Closure of Nasal Defects After Tumor Excision with Local Flaps

Beer, Gertrude M.; Bermoser, Katrin; Kompatscher, Peter

doi:10.1007/s002669900164

Cited by 13 publications

(6 citation statements)

References 15 publications

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“…In our series, BCC was most commonly located in the alar subunit, followed by the dorsum and tip. Some previous studies also indicated that the most common location was the alar subunit, 13,14 while others reported the dorsum 1 and base 15 as the most common locations. However, the authors of the latter study defined the base as including the alar lobules and part of the lateral wall.…”

Section: Discussionmentioning

confidence: 93%

Analysis of Basal Cell Carcinoma and Squamous Cell Carcinoma according to Nasal Subunit Location

Derebaşınlıoğlu

Özkaya

2021

Facial Plast Surg

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The nose is highly vulnerable to skin cancers due to the unavoidable sun exposure. The most common localization of skin cancers on the face is nose. Although the nose appears to be a single structure, it comprises many aesthetic units with different histological and anatomical properties. Our aim was to determine the relationship between the prevalence of basal cell carcinoma (BCC) and squamous cell carcinoma (SCC), histologically and anatomically distinct nasal subunits. The study included patients who underwent excision and repair due to BCC or SCC of the nose. The lesions were classified according to their location in the following topographic subunits: tip, alar lobule, dorsum, sidewall, and medial canthal region. Patients were analyzed according to age, sex, topographic subunit, tumor type, and repair technique. There was no statistically significant difference in tumor location according to etiology (p > 0.05). The alar subunit was the most common location of BCC, while the dorsum was the most common location for SCC. There is no statistical relationship between the two most common skin cancers, BCC and SCC, and the aesthetic subunits of the nose. The only factor associated with the reconstruction method used was the subunit in which the tumor was located.

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Section: Discussionmentioning

confidence: 93%

Analysis of Basal Cell Carcinoma and Squamous Cell Carcinoma according to Nasal Subunit Location

Derebaşınlıoğlu

Özkaya

2021

Facial Plast Surg

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“…Therefore, microfine tension in this area can easily cause facial deformation. Surgeons have devised various surgical procedures to solve this challenge in light of the esthetic importance of the nose [12][13][14][15]. However, since these reconstructive surgical procedures were designed for Caucasian anatomical characteristics, they can result in somewhat disap- Compared with Caucasians, the noses of Asians have a weak overall skeletal structure because of the small and weak alar cartilage.…”

Section: Discussionmentioning

confidence: 99%

“…6, 7). We used forehead flaps in 29 of 65 cases of flap reconstruction, a higher proportion than was reported in an earlier study [15,23]. A template of the defects was made from the aluminum suture packaging and used to trace the forehead donor site.…”

Section: Discussionmentioning

confidence: 99%

A practical approach to nasal reconstruction in Asian patients

Koh

Sun

2021

Arch Craniofac Surg

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Background: The study aimed to evaluate nasal reconstruction techniques customized for Asians. The currently available nasal reconstruction guidelines are based on Caucasian patients, and their applicability is limited in Asian patients due to differences in anatomical and structural features.Methods: A retrospective analysis was performed of the medical records of 76 patients who underwent nasal reconstruction at a single center between January 2010 and June 2020. A comprehensive evaluation was conducted of patients’ baseline demographics and clinical characteristics, including age, sex, medical history, defect size and location, reconstructive procedure, pathological diagnosis, postoperative complications, and recurrence.Results: In 59 cases (77%), nasal defects resulted from tumor ablation, and the remaining 17 cases involved post-traumatic (20%) and infection-induced (3%) tissue damage. The most common defect location was the alae, followed by the sidewalls, tip, and dorsum. Forehead flaps were the most commonly used reconstructive technique, followed by nasolabial advancement flaps, rotation flaps, and skin grafts. Each procedure was applied considering aspects of structural anatomy and healing physiology specific to Asians. Complications included nasal deformity, hypertrophic scarring, secondary infection, and partial flap necrosis, but no cases required additional surgical procedures. Tumors recurred in two cases, but tumor recurrence did not significantly affect flap integrity.Conclusion: Nasal reconstruction techniques applied considering Asians’ facial features resulted in fewer postoperative complications and higher patient satisfaction than the approaches that are currently in widespread use. Therefore, this study is expected to serve as an essential reference for establishing treatment guidelines for nasal reconstruction in Asians.

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“…Although skin grafting is a simple option, it is not a suitable reconstruction method for most defects of the nose, because it is difficult to obtain a good texture and color match. A local flap is a more favorable reconstruction method for the lower portion of the nose, where the skin is thick and dense with sebaceous glands [40]. However, if a defect of the nasal tip or the ala is superficial and too large to cover with a local flap, a full-thickness skin graft can be used, especially when the skin is relatively thin and sebaceous glands are sparse [41].…”

Section: Treatmentmentioning

confidence: 99%

Basal Cell Carcinoma of the Head and Neck

Nakayama

Tabuchi

Nakamura

et al. 2011

Journal of Skin Cancer

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Basal cell carcinoma (BCC) is a malignant neoplasm derived from nonkeratinizing cells that originate from the basal layer of the epidermis and is the most frequent type of skin cancer in humans, with cumulative exposure to ultraviolet radiation as an important risk factor. BCC occurs most frequently at sun-exposed sites, with the head and neck being common areas. Tumors can be classified as nodular, superficial, morpheaform, infiltrating, metatypic, and fibroepithelioma of Pinkus. Several treatment options such as surgical excision and nonsurgical procedures are available. The choice of treatment should be determined based on the histological subtype of a lesion, cost, its size and location, patient age, medical condition of the patient, treatment availability, and the patient's wishes. The aim of any therapy selected for BCC treatment involving the head and neck is to ensure complete removal, the preservation of function, and a good cosmetic outcome.

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Closure of Nasal Defects After Tumor Excision with Local Flaps

Cited by 13 publications

References 15 publications

Analysis of Basal Cell Carcinoma and Squamous Cell Carcinoma according to Nasal Subunit Location

Analysis of Basal Cell Carcinoma and Squamous Cell Carcinoma according to Nasal Subunit Location

A practical approach to nasal reconstruction in Asian patients

Basal Cell Carcinoma of the Head and Neck

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