Name of the Procedure:

Excision or Destruction (e.g., laser), Intranasal Lesion; External Approach (Lateral Rhinotomy)

Summary

This procedure involves the surgical removal or destruction of an abnormal growth or lesion inside the nasal cavity. It is done through an external approach (lateral rhinotomy), where an incision is made on the outside of the nose.

Purpose

The purpose of this procedure is to remove intranasal lesions, which can include tumors, polyps, or other abnormal growths. The goal is to alleviate symptoms, prevent complications, and ensure that the lesion is not cancerous.

Indications

• Persistent nasal congestion or obstruction
• Recurrent nosebleeds
• Nasal pain or pressure
• Visible or detectable nasal mass
• Suspicion of malignancy or atypical growth

Preparation

• Fasting for at least 8 hours before the procedure
• Adjusting medications as directed by the physician, especially blood thinners
• Pre-procedure imaging tests like CT scans or MRIs
• Blood tests to assess overall health and readiness for surgery

Procedure Description

1. Anesthesia: The patient is given general anesthesia to ensure they are unconscious and pain-free.
2. Incision: A lateral rhinotomy incision is made along the side of the nose.
3. Exposure: The nasal structures are carefully exposed.
4. Lesion Removal/Destruction: The lesion is excised or destroyed using surgical tools or laser technology.
5. Closure: The incision is sutured and dressed.

Duration

The procedure typically takes 1 to 2 hours, depending on the complexity and size of the lesion.

Setting

The procedure is performed in a hospital or surgical center.

Personnel

• ENT (Ear, Nose, and Throat) surgeon
• Surgical nurse
• Anesthesiologist
• Supportive staff

Risks and Complications

• Infection
• Bleeding
• Scarring
• Damage to surrounding structures, such as the nasal septum or sinuses
• Allergic reactions to anesthesia
• Persistent pain or numbness

Benefits

• Relief from nasal blockage or congestion
• Reduction or cessation of nosebleeds
• Improved nasal breathing and airflow
• Accurate diagnosis of the lesion
• Potential removal of malignant tissues if applicable

Recovery

• Post-procedure: Monitoring in the recovery room until anesthesia wears off
• Care Instructions: Keeping the nasal area clean, taking prescribed antibiotics, and avoiding strenuous activities
• Recovery Time: Generally, patients recover within 1-2 weeks, though complete healing of the incision may take longer
• Follow-up: Appointments are necessary to monitor healing and ensure the lesion has been completely removed.

Alternatives

• Endoscopic removal: Less invasive but may not be suitable for all types of lesions.
• Medications: For non-cancerous lesions, steroids or other treatments might reduce size or symptoms.
• Observation: In cases where the lesion is small and not causing significant symptoms.

Patient Experience

During the procedure, the patient will be under anesthesia and will not feel anything. Post-surgery, some discomfort, swelling, and bruising around the nose are common, which can be managed with pain medications and ice packs. Recovery involves rest and following specific care instructions to promote healing.