NASAL RECONSTRUCTION AFTER RESECTION OF SKIN TUMORS: SURGICAL OPTIONS IN A CASE SERIES.
Keywords:
Nose Deformities Acquired, Skin Neoplasms, Nose NeoplasmsAbstract
The nose is a part of the face that is very affected by cutaneous neoplasms due to cumulative sun exposure. Nasal reconstruction is challenging due to the central and prominent position of the nose, with great aesthetic and functional importance. This is a retrospective descriptive study, case series type, through the review of medical records. Fourteen patients underwent nasal reconstruction, with a mean age of 67 years. The most used flap was the frontal flap in 42% of the patients; followed by nasolabial (28%) and Rintala (14%). When choosing the type of reconstruction, the surgeon must consider the nasal subunits affected and have as main objectives the maintenance of a similar skin tone in the coverage, besides of restructure nasal support in order to avoid airway stenosis. Local flaps continue to be a valuable tool and it is important that the plastic surgeon is aware of the most varied techniques.
References
Salgarelli AC, Bellini P, Multinu A, Magnoni C, Francomano M, Fantini F, Consolo U, Seidenari S. Reconstruction of nasal skin cancer defects with local flaps. Journal of Skin Cancer. 2011. Article ID 181093. DOI: 10.1155/2011/181093
Souza MS, Pessoa SP, Muniz VV, Rebelo AD, Holanda EF, Pessoa LP. Opções de reconstrução após ressecção de tumor de pele nasal. Rev Bras Cir Plást. 2019;34(Supl 3): 50-2. DOI: 10.5935/2177-1235.
Moura BB, Signore FL, Buzzo TE, Watanabe LP, Fischler R, Freitas JG. Reconstrução nasal: análise de série de casos. Rev Bras Cir Plást. 2016;31(3):368-72.
Quintas RC, Araujo GP, Medeiros Junior JM, Quintas LM, Kitamura MP, Cavalcanti EF, Firme CN, Glasner RO. Reconstrução nasal complexa: opções cirúrgicas numa série de casos. Rev Bras Cir Plást. 2013;28(2):218-22.
Ramos RM, Spencer L, Girelli P, Meneguzzik, Martinelli A, Uebel CO. Reconstrução nasal total: uso da “técnica em sanduíche”durante a residência. Rev Bras Cir Plást. 2017;32(2):174-80.
Veríssimo P, Barbosa MJ. Tratamento cirúrgico dos tumores de pele nasal em idosos. Rev Bras Cir Plást. 2009;24(2):219-33.
Marcasciano M, Tarallo M, Maruccia M, Fanelli B, Viola G, Casella D, Wals LS, Ciaschi S, Fioramonti P. Surgical treatment with locoregional flap for the nose. BioMed Research International. 2017. Article ID9750135. DOI 10.1155/2017/9750135
Cox A, Fort M. Nasal reconstruction involving multiple subunits defects. Fascial Plast. Surg. 2017;33:58-66
Costa MM. Versatilidade do retalho médio-frontal nas reconstruções faciais. Rev Bras Cir Plást. 2016;31(4):474-80.
Onishi K, Okada E, Hirata A. The Rintala flap: A versatile procedure for nasal reconstruction. Am J Otolaryngol Head Neck Med Surg. 2014;35(5):577-81.
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Arquivos Catarinenses de Medicina
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.