Excision aural polyp
CPT4 code
Name of the Procedure:
Excision of Aural Polyp Common name: Removal of ear polyp.
Summary
Excision of an aural polyp involves surgically removing a non-cancerous growth from the ear canal. The procedure is often straightforward and aims to alleviate associated symptoms like hearing loss or discomfort.
Purpose
The primary purpose is to remove the polyp that can cause symptoms such as ear fullness, discharge, hearing impairment, or even infection. The goal is to restore normal ear function and relieve discomfort.
Indications
- Persistent ear pain
- Hearing loss
- Chronic ear discharge
- Frequent ear infections
- Visibly noticeable polyp in the ear canal
Preparation
- The patient may need to fast for several hours prior if general anesthesia is used.
- Medications may need to be adjusted as per the doctor's recommendations.
- A pre-operative assessment including hearing tests and possibly imaging studies might be required.
Procedure Description
- Anesthesia: Local or general anesthesia is administered depending on the case.
- Access: The ear canal is examined using an otoscope or operating microscope.
- Excision: Special micro-instruments are used to carefully excise the polyp. The area may be cauterized to prevent bleeding.
- Closure: The wound is usually left to heal naturally, but it might be dressed if necessary. No sutures are typically required.
Duration
The procedure typically takes about 15-30 minutes.
Setting
This procedure is generally performed in an outpatient clinic or a hospital setting.
Personnel
- Surgeon: An ENT specialist (Otolaryngologist)
- Nurse: Assists during the procedure
- Anesthesiologist: If general anesthesia is used
Risks and Complications
- Bleeding
- Infection
- Temporary or permanent hearing loss
- Tinnitus (ringing in the ears)
- Recurrence of polyps
Benefits
- Relief from symptoms like pain, discharge, and hearing loss
- Improved overall ear health
- Reduced risk of recurrent infections
Recovery
- Mild discomfort and ear fullness might be experienced for a few days.
- Patients should avoid water entering the ear and refrain from vigorous activities for a couple of weeks.
- Follow-up appointments may be necessary to monitor healing and to ensure no recurrence.
Alternatives
- Medical management with topical or systemic steroids, though this is generally less effective
- Observation, in cases where the polyp is asymptomatic and small
- Laser ablation or cautery might be options depending on the case
Patient Experience
During the procedure, patients under local anesthesia will feel minimal discomfort. Those under general anesthesia will not experience anything until they wake up. Post-procedure, there might be minor pain or fullness in the ear, which can usually be managed with over-the-counter pain medications.