Hakan Uzun1, Ozan Bitik, Haldun Onuralp Kamburoğlu, Mehmet Dadaci, Mert Çaliş, Engin Öcal. 1. *Ankara Oncology Research and Training Hospital, Plastic and Reconstructive Surgery Yenimahalle, Ankara †Hacettepe University Faculty of Medicine, Plastic and Reconstructive Surgery Sihhiye, Ankara ‡Necmettin Erbakan University, Meram Faculty of Medicine, Konya §Ankara Research and Training Hospital, Plastic and Reconstructive Surgery Altindağ, Ankara ||Düzce Atatürk State Hospital, Plastic and Reconstructive Surgery Sihhiye, Ankara, Turkey.
Abstract
BACKGROUND: Basal and squamous cell carcinomas are the most common malignant cutaneous lesions affecting the nose. With the rising incidence of skin cancers, plastic surgeons increasingly face nasal reconstruction challenges. Although multiple options exist, optimal results are obtained when "like is used to repair like". We aimed to introduce a simple algorithm for the reconstruction of nasal defects with local flaps, realizing that there is always more than one option for reconstruction. PATIENTS AND METHODS: We retrospectively reviewed 163 patients who underwent nasal reconstruction after excision of non-melanoma skin cancer between March 2011 and April 2014. We analyzed the location of the defects and correlated them with the techniques used to reconstruct them. RESULTS: There were 66 males and 97 females (age, 21-98 years). Basal cell carcinoma was diagnosed in 121 patients and squamous cell carcinoma in 42. After tumor excision, all the defects were immediately closed by either primary closure or local flap options such as Limberg, Miter, glabellar, bilobed, nasolabial, V-Y advancement, and forehead flaps. CONCLUSIONS: Obtaining tumor-free borders and a pleasing aesthetic result are major concerns in nasal reconstruction. Defect reconstruction and cosmesis are as important as rapid recovery and quick return to normal daily activities, and these should be considered before performing any procedure, particularly in elderly patients.
BACKGROUND: Basal and squamous cell carcinomas are the most common malignant cutaneous lesions affecting the nose. With the rising incidence of skin cancers, plastic surgeons increasingly face nasal reconstruction challenges. Although multiple options exist, optimal results are obtained when "like is used to repair like". We aimed to introduce a simple algorithm for the reconstruction of nasal defects with local flaps, realizing that there is always more than one option for reconstruction. PATIENTS AND METHODS: We retrospectively reviewed 163 patients who underwent nasal reconstruction after excision of non-melanoma skin cancer between March 2011 and April 2014. We analyzed the location of the defects and correlated them with the techniques used to reconstruct them. RESULTS: There were 66 males and 97 females (age, 21-98 years). Basal cell carcinoma was diagnosed in 121 patients and squamous cell carcinoma in 42. After tumor excision, all the defects were immediately closed by either primary closure or local flap options such as Limberg, Miter, glabellar, bilobed, nasolabial, V-Y advancement, and forehead flaps. CONCLUSIONS: Obtaining tumor-free borders and a pleasing aesthetic result are major concerns in nasal reconstruction. Defect reconstruction and cosmesis are as important as rapid recovery and quick return to normal daily activities, and these should be considered before performing any procedure, particularly in elderly patients.
Authors: Marco Marcasciano; Mauro Tarallo; Michele Maruccia; Benedetta Fanelli; Giorgio La Viola; Donato Casella; Lenia Sanchèz Wals; Sergio Ciaschi; Paolo Fioramonti Journal: Biomed Res Int Date: 2017-12-24 Impact factor: 3.411