21181 Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial

Name of the Procedure:

Reconstruction by Contouring of Benign Tumor of Cranial Bones (e.g., Fibrous Dysplasia), Extracranial

Summary

This surgical procedure involves the reshaping of bones in the skull that have been affected by benign tumors such as fibrous dysplasia. The surgery aims to restore a more natural appearance and function by removing or contouring the abnormal bone growth.

Purpose

The procedure addresses benign cranial bone tumors, such as fibrous dysplasia, that cause deformities or structural issues. The main goals are to improve facial symmetry, alleviate pain or functional issues, and enhance overall aesthetic appearance.

Indications

• Noticeable cranial or facial deformities due to benign tumors.
• Functional impairment (e.g., vision, breathing) caused by bone overgrowth.
• Cosmetic concerns leading to psychological distress.
• Pain or discomfort in the affected area.

Preparation

• Patients may need to fast for 6-12 hours before surgery.
• Medication adjustments, particularly blood thinners, may be required.
• Preoperative imaging (CT scans, MRI) to assess the extent of bone involvement.
• Routine blood tests and physical examination.

Procedure Description

1. The patient is placed under general anesthesia to ensure they are unconscious and pain-free during the surgery.
2. An incision is made near the affected area to access the cranial bone.
3. Specialized surgical tools are used to remove or contour the abnormal bone growth.
4. The area is smoothed and reshaped to achieve a more natural appearance.
5. Bone grafts or synthetic materials may be used to reconstruct the area if necessary.
6. The incision is closed with sutures, and a sterile bandage is applied.

Duration

The procedure typically takes 2-4 hours, depending on the extent of the reconstruction required.

Setting

This surgery is usually performed in a hospital or specialized surgical center with facilities for general anesthesia and postoperative care.

Personnel

• Neurosurgeon or craniofacial surgeon
• Anesthesiologist
• Surgical nurses
• Operating room technicians

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma
• Adverse reactions to anesthesia
• Nerve damage leading to numbness or weakness
• Bone graft or synthetic material complications
• Scarring

Benefits

• Improved facial symmetry and appearance.
• Relief from pain or functional impairments caused by bone overgrowth.
• Enhanced quality of life and increased self-confidence.

Recovery

• Patients may stay in the hospital for 1-2 days for monitoring.
• Pain management with prescribed medications.
• Instructions for wound care and activity restrictions.
• Follow-up appointments to monitor healing and address any concerns.
• Full recovery can take several weeks to months, depending on the extent of the surgery.

Alternatives

• Watchful waiting with regular monitoring for slow-growing tumors.
• Medications or injections to manage symptoms (e.g., pain relief, bisphosphonates for bone density).
• Minimally invasive procedures like radiofrequency ablation to reduce tumor size without extensive surgery.

Patient Experience

• During the procedure: The patient will be under general anesthesia and remain unconscious.
• After the procedure: Expect some pain and swelling, managed with medications. There may be discomfort at the incision site and temporary restrictions on physical activities.
• Pain management and comfort measures include prescribed pain relief, ice packs for swelling, and rest.

This markdown outline summarizes the essential details of the procedure, providing a structured and informative guide for medical practitioners, patients, and caregivers.