64788 Excision of neurofibroma or neurolemmoma; cutaneous nerve

Name of the Procedure:

Excision of Neurofibroma or Neurolemmoma; Cutaneous Nerve Common names: Neurofibroma removal, Neurolemmoma excision, Benign nerve tumor removal

Summary

The excision of a neurofibroma or neurolemmoma involves surgically removing a benign tumor from a cutaneous nerve. These growths are non-cancerous but may cause discomfort, pain, or cosmetic concerns.

Purpose

Medical Condition:

• Neurofibroma
• Neurolemmoma (Schwannoma)

Goals:

• Remove the tumor to alleviate pain or discomfort.
• Restore normal nerve function.
• Improve cosmetic appearance.

Indications

• Presence of a palpable lump or mass on the skin.
• Pain, numbness, or tingling in the area of the tumor.
• Cosmetic concerns.
• Growth or changes in the tumor size over time.

Preparation

• Fasting typically not required unless sedation is used.
• Medication adjustments may be needed; discuss with your doctor.
• Pre-procedure imaging studies such as MRI or ultrasound may be conducted to assess the tumor.

Procedure Description

1. Anesthesia: Local anesthesia is often used to numb the area; sedation may be offered.
2. Incision: A small incision is made over the site of the tumor.
3. Excision: The neurofibroma or neurolemmoma is carefully dissected and removed.
4. Closure: The incision is then closed with sutures or surgical adhesive.

Tools and Equipment:

• Scalpel
• Surgical scissors
• Forceps
• Suture material

Duration

• Typically, the procedure takes about 30 minutes to 1 hour, depending on the tumor size and location.

Setting

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

Personnel

• Surgeon
• Surgical nurse
• Anesthesiologist or nurse anesthetist (if sedation is used)

Risks and Complications

• Infection
• Bleeding
• Scarring
• Nerve damage, though rare, which may cause temporary or permanent numbness/weakness
• Recurrence of the tumor

Benefits

• Relief from pain or discomfort.
• Improved function of the affected nerve.
• Enhanced cosmetic appearance.
• Most patients see benefits almost immediately after recovery from surgery.

Recovery

• Keep the incision site clean and dry.
• Follow specific wound care instructions provided by your surgeon.
• Avoid strenuous activities for 1-2 weeks.
• Typically, a follow-up appointment within one week to assess healing.
• Full recovery is expected within a few weeks.

Alternatives

• Monitoring the tumor with regular imaging if symptoms are mild.
• Medication to manage pain or discomfort.
• Minimally invasive techniques like laser therapy may be considered.

Patient Experience

• During the procedure, patients under local anesthesia may feel pressure but should not feel pain.
• Post-procedure, mild pain or discomfort can be managed with over-the-counter pain relievers.
• Swelling or bruising around the incision site is common but typically resolves within a few days.