Nasal and Upper Lip Reconstruction of a Case of Squamous Cell Carcinoma Nose Stage IV—A Case Report

Abstract

We report a case of 77 years old male patient who presented to our hospital with bleeding from a fungating mass of the nose. Investigations revealed the lesion to be moderately differentiated basaloid type squamous cell carcinoma, with lung, liver and spleen metastasis. Oncologists started palliative chemotherapy for the patient. Excision of the tumour required removal of most of the nose including the lateral nasal cartilages and the nasal septum. Nasal reconstruction was done by using left nasolabial flap after deepithelialising 3 parts of it and covering that flap with a forehead flap. Residual tumour of the upper lip required further excision later on and coverage with a fan flap. The patient survived about 6 months after the surgery in a good appearance and was accepted and approached well by his family. We think that this type of reconstruction is suitable for late stages cancer nose considering the life expectancy of this category of patients.

Complex facial reconstruction after removal of giant nasal ulcerated acantholytic squamous carcinoma

“…Our patient was 81 years old and she came from a rural environment, with a certain type of social and reli-gious behaviour where the amputation of the nasal pyramid without immediate reconstruction was out of the question. We had to perform the resection of the tumor within oncology limits, the difficult ablation of the genian adenopathy; we had to build an ample cervical-facial flap over more than two hours of dissection 10 . We need to recall the fact that the patient had a severe cervical carotid atheromatosis, therefore we decided not to perform the dissection of the neck and the immediate covering of the defect, in order to save the flap blood vessels 11,12 .…”

Outcome Study after Nasal Alar/Peri-alar Subunit Reconstruction: Comparing Paramedian Forehead Flap to Nasolabial Flap

“…11 Plastic surgeons resource to nasolabial flaps mainly to spare patients of the inconveniences of multistage procedure seen with the forehead flap and possible morbidity and mortality in elderly patients. 12 Occasionally, the nasolabial flap is preferred due to forehead flap inability to reach distal nasal regions due to cases where patient’s forehead is prohibitively narrow.…”

The Ethics of Facial Plastic Surgery

“…The roots of facial plastic surgery date back to 2500-3000 BC, founded within the ancient Egyptian papyrus by Edwin Smith in 1862, including within it nasal surgery [1]. Through the centuries global strides, such as Celsus' island pedicle flaps in the first century and Gaspare Tagliacozzi's cross-arm flap a millennium later, brought us into a modern era of plastic surgery [2].…”