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Subject: Digital Mucous Cyst Removal
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A standard office surgery tray, as described in Appendix G, should be available for the excision procedure.
A suggested anesthesia tray that can be used for this procedure is listed in Appendix F.
Symptomatic nodules on the dorsum of the finger between the DIP joint and proximal nail fold
Presence of cellulitis, bacteremia, or active infection
Heavy smokers and insulin-dependent diabetics (increased risk of complications)
Courtesy of Dr. Scott Bergeaux.
PITFALL: Avoid prolonged freezing of the tissues, because notching of the proximal nail fold may develop. The length of the freeze is based on the observed size of the ice ball.
Notching of the proximal nail fold
Scarring of the nail matrix with nail dystrophy
Local depigmentation after steroid injection
Radial or ulnar deviation of the DIP joint
DIP septic arthritis
Pain or numbness
Skin preparation recommendations appear in Appendix E.