11440 Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less

Name of the Procedure:

Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less.

Summary

This procedure involves the surgical removal of a benign (non-cancerous) lesion along with surrounding margins on the face, ears, eyelids, nose, lips, or mucous membranes. The excised lesion has a diameter of 0.5 cm or less.

Purpose

To remove benign lesions that may be causing discomfort, cosmetic concerns, or have the potential to become problematic if left untreated. The goal is to ensure complete removal while minimizing scarring and preserving function and appearance.

Indications

• Presence of a small benign lesion on the face, ears, eyelids, nose, lips, or mucous membranes.
• Lesions causing discomfort, irritation, or cosmetic concerns.
• Lesion that could potentially become malignant or present diagnostic uncertainty.

Preparation

• Follow any fasting instructions if sedation will be used.
• Adjust medications as advised by the healthcare provider.
• Undergo any recommended diagnostic tests or assessments, such as a biopsy to confirm the benign nature of the lesion.

Procedure Description

1. The area around the lesion is cleaned and prepared.
2. Local anesthesia is administered to numb the area.
3. The surgeon uses a scalpel to excise the lesion along with a margin of surrounding tissue.
4. The excised tissue is sent to pathology for examination.
5. The wound may be closed with stitches if necessary.
6. A sterile bandage is applied to the area.

Duration

The procedure typically takes about 15 to 30 minutes, depending on the size and location of the lesion.

Setting

This procedure is usually performed in an outpatient clinic or surgical center.

Personnel

• Surgeon or dermatologist
• Nursing staff
• Anesthesiologist or nurse anesthetist (if sedation is required)

Risks and Complications

• Infection at the surgical site
• Bleeding
• Scarring
• Recurrence of the lesion
• Adverse reaction to anesthesia

Benefits

• Removal of the lesion with minimal scarring.
• Alleviation of discomfort or cosmetic concerns.
• Low risk of recurrence if margins are adequately excised.
• Immediate improvement in appearance and function of the affected area.

Recovery

• Keep the surgical area clean and dry.
• Follow post-procedure care instructions given by the healthcare provider.
• Avoid strenuous activities for a few days.
• Attend follow-up appointments to monitor healing.
• Full recovery typically occurs within 1 to 2 weeks.

Alternatives

• Monitoring the lesion if no immediate risk is present.
• Non-surgical removal options like cryotherapy or laser therapy.
• Pros and cons of alternatives vary; for instance, cryotherapy may leave less scarring but is not suitable for all types of lesions.

Patient Experience

• During the procedure, a local anesthetic ensures the area is numb, so minimal pain is felt.
• Post-procedure, some discomfort, swelling, and minor pain can be expected.
• Pain can be managed with over-the-counter pain relievers.
• Comfort measures like ice packs and keeping the head elevated can help reduce swelling.