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The procedure described by CPT® Code 30118 involves the excision or destruction of an intranasal lesion using an external approach known as lateral rhinotomy. An intranasal lesion refers to any abnormal tissue growth located within the nasal cavity, which may require surgical intervention for removal or destruction. The lateral rhinotomy approach is characterized by an incision that begins just below the inner aspect of the eyebrow and extends down along the lateral wall of the nose, ultimately reaching the nasolabial fold and encircling the alar margin. This method allows for direct access to the nasal cavity, facilitating the excision or destruction of the lesion. Prior to the procedure, the area is typically cleansed, and local anesthesia is administered to ensure patient comfort. The surgical technique may involve various methods for lesion removal, including excision with a margin of healthy tissue or destruction through techniques such as cryosurgery, electrosurgery, or laser treatment. The choice of technique depends on the specific characteristics of the lesion and the surgeon's assessment. Following the procedure, the excised lesion is often sent for histologic evaluation to determine its nature and ensure appropriate management.
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