du  nerf facial"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E639"
MAIN excising
	ACTS_ON parotid gland
	HAS_EXTENT total
WITH dissecting
	ACTS_ON facial nerve

RUBRIC "Parotidectomie totale sans dissection ni conservation du nerf facial"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E640"
MAIN excising
	ACTS_ON parotid gland
	HAS_EXTENT total
WITH excising
	ACTS_ON facial nerve

RUBRIC "Parotidectomie totale avec sacrifice du nerf facial et rparation immdiate par suture ou greffe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E641"
MAIN excising
	ACTS_ON parotid gland
	HAS_EXTENT total
WITH excising
	ACTS_ON facial nerve
WITH repairing
	ACTS_ON facial nerve
	BY_TECHNIQUE suturing
		ACTS_ON facial nerve
OR_MAIN excising
	ACTS_ON parotid gland
	HAS_EXTENT total
WITH excising
	ACTS_ON facial nerve
WITH repairing
	ACTS_ON facial nerve
	BY_TECHNIQUE grafting
		ACTS_ON facial nerve

RUBRIC "Parotidectomie totale largie au conduit auditif externe et/ou  la mandibule"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E642"
MAIN excising
	ACTS_ON parotid gland
	HAS_EXTENT total
WITH excising
	ACTS_ON segment
		IS_PART_OF external auditory canal
WITH excising
	ACTS_ON segment
		IS_PART_OF mandibula
OR_MAIN excising
	ACTS_ON parotid gland
	HAS_EXTENT total
WITH excising
	ACTS_ON segment
		IS_PART_OF external auditory canal
OR_MAIN excising
	ACTS_ON parotid gland
	HAS_EXTENT total
WITH excising
	ACTS_ON segment
		IS_PART_OF mandibula

RUBRIC "Exrse d'une tumeur du prolongement pharygien de la parotide par voie cervico-faciale isole"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E643"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION parotid gland
			IS_CONTAINED_IN pharynx
	HAS_APPROACH cervical approach & facial approach

RUBRIC "Exrse d'une tumeur du prolongement pharyngien de la parotide par voie cervico-faciale et abord pharyng"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E644"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION parotid gland
			IS_CONTAINED_IN pharynx
	HAS_APPROACH cervical approach & facial approach & transoral access

RUBRIC "Exrse d'une rcidive de tumeur de la parotide avec dissection du nerf facial"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E645"
MAIN excising
	ACTS_ON recurrent tumour
		HAS_LOCATION parotid gland
WITH dissecting
	ACTS_ON facial nerve

RUBRIC "Evacuation et parage d'un hmatome de la loge thyrodienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E646"
MAIN evacuating
	ACTS_ON haematoma
		HAS_LOCATION thyroid space
WITH revising
	ACTS_ON thyroid space

RUBRIC "Enuclation d'un nodule thyrodien"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E647"
MAIN enucleating
	ACTS_ON adenoma
		HAS_LOCATION thyroid gland

RUBRIC "Isthmectomie thyrodienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E648"
MAIN excising
	ACTS_ON isthmus of thyroid gland

RUBRIC "Lobo-isthmectomie thyrodienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E649"
MAIN excising
	ACTS_ON lobe of thyroid gland & isthmus of thyroid gland

RUBRIC "Lobectomie thyrodienne totale d'un ct et subtotale de l'autre ou subtotale bilatrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:43:37 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E650"
MAIN excising
	ACTS_ON lobe of thyroid gland
	HAS_LATERALITY unilateral
	HAS_EXTENT all
WITH excising
	ACTS_ON segment
		IS_PART_OF lobe of thyroid gland
	HAS_LATERALITY contralateral
OR_MAIN excising
	ACTS_ON segment
		IS_PART_OF lobe of thyroid gland
	HAS_LATERALITY bilateral

RUBRIC "Thyrodectomie totale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E651"
MAIN excising
	ACTS_ON thyroid gland
	HAS_EXTENT total

RUBRIC "Thyrodectomie pour goitre plongeant par manubriotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E652"
MAIN excising
	ACTS_ON thyroid gland
		IS_PART_OF thoracic cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON manubrium sterni
MOTIVATED_OVERALL_BY curing
	ACTS_ON goiter

RUBRIC "Thyrodectomie pour goitre plongeant par voie cervicale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981031,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E653"
MAIN excising
	ACTS_ON thyroid gland
		IS_PART_OF thoracic cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
MOTIVATED_OVERALL_BY curing
	ACTS_ON goiter

