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Basal cell carcinoma of the right nasal ala. Planning of the expected defect and extended rotation flap.
Source publication
Background
Basal cell carcinoma is the most common non-melanoma skin cancer of the nose. Defects of the nasal ala and tip region are among the most difficult to repair due to their intrinsic characteristics.
Objective
To present our experience with the extended rotation flap for reconstruction of nasal ala defects and evaluate the outcome using th...
Context in source publication
Context 1
... 18 patients, the tumour involved only skin and subcutaneous tissue; in 4 patients, exci- Good alar shape was maintained and aesthetic outcome was deemed to be satisfactory to optimum by all the patients with well-healed scars and maintained nasal alar grove. ( Fig 4 , 5 , 6 , 7 ) Mean overall evaluation by patients was 1.8/10 ± 0.96 (range 1-4) ( Table 1 ), while mean overall evaluation by the surgeons' panel was 2.2/ 10 ± 1.28 (range 1-7) ( Table 2 ). The F-Test showed concordance between the scores given by the three independent surgeons for pigmentation (F = 8.761; p = .001), ...
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Citations
... Los locales a su vez pueden ser por deslizamiento o avance, por transposición y por rotación (5,22) . Cavaliere et al. (23) plantean que este último se diferencia de otros colgajos publicados, porque se despliega más allá de los márgenes del ala nasal, incluyendo parte de la piel de la mejilla con una planificación precisa del colgajo. Este colgajo se muestra adecuado para defectos con un diámetro > 1 cm hasta 2 cm, localizados en los dos tercios anteriores del ala y punta nasal. ...
The face for many centuries, has represented the focus of appearance. The middle facial third is its most
important area and is therefore extremely vulnerable to facial deformities. Within it, the nose is the most important
facial prominence. From years ago, his deformities were considered a curse, so many men were condemned to
death. From this moment, the nasal reconstruction boom increases, and, currently, the evolution of techniques in
nasal reconstruction is an extremely useful option to repair facial defects of any size. This review intends to
update information on non-rhinoplastic techniques for the reconstruction of trans-surgical defects on the nasal
dorsum. An evaluation of the available bibliography and previous research on the topic was carried out in the
period from May 2018 to May 2023. 31 popular science magazines were considered. Articles published in
English, Italian and Spanish were prioritized. The Pubmed, Ebsco, SciELO y Scopus databases were consulted.
Of the 95 articles reviewed, the study was limited to 43 of them. Among the non-rhinoplasty techniques reviewed
were healing by secondary intention, primary closure, grafts and flaps. There are factors that influence the
selection of one or the other, such as: the diameter of the defect, its depth, location, texture and contour of the
skin, mastery and professionalism of the surgeon, among others. There is no consensus on a technique of
choice. With all of them, favorable results can be achieved by making a good selection and application of it.
Keywords: Reconstructive Surgery; Nose; Wounds and Injuries; Regional Anatomy
... Cartilage-exposed defects of the nose and ear result from the wide excision of tumors, trauma, or iatrogenic injuries. There are many traditional methods for treating cartilage-exposed defects of the ear and nose, including primary closure, secondary intention, skin grafting, or locoregional flaps [1][2][3][4][5][6][7][8]. Cartilage does not have the innate capability to self-repair and regenerate, increasing the difficulty of reconstruction [9]. ...
Background
The treatment of soft tissue defects with exposed cartilage after tumor excision is challenging. Local flap reconstruction causes occasional scarring, especially in non-Caucasian populations. Scar treatment requires secondary procedures for aesthetic modifications. Two-step reconstruction with an acellular dermal matrix addresses this issue and yields highly acceptable aesthetic resultsWe aimed to investigate the efficacy of an artificial dermal matrix cover using one-step reconstruction for defects with cartilage exposure.
Methods
From July 2018 to September 2020, seven patients were enrolled and underwent a single-stage operation using acellular dermal matrices. Patients were followed up for at least 6 months and the size of the wound, days to heal, patient satisfaction, and scar scale scores were recorded.
Results
Patients were followed up for an average of 25.7 months. The average time to heal was 23.4 days postoperatively. No hyperpigmentation, tumor recurrence, or retraction was noted. High acceptance and satisfaction with the outcome were observed in all patients.
Conclusions
Single-stage reconstruction yielded high acceptance of aesthetic results similar to that in two-stage reconstruction. Less time and cost make this an effective and efficient treatment for soft tissue defects compared with traditional techniques.
... When important facial areas with a high aesthetic impact such as the nose are involved, reconstruction can be difficult. Depending on the defect size left after a wide excision, different options can be considered [12][13][14]. In this patient, because the punch biopsy result was not diagnostic and due to the uncertain nature of the lesion, we preferred to cover the defect with a full thickness skin graft. ...
Epithelioid hemangioma is a rare reactive vasoproliferative disease presenting with painless vascular nodules in the dermal and subcutaneous tissues of the head and neck. Clinical diagnosis can be difficult as, in most cases, the only symptom is a progressively tender swelling next to a vessel course. Thus far, few cases of epithelioid hemangioma localized to the nose have been described in the literature. Herein, we present a case of a 47-year-old woman with just such a lesion of the nose, focusing on its diagnosis and treatment.
