Surgical Treatment with Locoregional Flap for the Nose

Abstract

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.

Promising Antineoplastic Actions of Melatonin

“…For many cancer types, such as some hematologic tumors, chemotherapy is the most effective treatment ( Mousavi et al, 2016 ; Bell et al, 2018 ). For other types, surgery is the best option ( Marcasciano et al, 2017 ; Ye et al, 2017 ); when surgery is not possible, chemotherapy can be helpful in stopping tumor growth or reducing its volume ( Wagner et al, 2017 ; Wang et al, 2018 ). Unfortunately, in many cases antitumor drugs are not effective and they often have deleterious side effects ( Iwamoto et al, 2014 ; Li and Caeyenberghs, 2018 ).…”

Complex Nasal Reconstruction Using Locoregional Flaps

“…Reconstruction with locoregional flaps was performed in all cases. Accurate evaluation of the patients clinical condition and local defect should be always considered in order to select the best surgical option [1].…”

Microsurgical reconstruction of the isolated columellar defect with a prelaminated radial forearm free flap. A case report and a review of the literature

“…The search of the literature revealed that satisfactory reconstruction of the columella is possible through several techniques (Marcasciano et al, ; Margulis et al, ). For skin‐only columellar defects, skin grafts are a reasonable reconstructive method.…”

“…The choice of the reconstructive method should also address a color match and texture, minimizing donor site morbidity. The search of the literature revealed that satisfactory reconstruction of the columella is possible through several techniques (Marcasciano et al, 2017;Margulis et al, 2013). For skin-only columellar defects, skin grafts are a reasonable reconstructive method.…”