RUBRIC "Thyrodectomie pour goitre plongeant par sternotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981031,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E654"
MAIN excising
	ACTS_ON thyroid gland
		IS_PART_OF thoracic cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON sternum
MOTIVATED_OVERALL_BY curing
	ACTS_ON goiter

RUBRIC "Thyrodectomie totale largie aux cartillages laryngs"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 5:00:27 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E655"
MAIN excising
	ACTS_ON thyroid gland
	HAS_EXTENT total
WITH excising
	ACTS_ON cartilage
		IS_PART_OF larynx
	HAS_EXTENT all

RUBRIC "Thyrodectomie totale largie avec rsection partielle de trache"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E656"
MAIN excising
	ACTS_ON thyroid gland
	HAS_EXTENT total
WITH resecting
	ACTS_ON segment
		IS_PART_OF trachea

RUBRIC "Thyrodectomie totale largie avec rsection anastomose de trache"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E657"
MAIN excising
	ACTS_ON thyroid gland
	HAS_EXTENT extended
WITH excising
	ACTS_ON cartilage
		HAS_LOCATION larynx
WITH resecting
	ACTS_ON segment
		IS_PART_OF trachea
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 larynx
		CONNECTS_2 trachea

RUBRIC "Totalisation de thyrodectomie aprs thyrodectomie subtotale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E658"
MAIN excising
	ACTS_ON part
		CAUSED_BY excising
			ACTS_ON thyroid gland
			HAS_EXTENT subtotal
		IS_PART_OF thyroid gland

RUBRIC "Parathyrodectomie totale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E659"
MAIN excising
	ACTS_ON parathyroid gland
	HAS_EXTENT total

RUBRIC "Exrse d'un adnome de glande parathyrode"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E660"
MAIN excising
	ACTS_ON adenoma
		HAS_LOCATION parathyroid gland

RUBRIC "Ligature isole de la carotide externe ou de ses branches"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:11:56 pm on November 25, 1998 by jon
Manual accept at 4:14:41 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E661"
MAIN occluding
	BY_MEANS_OF ligature
	ACTS_ON ligature
	ACTS_ON external carotid artery
OR_MAIN occluding
	BY_MEANS_OF ligature
	ACTS_ON external carotid artery branch

RUBRIC "Ligature isole de la carotide commune"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 4:15:15 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E662"
MAIN occluding
	BY_MEANS_OF ligature
	ACTS_ON common carotid artery

RUBRIC "Exrse de chmodectome cervical sans interruption de la continuit carotidienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:43:04 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E663"
MAIN excising
	ACTS_ON chemodectoma
		HAS_LOCATION cervical space
WITHOUT_ACTION resecting
	ACTS_ON carotid artery

RUBRIC "Exrse de chmodectome cervical avec rtablissement de la continuit carotidienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E664"
MAIN excising
	ACTS_ON chemodectoma
		HAS_LOCATION cervical space
WITH resecting
	ACTS_ON carotid artery
	HAS_EXTENT partial
WITH restoring
	ACTS_ON carotid artery

RUBRIC "Mise en place d'un cathter artriel pour chimiothrapie cervico-faciale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:42:34 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E665"
MAIN installing
	ACTS_ON catheter
		HAS_LOCATION artery
	TO_ACHIEVE injecting
		ACTS_ON destructive substance
			HAS_DESTINATION tumour
				HAS_LOCATION cervical space & face

RUBRIC "Fermeture d'une fente labiale suprieure mdiane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E666"
MAIN closing
	ACTS_ON mediansuperiorcleftlip

RUBRIC "Fermeture labiale primaire d'une fente labio-alvole-maxillaire unilatrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E667"
MAIN closing
	ACTS_ON cleft lip
	HAS_LATERALITY unilateral
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON alveolomandibularcleftlip

RUBRIC "Reposition primaire du cartilage alaire pour fente oro-faciale unilatrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981101,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E668"
MAIN repositioning
	ACTS_ON cartilagoalarismajor
	HAS_LATERALITY unilateral
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON orofacialcleft

RUBRIC "Fermeture labiale primaire d'une fente labio-alvole-maxillaire bilatrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981101,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E669"
MAIN closing
	ACTS_ON cleft lip
	HAS_LATERALITY bilateral
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON alveolomandibularcleftlip

RUBRIC "Reposition primaire des cartilages alaires et longation columellaire pour fente oro-faciale bilatrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E670"
MAIN repositioning
	ACTS_ON cartilagoalarismajor
	HAS_LATERALITY bilateral
	HAS_TEMPORAL_MARKER primary
MOTIVATED_OVERALL_BY curing
	ACTS_ON orofacialcleft
WITH lengthening
	ACTS_ON columella nasi

