24120 Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process

Name of the Procedure:

Excision or Curettage of Bone Cyst or Benign Tumor of Head or Neck of Radius or Olecranon Process

Summary

This procedure involves the removal (excision) or scraping away (curettage) of cysts or benign tumors located in the head or neck of the radius bone in the forearm or the olecranon process of the elbow. It aims to eliminate abnormal growths that may cause pain, discomfort, or other functional issues.

Purpose

The procedure is intended to address cysts or benign tumors in the specified areas. These growths, while not cancerous, can cause pain, swelling, or complications in joint movement. The goal is to remove the abnormal tissue, relieve symptoms, and prevent any further growth that could impair function.

Indications

• Presence of a bone cyst or benign tumor detected through imaging.
• Symptoms such as persistent pain, swelling, or restricted movement.
• Progressive growth of the cyst or tumor.
• Risks of fractures or structural compromise due to the lesion.

Preparation

• Fasting for 6-8 hours before the procedure if general anesthesia is used.
• Stopping certain medications (e.g., blood thinners) as per doctor's advice.
• Routine blood tests, imaging studies (X-rays, MRI, or CT scans), and physical examination.

Procedure Description

1. Anesthesia: General or regional anesthesia is administered to ensure the patient feels no pain during the procedure.
2. Incision: A surgical incision is made over the affected area.
3. Excision or Curettage: The surgeon either excises the cyst/tumor or scrapes it out using a curette.
4. Repair: Any gaps or defects in the bone may be filled with bone graft or synthetic materials.
5. Closure: The incision is sutured closed, and a bandage is applied.

Tools used include scalpels, curettes, bone graft materials, and imaging devices for precision.

Duration

The procedure typically takes 1-2 hours, depending on the complexity and size of the lesion.

Setting

This procedure is generally performed in a hospital operating room or a specialized surgical center.

Personnel

• Orthopedic or general surgeon
• Anesthesiologist or nurse anesthetist
• Surgical nurses and assistants

Risks and Complications

• Infection
• Bleeding
• Nerve or blood vessel damage
• Fractures or structural weakness
• Recurrence of the cyst or tumor
• Adverse reactions to anesthesia

Benefits

• Relief from pain and discomfort
• Improved joint function and mobility
• Prevention of further growth or complications
• Quick resumption to normal activities post-recovery

Recovery

• Post-procedure monitoring in a recovery room
• Pain management with prescribed medications
• Instructions on wound care and activity restrictions
• Follow-up appointments for assessment and possibly physical therapy
• Full recovery may take a few weeks to a few months, depending on the extent of the procedure.

Alternatives

• Observational management for asymptomatic or small lesions
• Medications for pain and inflammation relief
• Minimally invasive procedures (e.g., needle aspiration)
• Pros and cons vary based on individual cases, with less invasive options having quicker recovery times but possibly higher rates of recurrence.

Patient Experience

• During the procedure: Under anesthesia, the patient will not experience any sensations.
• After the procedure: Initial discomfort managed with pain relief medications, instructions for care, and gradual return to normal activities.
• Patients might experience swelling and limited movement initially, improving over time with proper care and rehabilitation.