Excision of Tumors of Ear Lobes Sample Report
DATE OF OPERATION: MM/DD/YYYY
PREOPERATIVE DIAGNOSIS: Tumors of both ear lobes with associated deformity.
POSTOPERATIVE DIAGNOSIS: Tumors of both ear lobes with associated deformity.
OPERATION PERFORMED: Excision of tumors of ear lobes with reconstruction of the ear lobes.
SURGEON: John Doe, MD
ANESTHESIA: Xylocaine 1% with 1:100,000 adrenaline.
DESCRIPTION OF OPERATION: The patient was brought to the operating room and was placed in the supine position on the operating table. The ears were prepped with Betadine, and sterile draping was carried out. Attention was then directed to the right ear where there was a hard nodular tumor of the posterior ear lobe, near the auricular edge. This was excised by means of an elliptical excision around the mass and dissecting it free from the underlying subcutaneous tissue to the adjacent anterior skin of the lobule. Bleeding was controlled with Bovie cauterization, and the ear lobe was reconstructed suturing the skin edges together with 4-0 nylon interrupted sutures.
Attention was then directed to the left ear where there was a large nodular growth on the posterior surface of the tip of the ear lobe, and there was also a separation of the edge of the auricle just superior to the mass. Local anesthesia was infiltrated, and the mass was excised by means of an elliptical excision made on the posterior surface of the ear lobe. The dissection was carried to the anterior surface where the mass was attached, and a portion of the skin from the anterior ear lobe had to be sacrificed. The separation of the skin of the edge of the auricle was removed so that the edges could be approximated reconstructing the lateral edge of the auricle.
The anterior wound of the lobule was closed using 4-0 nylon interrupted sutures, and the posterior ear lobe was reconstructed along with the edge of the auricle using 4-0 nylon interrupted sutures. Polysporin ointment and sterile dressing covered by Tegaderm was placed over both the right and left ear lobes, and the patient left the operating room in stable condition.
