Cancer of the nose: ablation and repair.

摘要: Cancer of the nose is very common and lesions seen by reconstructive surgeons are often recurrent extensive. Surgical removal cancer nasal skin can usually be accomplished under local anesthesia, in most instances frozen section histologic examination should used to confirm adequacy excision. The location three dimensional extent tumor will dictate choices repair or reconstruction as well timing thereof. Very small excised with primary closure; other circumscribed tumors defect closed an appropriate flap. In our experience cancers have been managed excision full-thickness grafting. We found neck that preauricular region provide best cover except upper third where eyelid provides excellent coverage. composite grafts from ear replace up two-thirds alar rim. Nasolabial, cheek, midline forehead flaps useful a variety instances, but when less than one-half has excised. pleased, Converse scalping flap for near total, subtotal, extensive three-dimensional lower defects. (Transverse superficial temporal artery pedicle successfully reconstruct large defects adjacent cheek loss.) rarely distant flaps. Regardless what regional transferred nose, subsequent revisions relatively minor nature nearly always enhance result. Patients who undergone extended total nasectomies probably prosthesis, prognosis guarded may quite unsatisfactory. experience, lining support repaired tissue.