Assessment of Patients Who Underwent Nasal Reconstruction After Non-Melanoma Skin Cancer Excision

Uzun, Hakan; Bitik, Ozan; Kamburoğlu, Haldun Onuralp; Dadacı, Mehmet; Çalış, Mert; Öcal, Engin

doi:10.1097/scs.0000000000001563

Cited by 13 publications

(9 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The RF was firstly described by Limberg and has been popularized for wound closure [13][14][15][16]. This technique proved to be effective for coverage of torso defects, such as pilonidal sinus disease and facial wounds [13][14][15][16]. However, studies focusing on the use of RF for reconstruction of limb defects are sparse.…”

Section: Discussionmentioning

confidence: 99%

Utilization of Modified Rhomboid Flap to Reconstruct Limb Defect after Wide Resection of Large Soft-tissue Sarcoma: Novel Application of an Old Technique

Liang¹,

Yu²

2020

Preprint

View full text Add to dashboard Cite

Background: Reconstruction of limb defects following wide resection of large soft-tissue sarcomas (STS) is challenging. Effectiveness of rhomboid flaps in covering these wounds remains to be addressed. Methods: From March 2018 through February 2019, we utilized modified rhomboid flaps to reconstruct limb defects following wide resection of the large STS (≥5 cm in diameter) in 6 patients. There were 3 males and 3 females. The average age was 65 years (47-77 years). Diagnoses included leiomyosarcoma in 3 patients, synovial sarcoma, undifferentiated pleomorphic sarcoma, and myxoid liposarcoma in 1 respectively. The anatomic locations included the anterior knee in 3 cases, upper arm in 2, and thigh in 1. The mean diameter of the tumor measured 10 cm (5-17 cm). The mean defect size was 113 cm2(38-270 cm2). Results: The mean follow-up duration was 10 months (range, 6-12 months), no patients were lost to follow-up. Skin grafts were utilized in 2 cases. The mean time to heal was 7 weeks (range, 3-13 weeks). At final follow-up, there were no recurrence and metastasis. One case had cerebral hemorrhage and 1 had wound dehiscence, whereas no reoperation was performed. The range of motion of the joints adjacent to the flap reconstructions were comparable to preoperative status. The mean Musculoskeletal Tumor Society score was 27 (range, 24-30). Conclusions: The modified rhomboid flap affords great versatility and is easy to design. This technique yields satisfactory effectiveness in reconstructing limb defects after resection of large STS. Long-term studies of large sample size are warranted.

show abstract

Section: Discussionmentioning

confidence: 99%

Utilization of Modified Rhomboid Flap to Reconstruct Limb Defect after Wide Resection of Large Soft-tissue Sarcoma: Novel Application of an Old Technique

Liang¹,

Yu²

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Following this principle, if more than 50% of the subunit is apparently involved by the tumor, then surgical extirpation should extend to the whole subunit, resulting in a larger defect. Then reconstruction would be more challenging, requiring the sacrifice of a wider portion of healthy tissue [ 15 ]. Oncological clearance should be always pursued through a multidisciplinary approach, especially for large infiltrating tumors, although the extent of the residual defect after excision may result in technical difficulties for the reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment with Locoregional Flap for the Nose

Marcasciano

Tarallo

Maruccia

et al. 2017

BioMed Research International

View full text Add to dashboard Cite

Nonmelanotic skin cancers (NMSCs) are the most frequent of all neoplasms and nasal pyramid represents the most common site for the presentation of such cutaneous malignancies, particularly in sun-exposed areas: ala, dorsum, and tip. Multiple options exist to restore functional and aesthetic integrity after skin loss for oncological reasons; nevertheless, the management of nasal defects can be often challenging and the best “reconstruction” is still to be found. In this study, we retrospectively reviewed a total of 310 patients who presented to our Department of Plastic and Reconstructive Surgery for postoncological nasal reconstruction between January 2011 and January 2016. Nasal region was classified into 3 groups according to the anatomical zones affected by the lesion: proximal, middle, and distal third. We included an additional fourth group for complex defects involving more than one subunit. Reconstruction with loco regional flaps was performed in all cases. Radical tumor control and a satisfactory aesthetic and functional result are the primary goals for the reconstructive surgeon. Despite tremendous technical enhancements in nasal reconstruction techniques, optimal results are usually obtained when “like is used to repair like.” Accurate evaluation of the patients clinical condition and local defect should be always considered in order to select the best surgical option.

