69110 Excision external ear; partial, simple repair

Name of the Procedure:

Excision of External Ear; Partial, Simple Repair
Common Names: Partial Ear Excision, External Ear Surgery
Technical/Medical Terms: Auriculectomy, External Ear Partial Excision

Summary

This procedure involves the surgical removal of a portion of the external ear, followed by a simple repair of the remaining ear tissue. It is typically performed to remove damaged or diseased tissue.

Purpose

The primary purpose of partial ear excision is to address specific conditions such as localized skin cancer (e.g., basal cell carcinoma), traumatic injury, or congenital deformities affecting the external ear. The goal is to remove undesirable tissue while preserving as much of the ear's appearance and function as possible.

Indications

• Presence of skin cancer or other non-malignant tumors in the external ear.
• Traumatic injury leading to damaged ear tissue.
• Congenital abnormalities affecting ear structure.
• Chronic infections or inflammations that have not responded to other treatments.

Preparation

• The patient may be instructed to fast for a certain period prior to the procedure, especially if general anesthesia will be used.
• Medication adjustments may be required, particularly if the patient is on blood thinners.
• Preoperative imaging and blood tests may be conducted to ensure the patient’s readiness for surgery.
• A detailed medical history and physical examination will be completed.

Procedure Description

1. The patient is positioned comfortably, and the operative ear is sanitized.
2. Local anesthesia or general anesthesia is administered to ensure the patient does not feel pain during the procedure.
3. The surgeon makes precise incisions to remove the affected portion of the external ear.
4. The remaining ear tissue is then repaired using sutures to ensure minimal scarring and optimal aesthetic outcome.
5. The area is cleaned, and a sterile bandage or dressing is applied.

Tools used may include scalpels, surgical scissors, suturing needles, and specialized surgical instruments for ear procedures.

Duration

The procedure typically takes about 1 to 2 hours, depending on the extent of the excision required.

Setting

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

Personnel

• Surgeon: Performs the excision and repair.
• Nurse(s): Assists with patient preparation, instrumentation, and intraoperative care.
• Anesthesiologist/Nurse Anesthetist: Administers anesthesia and monitors the patient's vitals.

Risks and Complications

• Common Risks: Infection, bleeding, swelling, and bruising.
• Rare Risks: Adverse reactions to anesthesia, significant scarring, hematoma formation, and persistent pain.
• Management: Risks are managed with proper surgical technique, postoperative care, and medications such as antibiotics or pain relievers.

Benefits

• Expected Benefits: Removal of diseased or damaged tissue, improved ear function or appearance.
• Realization of Benefits: Patients typically notice an improvement in symptoms and appearance shortly after recovery, with further healing over weeks.

Recovery

• Post-procedure care includes keeping the area clean and dry, changing dressings as instructed, and taking prescribed medications.
• Avoid strenuous activities and protect the ear from trauma.
• Recovery time varies but generally spans a few weeks to ensure proper healing.
• Follow-up appointments are necessary to monitor the healing process.

Alternatives

• Non-Surgical Options: Cryotherapy, laser treatment, or topical treatments for specific conditions may be considered.
• Surgical Alternatives: More extensive ear surgeries if indicated.
• Pros and Cons: Non-surgical options may have longer treatment times and varying effectiveness; more extensive surgeries carry higher risks and longer recovery periods.

Patient Experience

• During the Procedure: The patient should remain pain-free due to anesthesia; they may feel some pressure or manipulation.
• After the Procedure: Patients might experience mild to moderate pain, managed with prescribed medication. Swelling and bruising are common and should subside with time. Following surgical and care instructions ensures a smoother recovery process.