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Seventy-three-year-old man with recurrence of skin squamous cell carcinoma involving the nasal septum and dorsum and lymph node metastasis (cT4aN2bM0). Previously, he underwent partial rhinectomy and reconstruction of the left ala with left forehead flap in other institution
Source publication
The principles of nasal reconstruction include the need to reconstruct three tissue layers, the need to restore entire skin aesthetical units, and, possibly, the replacement with like tissues. Computer-aided design (CAD) and computer-aided manufacturing (CAM) technologies were applied to two total nasal reconstructions in male patients who underwen...
Citations
... The decision concerning which graft should be used depends on the individual case and the surgeon's preference. Moreover, in the literature, promising results have been found from preliminary studies involving the reconstruction of the structural support layer by custom-made titanium plate created by computer-aided design (CAD) and computer-aided manufacturing (CAM) technologies [33]. ...
Background:
The nose is a central component of the face, and it is fundamental to an individual's recognition and attractiveness. The aim of this study is to present a review of the last twenty years literature on reconstructive techniques after oncological rhinectomy.
Methods:
Literature searches were conducted in the databases PubMed, Scopus, Medline and Google Scholar. "Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA)" for scoping review was followed.
Results:
Seventeen articles regarding total rhinectomy reconstruction were finally identified in the English literature, with a total of 447 cases. The prostheses were the reconstructive choice in 213 (47.7%) patients, followed by local flaps in 172 (38.5%) and free flaps in 62 (13.8%). The forehead flap (FF) and the radial forearm free flap (RFFF) are the most frequently used flaps.
Conclusions:
This study shows that both prosthetic and surgical reconstruction are very suitable solutions in terms of surgical and aesthetic outcomes for the patient.
