Epithetic nasal reconstruction for nasal carcinoma: retrospective analysis on 22 patients

Abstract

Advanced nasal cancers usually demand partial or total rhinectomy followed by radiotherapy. Reconstruction of the resulting defects can be achieved by means of reconstructive plastic surgery and/or epithetic surgery. The data of 22 patients who had been treated after nasal ablation by means of custom-made silicone nasal epithesis fixed by bone-anchored magnets between 2003 and 2014 were evaluated retrospectively. There were 15 male (68.2 %) and 7 (31.8 %) female patients. The most common etiology that led to epithetic rehabilitation was a squamous cell carcinoma in 16 patients. An operative revision was necessary in two patients due to screw loss. Twenty patients were still alive with no evidence of disease after minimum follow-up of 2 years (90.9 %). Epithetic rehabilitation after nasal ablation to treat nasal malignancies is an interesting alternative to plastic and reconstructive surgery. Bone-anchored fixation using magnets can achieve a stable epithetic fixation after nasal ablation necessitating, in numerous cases, additional adjuvant therapy like radiation.

Regional recurrence in a case series of patients with carcinoma of the nasal cavity – therapeutic implications

“…Bone-anchored nasal epithetic reconstruction yields low complication rates and silicone prostheses provide excellent aesthetic outcomes (13) . Surgical implant anchorage can be performed simultaneously with tumor surgery, even if the patient has to undergo adjuvant therapy.…”

Total nasal reconstruction with 3D custom made porous titanium prosthesis and free thoracodorsal artery perforator flap: A case report

“…The case of this patient highlights the difficulties encountered after the failure of total nasal reconstruction conventional techniques. Nasal episthesis is an interesting solution for numerous indications, even in first intention (Papaspyrou et al, ). However, the patient, subject of this report, was absolutely refusing this solution, despite our proposal.…”

“…If this method has been well proven, failure situations can lead to much more complicated cases. Anaplastology can then be an acceptable solution (Papaspyrou, Schick, Schneider, & Al Kadah, ), but some cannot tolerate them, or prefer a more natural solution.…”

A Unique Method for Total Nasal Defect Reconstruction - Prefabricated Innervated Osteocutaneous Radial Forearm Free Flap

“…Regardless of the etiology (e.g. trauma, infection, tumours), nasal defect can be restored with a variety of autologous techniques (local flaps, cartilaginous or bony grafts, composite grafts, free flaps) or with the prosthetic implants [2]. Total or subtotal rhinectomy, resulting with severe facial disfigurement, requires complex reconstruction of three distinct anatomical layers: inner nasal lining, supporting midlayer framework and external skin.…”