Chapter4 OperativeReport9 JessicaGillia
Jeffery Thomas
10/29/2014
PREOPERATIVE DIAGNOSIS
Basal cell carcinoma; of the right ear.
POSTOPERATIVE DIAGNOSES
Basal cell carcinoma; of the right ear.
PROCEDURE PERFORMED
Excision of basal cell carcinoma on the right ear; measuring 3.5 by 2 centimeters in length and width. A frozen section, as well as a full thickness of skin graft taken from the right supraclavicular region; for coverage measure 3.5 by 2 centimeters.
ANESTHESIA
MAC anesthesia
INDICATIONS
79 year old male, who has a history of basal cell carcinoma, on the right posterior ear; which is treated with an excision, and skin graft; prior. Who has a lesion on the right mid helix which has been crusting, and ulcerating; and resembles another basal cell carcinoma.
PROCEDURE
Patient is here today for a removal on their frozen section; sense there is no question as to whether the lesion is eroding on the deep service into the cartilage, as well as some question on the six a clock margin. Patient was brought into the operating room, placed upon the operating table. MAC anesthesia was administered by the anesthesiologist. The patient right ear, facial region, and neck region were prepped and draped in Thera surgical fashion. The initial part of the procedure consisted of using one percent of lidocaine with one and one hundred thousand epinephrine creating an ear block around the patient's right ear. lidocaine was also injected into the conchal bowl for a total of 15 CC's for the right ear block in the conchal bowl block. After this was done and aloud to sit, the lesion was excised towards the lateral most portion of the helix towards the conchal bowl; using the 15 blade, removing the lesion from the paretondrium. This was done circumferentially, and the lesion was then sent off for frozen pathology with the stitch in the twelve a clock position.
The lesion encompassed the lateral medial helix, anti helix, and into the lateral most portion of the conchal bowl. The lesion measure 3.5 by 2 centimeters
10/29/2014
PREOPERATIVE DIAGNOSIS
Basal cell carcinoma; of the right ear.
POSTOPERATIVE DIAGNOSES
Basal cell carcinoma; of the right ear.
PROCEDURE PERFORMED
Excision of basal cell carcinoma on the right ear; measuring 3.5 by 2 centimeters in length and width. A frozen section, as well as a full thickness of skin graft taken from the right supraclavicular region; for coverage measure 3.5 by 2 centimeters.
ANESTHESIA
MAC anesthesia
INDICATIONS
79 year old male, who has a history of basal cell carcinoma, on the right posterior ear; which is treated with an excision, and skin graft; prior. Who has a lesion on the right mid helix which has been crusting, and ulcerating; and resembles another basal cell carcinoma.
PROCEDURE
Patient is here today for a removal on their frozen section; sense there is no question as to whether the lesion is eroding on the deep service into the cartilage, as well as some question on the six a clock margin. Patient was brought into the operating room, placed upon the operating table. MAC anesthesia was administered by the anesthesiologist. The patient right ear, facial region, and neck region were prepped and draped in Thera surgical fashion. The initial part of the procedure consisted of using one percent of lidocaine with one and one hundred thousand epinephrine creating an ear block around the patient's right ear. lidocaine was also injected into the conchal bowl for a total of 15 CC's for the right ear block in the conchal bowl block. After this was done and aloud to sit, the lesion was excised towards the lateral most portion of the helix towards the conchal bowl; using the 15 blade, removing the lesion from the paretondrium. This was done circumferentially, and the lesion was then sent off for frozen pathology with the stitch in the twelve a clock position.
The lesion encompassed the lateral medial helix, anti helix, and into the lateral most portion of the conchal bowl. The lesion measure 3.5 by 2 centimeters