Epithetic nasal reconstruction after total rhinectomy: Oncologic outcomes, immediate and long-term adverse effects, and quality of life

Total rhinectomy with prosthesis placement as a treatment for moderately differentiated squamous cell carcinoma of the nose

“…Although rhinectomy promises a lower risk of recurrence and good tumor control, it is important to mention the adverse effects, which can be either local symptoms such as numbness, swelling and tightness of the face as well as generalized symptoms such as headache, lightheaded, and burning sensation, which did not occur in this patient. 2 , 4 …”

“…The nose is a typical subsite of head and neck skin cancers, being the squamous cell carcinoma the most common histological subtype. 1 , 2 , 3 This type of tumor shows a locally aggressive growth and tends to invade cartilage and deeper structures requiring a subtotal or total rhinectomy when they are larger than 1 cm and have greater invasion of the surrounding structures. 1 , 2 , 3 Although total rhinectomy leads to excellent tumor control, it alters the patient's appearance, disturbs facial harmony, and may affect nasal function depending on the resected elements.…”

“…This device also mimics the original appearance and function of the nose prior to surgery, thereby improving the patient's quality of life. 2 …”

Total rhinectomy and prosthesis for nasal carcinoma

“…The nose is a typical subsite of head and neck skin cancers, being the squamous cell carcinoma one of the most common histological subtypes 1,2,3 .This type of tumor shows a locally aggressive growth and tends to invade cartilage and deeper structures requiring a subtotal or total rhinectomy when they are larger than 1 cm 1,2 . Compared to primary radiation approaches and to subtotal rhinectomy with skin flap reconstruction, which can lead to a malignant lesion recurrence after 3 years post intervention, total rhinectomy with prosthesis placement has shown excellent outcomes and better tumor growth control rates, as well as a decrease in mortality rates 1,2.3 .…”

“…Although it is recovered, it can cause difficulty in communication, breathing, swallowing, eating and drinking. 2…”