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 47
- Downloads 0
Permeabilization surgery of the upper respiratory tract and its effects on sleep fragmentation and REM sleep
Usually, patients with sleep disorders may complain of tiredness, fatigue, daytime sleepiness, difficulty in concentrating, and can reach up to falling asleep in inappropriate situations – condition known as the Pickwick...
Use of codeine and NSAID combination in rhinogenic headache
Headache is a common complaint which otolaryngologists frequently have to evaluate and treat in practice. Migraine, tension, cluster and sinus-rooted headaches are the most confronted ones in primary visits. Therefore, c...
The treatment of gingival recessions - Our experience
OBJECTIVE. The purpose of this study was to compare the options for treatment of Miller’s Class I and Class II gingival recessions using coronally advanced flap (CAF) and platelet-rich fibrin membrane (PRFm) with CAF and...
Possible association between -954G/C iNOS polymorphism in nasal polyposis. A case-control study in a population group of Northern Romania
BACKGROUND. Polymorphisms for genes encoding chemosensitive signalling proteins like NOS2 might contribute to the variability in individual susceptibility to nasal polyposis. NO produced by the inducible NO synthase enzy...
Drug-induced sleep endoscopy – decisional factor in obstructive sleep apnea treatment
BACKGROUND. Drug-Induced Sleep Endoscopy (DISE) is a sleep apnea diagnostic procedure which allows direct view the obstruction while inducing sleep using analgosedation with propofol. Many studies highlighted the importa...