Chapter4 OperativeReport9 JessicaGillia Essay

631 Words3 Pages
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.
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Hemostasis was maintained with the neo point electro corderin. An elliptical excision was made a pound the right lateral neck after infra treating with 1 percent lidocaine with one, and one hundred thousand epinephrine. This was made to set the measurements of the full thickness graft for 3.5 by 2 centimeters. This was taken down to the skin and into the subcutaneous tissue with the 15 blade. The 15 was then used to dissect the full thickness skin graph off from the surrounding subcutaneous tissue. The wound was then closed using multiple interrupted buried foropedia sutures, and then a running subcuticular foroprolene stitch. Hemostasis was maintained prior to closer with the electro quarter. The full thickness skin graft was placed on a saline soaked lab pad during the closer of the right neck wound. The neck wound was also then cleansed; the sutures were applied.

The full thickness skin graph was then _____ using the metzenbaum scissors afterwards the full thickness skin graph was placed in the right ear defect and sutured circumferentially with long 4-0 silk stitches for a bolster. Some intermittent stitches were used with the 4-0 quillmate in between the bolster stitches. A 0 form was then applied over lining the full thickness skin graft. A wet fluff was then applied and then the bolster was then tied tightly to the right ear. The right ear was then cleansed and multiple fluffs were places around the

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