41110 Excision of lesion of tongue without closure

Name of the Procedure:

Excision of Lesion of Tongue without Closure

• Commonly referred to as "Tongue Lesion Removal."

Summary

This procedure involves the removal of an abnormal growth or lesion on the tongue. It is typically performed without stitching the wound closed and allows the site to heal naturally.

Purpose

The procedure is intended to remove benign or possibly malignant lesions from the tongue to prevent further complications, such as difficulty in speaking, eating, or, in the case of malignant lesions, preventing cancer spread.

Indications

• Presence of a non-healing ulcer or growth on the tongue
• Biopsy-confirmed benign or malignant lesion
• Lesions causing functional problems like pain, bleeding, or difficulty in speaking/eating
• Patient history of oral cancer requiring surveillance and removal of suspicious areas

Preparation

• Fasting may be required if general anesthesia is used
• Adjustments in medication as advised by the doctor, especially blood thinners
• Pre-procedure assessment including blood tests and possibly imaging studies
• Discussion of medical history, allergies, and any current medications

Procedure Description

1. The patient is positioned comfortably, and local or general anesthesia is administered.
2. The tongue and surrounding area are sterilized.
3. Using surgical instruments, the surgeon excises the lesion with a small margin of healthy tissue surrounding it.
4. Typically, the wound is left to heal on its own without suturing.
5. Hemostasis is achieved using cauterization if necessary.
6. The excised tissue may be sent to pathology for further examination.

Duration

The procedure typically lasts between 30 minutes to 1 hour, depending on the size and location of the lesion.

Setting

The procedure is usually performed in an outpatient clinic, surgical center, or hospital setting.

Personnel

• Oral and Maxillofacial Surgeon, Otolaryngologist, or another specialist trained in oral surgeries
• Surgical nurses
• Anesthesiologist (if general anesthesia is used)

Risks and Complications

• Pain and discomfort at the surgical site
• Infection
• Bleeding
• Swelling and bruising
• Altered sensation or numbness in the tongue
• Possible speech or eating difficulties temporarily

Benefits

• Removal of potential or confirmed harmful tissue
• Relief from symptoms caused by the lesion
• Prevention of further oral health complications

Recovery

• Pain management with prescribed medication
• Avoidance of hot, spicy, or hard foods for a few days
• Good oral hygiene to prevent infection
• Follow-up appointments to monitor healing and pathology results
• Typical recovery time varies but generally ranges from 1 to 2 weeks

Alternatives

• Watchful waiting with regular monitoring for changes in the lesion
• Laser ablation or cryotherapy for certain types of lesions
• Radiation or chemotherapy for malignant lesions, depending on stage and type

Patient Experience

During the procedure, the patient might feel pressure or slight discomfort if local anesthesia is used. Post-procedure, mild to moderate pain is common, managed with prescribed pain relievers. Patients may experience swelling, difficulty speaking, or discomfort while eating for the first few days. Following post-procedure care instructions is crucial for a smooth recovery.