Total Nasal Reconstruction

Abstract

Introduction

Skin tumors have a high frequency in the nasal region due to the cumulative effect of UV light in this part of the face. The most frequent type of malignant tumor of the nose and paranasal sinuses is squamous cell carcinoma.Oncologic management of large tumours of the nasal cavity, with skin invasion or bone erosion, involves extensiveresection surgery that can cause important tissue defects, in order to achieve tumor free resection margins. For the headand neck surgeon the nasal reconstruction is one of the most difficult challenges, especially in cases of complex fullthickness defects remaining after malignant skin tumor resection. Full- thickness defects require demanding multi-step reconstruction.

Material and Method

This article is built around the case of a 61 years old patient with carcinoma of the right nasal vestibule extended to theanterior part of the nasal septum. In this case, we chose a three-stage nasal reconstruction.

Results and Conclusions

Total nasal reconstruction is one of the most challenging operations for a surgeon because both function andappearance must be as close to ideal as possible and due to the importance of the nose in the identity of the person. Awell-executed forehead flap can result in the most natural-appearing, durable, nasal reconstruction. In terms of textureand color, no flap approaches its suitability in terms of skin matching.

 

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Contributo selezionato da Filodiritto tra quelli pubblicati nei Proceedings “National ENT, Head and NeckSurgery Conference -2018”Per acquistare i Proceedings clicca qui.

Contribution selected by Filodiritto among those published in the Proceedings “National ENT, Head and NeckSurgery Conference-2018”To buy the Proceedings click here.