show abstract

“…Studies using local anesthesia for reconstruction of nasal skin cancer defects reported desirable aesthetic outcomes with minimal complications and flap failures. [9][10][11] In these studies, locoregional flaps, including rhomboid flaps, glabellar flaps, bilobed flaps, nasolabial flaps, and V-Y advancement flaps, were all successfully performed with minimal complications under local anesthesia; however, more complex forehead flaps were performed under general anesthesia. [9][10][11] Due to the complexity of forehead flaps, most surgeons prefer these types of reconstructions being performed under general anesthesia; however, a few more recent studies have demonstrated that forehead flaps can be safely used for reconstruction of nasal defects under local anesthesia.…”

Section: Introductionmentioning

confidence: 99%

“…[9][10][11] In these studies, locoregional flaps, including rhomboid flaps, glabellar flaps, bilobed flaps, nasolabial flaps, and V-Y advancement flaps, were all successfully performed with minimal complications under local anesthesia; however, more complex forehead flaps were performed under general anesthesia. [9][10][11] Due to the complexity of forehead flaps, most surgeons prefer these types of reconstructions being performed under general anesthesia; however, a few more recent studies have demonstrated that forehead flaps can be safely used for reconstruction of nasal defects under local anesthesia. 12,13 In the studies 12,13 that performed forehead flaps under local anesthesia, one used tumescent local anesthesia and the other had small defects of an average side of 22 mm.…”

Section: Introductionmentioning

confidence: 99%

Complex Nasal Reconstruction in a Wide-awake Ambulatory Setting: A Study of Efficacy and Perioperative Patient Experience

Denis-Katz

Bastianelli

Macdonald

et al. 2022

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Background: The use of local anesthesia in nasal surgery has gained popularity as a cost-effective and safe alternative. With the potential benefit of reconstruction without using general anesthesia, the goal of the study was to evaluate the patient-reported experience in addition to surgical outcomes and perioperative complications. Methods: A mixed-methods study was completed with retrospective chart review and patient-reported outcome questionnaire. The primary outcome measures were demographics, oncologic and surgical details, and postoperative complications. Secondary outcome measures were aesthetic outcomes and procedure tolerance, which were gathered from the FACE-Q questionnaire. Results: Of the 22 patients who met inclusion criteria, nine patients (41%) had forehead flaps performed and 13 patients (59%) had multilayer reconstruction with local flaps and cartilage grafts. The average number of surgeries performed, including revisions, was 2.3 ± 0.2. The overall complication rate for reconstructions and revisions was 20%, most of these were minor complications. The overall subjective rating of patient's appearance was excellent with an average score of 83.9 (± 17.3) out of 100. There was minimal appearance distress as a product of the surgery with an average score of 84.9 (±18.8). On a scale of one to five, patients reported an average of 4.3 for convenience, 3.8 for efficiency of setup and procedure, and 3.4 out of 5 for comfortability with having an operation performed on their face wide awake. Conclusion: Our study demonstrated that complex nasal reconstruction performed under local anesthetic in a minor procedure setting is a feasible and safe option with good patient-reported outcomes.

show abstract

Assessment of Patients Who Underwent Nasal Reconstruction After Non-Melanoma Skin Cancer Excision

Cited by 13 publications

References 20 publications

Utilization of Modified Rhomboid Flap to Reconstruct Limb Defect after Wide Resection of Large Soft-tissue Sarcoma: Novel Application of an Old Technique

Utilization of Modified Rhomboid Flap to Reconstruct Limb Defect after Wide Resection of Large Soft-tissue Sarcoma: Novel Application of an Old Technique

Surgical Treatment with Locoregional Flap for the Nose

Complex Nasal Reconstruction in a Wide-awake Ambulatory Setting: A Study of Efficacy and Perioperative Patient Experience

Contact Info

Product

Resources

About