CASE $5-20$ Operative Report, Scar Revision

LOCATION: Outpatient, Hospital

PATIENT: Kim Plante

SURGEON: Gary Sanchez, MD

PREOPERATIVE DIAGNOSIS: Foreign body granuloma of the nose and scar of dorsum of nose

POSTOPERATIVE DIAGNOSIS: Foreign body granuloma of the nose and scar of dorsum of nose

SURGICAL FINDINGS: There was about a $1\mathrm{.}5-cm($centimeter$)$ transverse scar located at about the level of the supratarsal fold, and beneath this there was extensive foreign body reaction extending beneath the procerus muscles over the nasal bone extending, in fact, down into the nasal bone in the nasal frontal angle area. There was extensive involvement of the subcutaneous tissue and the tissue extending all the way down to the nasal bone as mentioned.

PROCEDURE PERFORMED:

A $1\mathrm{.}5-$cm complex scar revision, dorsum of the nose

Excision of extensive $)$ foreign body granuloma of the nose involving the procerus and nasalis muscles

ANESTHESIA: General endotracheal with approximately $2$ cc of $1\%$ Xylocaine with $1$:$100,000$ epinephrine

ESTIMATED BLOOD LOSS: Negligible

COMPLICATIONS: None

SPONGE AND NEEDLE COUNT: Correct

DESCRIPTION OF PROCEDURE: The patient's face was prepped with Betadine scrub and solution and draped in a routine sterile fashion. The scar was dermabraded and then we excised it$.$ In the subcutaneous tissue, we came down on a foreign body granulomatous reaction that contained what appeared to be a mixture in the previous

Continue