RUBRIC "Fermeture primaire d'une fente vlaire chez l'enfant"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E671"
MAIN closing
	ACTS_ON velum palatinum cleft
	HAS_TEMPORAL_MARKER primary
HAS_PATIENT child

RUBRIC "Fermeture primaire d'une fente du palais osseux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E672"
MAIN closing
	ACTS_ON palatine bone cleft
	HAS_TEMPORAL_MARKER primary

RUBRIC "Reprise labio-narinaire pour squelle de fente oro-faciale unilatrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981101,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E673"
MAIN closing
	ACTS_ON stoma
		CONNECTS_1 lip
		CONNECTS_2 naris
	HAS_LATERALITY unilateral
	HAS_TEMPORAL_MARKER secondary
MOTIVATED_OVERALL_BY curing
	ACTS_ON orofacialcleft

RUBRIC "Reprise labio-narinaire pour squelle de fente oro-faciale bilatrale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981101,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E674"
MAIN closing
	ACTS_ON stoma
		CONNECTS_1 lip
		CONNECTS_2 naris
	HAS_LATERALITY bilateral
	HAS_TEMPORAL_MARKER secondary
MOTIVATED_OVERALL_BY curing
	ACTS_ON orofacialcleft

RUBRIC "Fermeture de communication bucco-nasale pour squelle de fente oro-faciale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E675"
MAIN closing
	ACTS_ON stoma
		CONNECTS_1 mouth
		CONNECTS_2 nose
MOTIVATED_OVERALL_BY curing
	ACTS_ON orofacialcleft

RUBRIC "Exrse de kyste ou fistule de la premire fente branchiale avec dissection du nerf facial"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981101,rodrigues,0;"
PARAPHRASE "a"
SOURCE "use"
CODE "E676"
MAIN excising
	ACTS_ON fistula
		HAS_LOCATION first branchial cleft
WITH dissecting
	ACTS_ON facial nerve
OR_MAIN excising
	ACTS_ON cyst
		HAS_LOCATION first branchial cleft
WITH dissecting
	ACTS_ON facial nerve

RUBRIC "Exrse de kyste ou fistule de la deuxime fente branchiale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981101,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E677"
MAIN excising
	ACTS_ON fistula
		HAS_LOCATION second branchial cleft
OR_MAIN excising
	ACTS_ON cyst
		HAS_LOCATION second branchial cleft

RUBRIC "Exrse de kyste de la queue du sourcil"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E678"
MAIN excising
	ACTS_ON cyst
		HAS_LOCATION part
			HAS_POSITION lateral
			IS_PART_OF eyebrow

RUBRIC "Exrse de kyste ou fistule prhlicenne ou autre fistule du pavillon"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981101,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E679"
MAIN excising
	ACTS_ON cyst
		HAS_LOCATION flap of the ear
OR_MAIN excising
	ACTS_ON fistula
		HAS_LOCATION flap of the ear

RUBRIC "Exrse de kyste ou fistule du dos du nez par voie faciale (sous-labiale,mdiane,transcolumellaire,paralatero-nasale)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981101,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E680"
MAIN excising
	ACTS_ON cyst
		HAS_LOCATION_1 nose
	HAS_APPROACH facial approach
OR_MAIN excising
	ACTS_ON fistula
		CONNECTS_1 nose
	HAS_APPROACH facial approach

RUBRIC "Exrse de kyste ou fistule du dos du nez par voie coronale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981101,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E681"
MAIN excising
	ACTS_ON cyst
		HAS_LOCATION_1 nose
	HAS_APPROACH coronal suture approach
OR_MAIN excising
	ACTS_ON fistula
		CONNECTS_1 nose
	HAS_APPROACH coronal suture approach

RUBRIC "Exrse de kyste ou fistule du dos du nez avec prolongement endocrnien"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E682"
MAIN excising
	ACTS_ON cyst
		HAS_LOCATION_1 nose
		HAS_LOCATION_2 cranial cavity
OR_MAIN excising
	ACTS_ON fistula
		CONNECTS_1 nose
		CONNECTS_2 cranial cavity

RUBRIC "Exrse des fistules et kystes de la troisime ou quatrime fente branchiale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E683"
MAIN excising
	ACTS_ON fistula
		HAS_LOCATION third branchial cleft / fourth branchial cleft
OR_MAIN excising
	ACTS_ON cyst
		HAS_LOCATION third branchial cleft / fourth branchial cleft

RUBRIC "Exrse de kyste du tractus thyro-glosse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E684"
MAIN excising
	ACTS_ON thyroglossal cyst

