You are here

Mucous Cyst Excision 26160

CPT Coding Technique
Indications Complications
Contraindications Follow-up Care / Rehab Protocol
Alternatives Outcomes
Pre-op Planning / Case Card Review References

synonyms:mucous cyst excision, ganglion cyst excision, resection, removal

Mucous Cyst Excision CPT

26160 Excision of lesion of tendon shealth or joint capsule (mucous cyst or ganglion): hand or finger

Indications

  • pain
  • recurrent infection
  • chronic drainage
  • cosmesis

Mucous Cyst Excision Contraindications

Mucous Cyst Excision Alternatives

  • Aspiration

Mucous Cyst Excision Pre-op Planning

  • Consider if skin graft will be require and consent for graft if needed.  
  • Consider DIP arthrodesis if underlying arthritis is severe.

Mucous Cyst Excision Technique

  • Preop antibiotics
  • Sign operative site
  • Digital block anesthesia
  • H, T, U, or transverse curving incision shape, depending on skin integrity and cyst size and location
  • Dissection carried down under 2.5x loop magnification
  • Avoid injury to extensor tendon, nail matrix, articular surface, terminal NV bundle. 
  • Perform synovectomy, osteophyte resection, and debridement
  • Repair terminal extensor tendon if disrupted   repaired to prevent subsequent extensor lag
  • Closure:  skin graft, a rotational flap, or primary closure 

Mucous Cyst Excision Complications

  • Extensor tendon rupture / lag
  • Recurrence
  • Incomplete relief of pain
  • Nonuion
  • Infection
  • Painful hardware
  • Nail deformity
  • Stiffness

Mucous Cyst Excision Follow-up care

  • Post-op: place in extension splint, STAXX splint if extensor tendon repair required or skin graft used.   Early motion otherwise
  • 7-10 Days: wound check.  Staxx splint if extensor tendon repair, early ROM otherwise.

Mucous Cyst Excision Outcomes

  • 3-15% recurrence rate
  • Continued nail defomity is not uncommon

Mucous Cyst Excision Review References

  • Thornburg LE. Ganglions of the hand and wrist. JAAOS. 1999;7:231-8. 
  • Budoff JE. Mucous Cysts. J Hand Surg Am 2010;35:828
  • Kasdan ML, Stallings SP, Leis VM. Outcome of surgically treated mucous cysts of the hand. J Hand Surg Am 1994;19:504.
  • Shin EK, Jupiter JB. Flap advancement coverage after excision of large mucous cysts. Tech Hand Up Extrem Surg. 2007;11:159.

 

 

Disclaimer

The information on this website is intended for orthopaedic surgeons.  It is not intended for the general public. The information on this website may not be complete or accurate.  The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care".  While the information on this site is about health care issues and sports medicine, it is not medical advice. People seeking specific medical advice or assistance should contact a board certified physician.  See Site Terms / Full Disclaimer