T Subramaniam1, P Lennon2, J P O'Neill3, J Kinsella2, C Timon2. 1. Department of Otolaryngology, Head and Neck Surgery, St James Hospital, Dublin, Ireland. tksorl@outlook.com. 2. Department of Otolaryngology, Head and Neck Surgery, St James Hospital, Dublin, Ireland. 3. Department of Otolaryngology, Head and Neck Surgery, Beaumont Hospital, Dublin, Ireland.
Abstract
INTRODUCTION: A large proportion of malignancies involving the external nose can be managed with limited resection and local autologous reconstruction or, in some cases, radiotherapy as primary or adjuvant treatment. We highlight a small cohort of patients undergoing total rhinectomy for advanced nasal malignancies. METHODS: A retrospective review of all patients undergoing total rhinectomy in our institution from 2006 to 2014 was undertaken. We reviewed patient demographics, surgical management, adjuvant treatment, histology, reconstruction and outcomes. RESULTS: Nine patients underwent total rhinectomy over an 8-year period, three of whom were being treated for recurrent disease. Eight patients had squamous cell carcinoma (SCC) and a single patient had an angiosarcoma. Two patients completed adjuvant radiotherapy. Seven patients underwent nasal prosthetic rehabilitation. All nine patients are alive and disease free at latest follow-up. CONCLUSION: Total rhinectomy is an uncommon procedure usually undertaken for extensive nasal malignancy. Nasal prosthetic rehabilitation is a viable method of reconstruction.
INTRODUCTION: A large proportion of malignancies involving the external nose can be managed with limited resection and local autologous reconstruction or, in some cases, radiotherapy as primary or adjuvant treatment. We highlight a small cohort of patients undergoing total rhinectomy for advanced nasal malignancies. METHODS: A retrospective review of all patients undergoing total rhinectomy in our institution from 2006 to 2014 was undertaken. We reviewed patient demographics, surgical management, adjuvant treatment, histology, reconstruction and outcomes. RESULTS: Nine patients underwent total rhinectomy over an 8-year period, three of whom were being treated for recurrent disease. Eight patients had squamous cell carcinoma (SCC) and a single patient had an angiosarcoma. Two patients completed adjuvant radiotherapy. Seven patients underwent nasal prosthetic rehabilitation. All nine patients are alive and disease free at latest follow-up. CONCLUSION: Total rhinectomy is an uncommon procedure usually undertaken for extensive nasal malignancy. Nasal prosthetic rehabilitation is a viable method of reconstruction.
Entities:
Keywords:
Nasal carcinoma; Nasal reconstruction; Septal carcinoma; Total rhinectomy
Authors: Alex J Mitchell; Nick Meader; Evan Davies; Kerrie Clover; Gregory L Carter; Matthew J Loscalzo; Wolfgang Linden; Luigi Grassi; Christoffer Johansen; Linda E Carlson; James Zabora Journal: J Affect Disord Date: 2012-05-24 Impact factor: 4.839
Authors: Kay D Brantsch; Christoph Meisner; Birgitt Schönfisch; Birgit Trilling; Jörg Wehner-Caroli; Martin Röcken; Helmut Breuninger Journal: Lancet Oncol Date: 2008-07-09 Impact factor: 41.316
Authors: Ximena Mimica; Yao Yu; Marlena McGill; Christopher A Barker; Sean McBride; Ian Ganly; Jennifer R Cracchiolo; Lara A Dunn; Nora Katabi; Kevin Sine; Dennis Mah; Anna Lee; Nancy Lee; Marc A Cohen Journal: Head Neck Date: 2019-04-01 Impact factor: 3.147