Excision dermoid cyst, nose; simple, skin, subcutaneous
CPT4 code
Name of the Procedure:
Excision Dermoid Cyst, Nose; Simple, Skin, Subcutaneous
Summary
An excision dermoid cyst procedure involves the surgical removal of a dermoid cyst located on or under the skin of the nose. This is a minor outpatient surgery aimed at removing the cyst to prevent infection, aesthetic concerns, or other complications.
Purpose
To remove a dermoid cyst, which is a benign growth that can cause discomfort, infection, or cosmetic issues. The goal is to fully excise the cyst, ensuring it does not recur, and to restore normal appearance and function to the affected area.
Indications
- A visible or palpable lump on the nose
- Pain or discomfort caused by the cyst
- Signs of infection such as redness, swelling, or discharge
- Cosmetic concerns affecting the patient's self-esteem or appearance
Preparation
- Fasting for a few hours before the procedure
- Adjustments to current medications as advised by the healthcare provider
- Diagnostic imaging (e.g., ultrasound or MRI) to assess the cyst's size and depth
Procedure Description
- The patient is positioned comfortably, and the area around the cyst is cleaned and sterilized.
- Local anesthesia is administered to numb the area.
- A small incision is made over the cyst.
- The cyst, including its capsule, is carefully dissected and removed.
- The incision site is closed with sutures and a sterile dressing is applied.
Duration
Typically, the procedure takes about 30 to 60 minutes.
Setting
The procedure is usually performed in an outpatient clinic or surgical center.
Personnel
- Surgeon
- Nurse or surgical assistant
- Anesthesiologist (if sedation is required)
Risks and Complications
- Infection at the incision site
- Bleeding
- Scarring
- Recurrence of the cyst
- Reaction to anesthesia
Benefits
- Complete removal of the cyst
- Relief from discomfort or pain
- Improved cosmetic appearance
- Reduced risk of infection associated with the cyst
Recovery
- Keep the incision site clean and dry
- Follow provided wound care instructions
- Avoid strenuous activities for a few days
- Return for a follow-up appointment to check healing and remove sutures if necessary
- Recovery time is typically one to two weeks
Alternatives
- Observation and monitoring if the cyst is not bothersome
- Aspiration, although this is typically not effective for dermoid cysts
- Non-surgical treatments are generally not applicable for dermoid cysts
Patient Experience
During the procedure, the patient will be awake but should not feel pain due to local anesthesia. Post-procedure, there may be mild discomfort, swelling, or bruising around the site, which can be managed with over-the-counter pain medication. Most patients experience minimal discomfort and can return to normal activities quickly.
Pain management includes local anesthesia during the procedure and pain relievers as needed afterwards.