21029 Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia)

Name of the Procedure:

Removal by contouring of benign tumor of facial bone (e.g., fibrous dysplasia)

Summary

This surgical procedure involves reshaping or contouring the bones of the face to remove benign tumors, such as fibrous dysplasia. It aims to alleviate symptoms and restore normal appearance and function.

Purpose

This procedure addresses benign tumors within facial bones, particularly ones causing disfigurement, pain, or functional issues. The goal is to remove the tumor, relieve symptoms, and correct any deformity caused by the tumor's presence.

Indications

• Presence of a benign bone tumor like fibrous dysplasia in the facial region.
• Symptoms such as pain, swelling, facial asymmetry, or functional impairment.
• Tumor not responding to conservative treatments or posing a risk of complications.

Preparation

• Patients may need to fast for several hours before the procedure.
• Pre-operative imaging tests like X-rays, CT scans, or MRIs.
• Blood tests and other assessments to ensure suitability for surgery.
• Adjustments or cessation of certain medications as advised by the physician.

Procedure Description

1. Anesthesia: General anesthesia is administered to put the patient to sleep.
2. Incision: A surgical incision is made to access the facial bone tumor.
3. Contouring and Removal: The surgeon uses specialized tools to contour the bone and remove the tumor.
4. Closure: The incision is closed with sutures and a dressing is applied.

Duration

The procedure typically takes 2 to 4 hours, depending on the tumor's size and location.

Setting

Typically performed in a hospital operating room or a specialized surgical center.

Personnel

• Surgeon specialized in maxillofacial or craniofacial surgery
• Anesthesiologist
• Surgical nurses and support staff

Risks and Complications

• Common risks: Bleeding, infection, swelling, bruising.
• Rare risks: Nerve damage, unintentional injury to adjacent structures, need for additional surgeries.
• Management: Close monitoring and prompt treatment of any complications.

Benefits

• Removal of the benign tumor.
• Relief from symptoms such as pain and swelling.
• Improved facial symmetry and function.
• Benefits usually realized within a few weeks post-surgery.

Recovery

• Initial recovery in the hospital for monitoring and pain management.
• Post-procedure instructions will include care for the incision site, medication for pain, and activity restrictions.
• Recovery time typically spans a few weeks, with gradual resumption of normal activities.
• Follow-up appointments to monitor healing and assess outcomes.

Alternatives

• Observation and regular monitoring if the tumor is small and asymptomatic.
• Medications for pain management or other symptoms.
• Less invasive procedures, depending on the tumor's characteristics.

Patient Experience

• The patient will be under general anesthesia and won't feel anything during the procedure.
• Postoperative discomfort managed with pain medication.
• Possible swelling, bruising, and temporary numbness in the affected area.
• most patients experience significant improvement in symptoms and facial appearance.