Punch excision is a minor surgical procedure commonly used to remove small skin lesions or cysts. In the case of a cyst located on the right side of the neck, the procedure begins with a thorough examination and cleansing of the area. Local anesthesia is administered to ensure the patient experiences no pain during the excision.
A circular punch tool, typically ranging from 2 to 6 mm in diameter, is used to core out the cyst, including its sac, which is essential to prevent recurrence. The tool is carefully rotated into the skin, cutting through the epidermis and dermis until the cyst is fully excised. Once removed, the wound may be closed with one or two sutures, depending on its size and depth.
Post-procedural care involves keeping the area clean, applying antibiotic ointment, and monitoring for signs of infection such as redness, swelling, or discharge. Sutures are usually removed within 5 to 7 days. Punch excision offers a precise and minimally invasive approach with a low risk of scarring when performed correctly. For cysts on cosmetically sensitive areas like the neck, this technique is preferred due to its balance between effectiveness and minimal cosmetic impact.
