Name of the Procedure:

Excision, intra and extracranial, benign tumor of cranial bone (e.g., fibrous dysplasia); without optic nerve decompression

Summary

This surgical procedure involves the removal of a non-cancerous tumor located in the cranial bone, such as fibrous dysplasia. The surgery does not involve decompressing the optic nerve but focuses solely on the removal of the benign tumor.

Purpose

The procedure is intended to address benign tumors in the cranial bone that may cause symptoms or structural issues. The goal is to remove the tumor to alleviate symptoms, prevent complications, and improve the patient's quality of life.

Indications

• Presence of a benign cranial bone tumor (e.g., fibrous dysplasia)
• Symptoms such as headaches, facial pain, or deformity
• Tumor size or location causing functional impairments or cosmetic concerns
• No involvement of the optic nerve needing decompression

Preparation

• Fasting for 8-12 hours before the procedure
• Adjustment of medications as advised by the healthcare provider
• Pre-operative imaging tests (e.g., CT scan, MRI) to assess the tumor
• Blood tests to evaluate overall health and anesthesia risk

Procedure Description

1. The patient is positioned and anesthetized (general anesthesia is typically used).
2. An incision is made to access the cranial bone.
3. Specialized surgical tools are used to excise the benign tumor.
4. Care is taken to avoid damage to surrounding tissues and structures.
5. Once the tumor is removed, the incision is closed with sutures or staples.
6. The area is cleaned, and a sterile dressing is applied.

Duration

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

Setting

The surgery is usually performed in a hospital operating room or a specialized surgical center.

Personnel

• Neurosurgeon
• Surgical nurses
• Anesthesiologist
• Operating room technicians

Risks and Complications

• Infection
• Bleeding
• Reaction to anesthesia
• Nerve damage or functional impairments
• Recurrence of the tumor
• Post-operative pain or swelling

Benefits

• Relief from symptoms caused by the benign tumor
• Prevention of potential complications related to tumor growth
• Improved appearance if the tumor causes deformity

Recovery

• Post-surgical care includes pain management, wound care, and activity restrictions.
• Hospital stay may range from 1-3 days, depending on recovery progress.
• Follow-up appointments for wound check and imaging.
• Complete recovery may take several weeks, with gradual return to normal activities.

Alternatives

• Monitoring the tumor with regular imaging if asymptomatic
• Medications to manage symptoms if surgery is not an option
• Non-surgical interventions like radiation may be considered for specific cases

Patient Experience

• Patients may experience discomfort and swelling at the surgical site.
• Pain management includes prescribed medications.
• Gradual improvement in symptoms and quality of life as recovery progresses.
• Emotional support and clear communication with the healthcare team are essential for a positive experience.