International Journal of Nursing Research

This case report summarizes the perioperative nursing experience of a patient with external auditory canal cancer and right cervical lymph node metastasis, complicated by multiple cardio‐cerebrovascular diseases and lower limb vein thrombosis. Under general anesthesia, the patient underwent subtotal resection of the right temporal bone, right external auditory canal reconstruction, radical mastoidectomy, right cervical lymphadenectomy, partial resection of the parotid gland, facial nerve decompression, and abdominal fat transfer. The nursing care plan mainly included assembling a multidisciplinary diagnosis and treatment team preoperatively, actively completing relevant examinations and preparations to ensure surgical safety and reduce risks, administering medications promptly as per medical orders to prevent cardio-cerebrovascular complications, emphasizing psychological care, and implementing various nursing risk assessments and preventive strategies. Postoperatively, the patient’s respiration was closely monitored to prevent respiratory distress; enhanced care for atrial fibrillation was performed to avoid cardio‐cerebrovascular accidents; thorough nursing for lower limb vein thrombosis was provided to prevent pulmonary embolism; glandular secretion suppression was required to prevent salivary fistulas; strict infection control measures were enforced to protect the surgical site; and discharge guidance was developed to improve home care for the patient. With meticulous treatment and nursing care, the patient was discharged on the 20th postoperative day with satisfactory wound healing, and follow‐ups with the oncology department were scheduled to continue radiotherapy.

External auditory canal cancer; Cervical lymph node metastasis; Multiple cardio‐cerebrovascular disease; Lower limb vein thrombosis; Perioperative nursing