In onchocerciasis, subcutaneous nodules containing adult worms (onchocercomas) are common. While most nodules are managed medically, specific presentations call for a different, more direct intervention.
When this applies: Nodulectomy is reserved for cranial nodules — their proximity to the eye is a risk factor for visual compromise — or for nodules that are cosmetically unacceptable.
Approach: The management in this scenario centres on a surgical procedure performed under local anaesthesia.
The complete structured regimen — including patient selection, procedural requirements, and post-operative considerations — is available via the full protocol.