RUBRIC "Exrse des kystes cervicaux congnitaux mdians hormis tractus thyroglosse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981101,rodrigues,0;
Manual accept at 3:38:11 pm on November 25, 1998 by jon
Manual accept at 3:41:17 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E685"
MAIN excising
	ACTS_ON cyst
		HAS_LOCATION cervical space
	HAS_LATERALITY medial
	HAS_NUMBER several
WITHOUT_ACTION excising
	ACTS_ON thyroglossal cyst

RUBRIC "Exrse d'une rcidive de kyste congnital cervical mdian ou latral"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 5:00:46 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E686"
MAIN excising
	ACTS_ON cyst
		HAS_LOCATION cervical space
	HAS_LATERALITY lateral / medial
	HAS_TEMPORAL_MARKER revision

RUBRIC "Exrse d'une fistule mento-sternale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 5:01:28 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E687"
MAIN excising
	ACTS_ON fistula
		CONNECTS_1 chin
		CONNECTS_1 sternum

RUBRIC "Exrse d'une fistule collumellaire ou du philtrum"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E688"
MAIN excising
	ACTS_ON fistula
		HAS_LOCATION columella nasi / philtrum

RUBRIC "Prparation de lambeau en cas d'autonomisation ou de prfabrication"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E689"
MAIN refashioning
	ACTS_ON flap
		CAUSED_BY harvesting
TO_ACHIEVE_OVERALL grafting
	HAS_TEMPORAL_MARKER secondary

RUBRIC "Section du pdicule d'un lambeau  distance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E690"
MAIN dividing
	ACTS_ON vascular pedicle
		IS_PART_OF flap
TO_ACHIEVE_OVERALL grafting

RUBRIC "Mise en place d'un implant endo-osseux facial pour fixation d'pithse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981101,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E691"
MAIN installing
	ACTS_ON prosthetic implant
		HAS_DESTINATION bone
			IS_PART_OF face
TO_ACHIEVE_OVERALL fixing
	ACTS_ON prosthetic graft
		HAS_LOCATION part
			HAS_POSITION superficial
			IS_PART_OF face

RUBRIC "Mise en place d'un appareillage auditif osto-intgr en un temps"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:05:38 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E692"
MAIN installing
	ACTS_ON hearing device
		HAS_DESTINATION bone

RUBRIC "Mise en place de deux ou de plus de deux implants endo-osseux faciaux pour fixation d'pithse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 3:41:38 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E693"
MAIN installing
	ACTS_ON prosthetic implant
		HAS_DESTINATION bone
			IS_PART_OF face
	HAS_NUMBER more than one
TO_ACHIEVE_OVERALL fixing
	ACTS_ON prosthetic graft
		HAS_LOCATION part
			HAS_POSITION superficial
			IS_PART_OF face

RUBRIC "Dgagement et activation d' un mplant endo-osseux (mise en place d'un moignon trans-muqueux ou trans-cutan)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981101,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "E694"
MAIN installing
	ACTS_ON prosthetic implant
		HAS_DESTINATION bone
	HAS_APPROACH transcutaneous approach
OR_MAIN installing
	ACTS_ON prosthetic implant
		HAS_DESTINATION bone
	HAS_APPROACH through mucosa

RUBRIC "Dgagement et activation de deux  quatre implant endo-osseux (mise en place de deux  quatre moignons trans-muqueux ou trans-cutan)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980724,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:04:41 pm on November 25, 1998 by jon
Manual accept at 1:05:13 pm on November 25, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "E695"
MAIN installing
	ACTS_ON prosthetic implant
		HAS_DESTINATION bone
	HAS_APPROACH transcutaneous approach
	HAS_NUMBER 2
OR_MAIN installing
	ACTS_ON prosthetic implant
		HAS_DESTINATION bone
	HAS_APPROACH through mucosa
	HAS_NUMBER 2
OR_MAIN installing
	ACTS_ON prosthetic implant
		HAS_DESTINATION bone
	HAS_APPROACH transcutaneous approach
	HAS_NUMBER 2
OR_MAIN installing
	ACTS_ON prosthetic implant
		HAS_DESTINATION bone
	HAS_APPROACH through mucosa
	HAS_NUMBER 2
OR_MAIN installing
	ACTS_ON prosthetic implant
		HAS_DESTINATION bone
	HAS_APPROACH transcutaneous approach
	HAS_NUMBER 3
OR_MAIN installing
	ACTS_ON prosthetic implant
		HAS_DESTINATION bone
	HAS_APPROACH through mucosa
	HAS_NUMBER 3

