Complex facial reconstruction after removal of giant nasal ulcerated acantholytic squamous carcinoma
Journal Title: Romanian Journal of Rhinology - Year 2018, Vol 8, Issue 31
Abstract
BACKGROUND. Excision of facial cutaneous carcinomas requires further reconstruction in a combined team with plastic surgeons. Among the traditional risk factors, the unprotected occupational exposure to sunlight can be identified. Giant masses at the level of the nose are frequently squamous carcinomas in origin. Moreover, repeated tumor trauma favours local-regional and remote extension. MATERIAL AND METHODS. We present step by step the surgical management of an old woman with a nasal mass of 58/36/20 mm. Also, the patient presented right genian tumefaction of approximately 6 months in evolution. RESULTS. The patient was submitted to surgical resection with free margins, leaving a considerable nasal and genian groove defect. Teaming up with the plastic surgeon, we applied complex reconstruction techniques with a satisfactory aesthetic and functional result. The histopathologic diagnosis confirmed our suspicion of an acantholytic squamous cell carcinoma with lymph nodes metastasis. CONCLUSION. Our case exhibited traditional risk factors, living in a rural environment. The tumor degree of aggressiveness was increased by repeated self-inflicted trauma. Late presentation to healthcare services implied complex facial reconstruction for the combined resection of the nasal tip and genian lymph node
Authors and Affiliations
Daniela Vrinceanu, Ana Maria Oproiu, Mihai Dumitru, Madalina Georgescu, Mariana Costache
Keywords
Related Articles
- EP ID EP374707
- DOI 10.2478/rjr-2018-0020
- Views 52
- Downloads 0
The effect of smartphone usage on the upper extremity performance among Saudi Youth, KSA
The current study aims to investigate the effect of smartphone usage on the upper extremity performance among Saudi youth. A goniometer to measure the Range of Motion (ROM), the Smartphone Addiction Scale (SAS), McGill P...
Endoscopic orbital decompression in Graves ophthalmopathy - Case report
Graves ophthalmopathy, an autoimmune disease, associated with hypermetabolism, enlargement of the thyroid gland and exophthalmia are the most frequent expressions of Graves’ disease, which often require surgical treatmen...
Difficulties in the surgical management of head and neck cancer patient
Malignancies of the upper aerodigestive tract are high morbidity bearing and life-threatening diseases, which require thorough care from diagnostic suspicion and confirmation to surgical and/or oncologic treatment and re...
Method of stenting the lacrimal sac after performing dacryocystorhinostomy
Lacrimal stents were used in the past to preserve the caliber of the lacrimal pathways after surgery, trauma, reconstruction, etc. Recently, their role in preventing functional epiphora has also been highlighted. Over th...
Angioedema, a life-threatening adverse reaction to ACE-inhibitors
Angioedema with life-threatening site is one of the most impressive and serious reasons for presenting to the ENT doctor. Among different causes (tumors, local infections, allergy reactions), an important cause is the si...