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KMID : 0390220190300020247
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2019 Volume.30 No. 2 p.247 ~ p.252
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A Case of Structural Nasal Reconstruction with Para-Median Forehead Flap, Autologous Costal Cartilage, and Reverse Inferior Turbinate Rotational Flap after Wide Excision of Skin Cancer of Nasal Dorsum
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Shin Dong-Min
Choi Kyu-Sung
Ahn Pyung-Ahn
Jung Yong-Gi
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Abstract
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Skin cancer is most likely to develop in the area exposed to sunlight, and the nasal dorsum is the most common site of skin cancer. Considering the treatment of nasal skin cancer, reconstruction after wide excision is the most problematic due to complexity of structure and insufficient tissue to use. After wide excision including skin soft tissue envelop, cartilaginous framework, and inner lining mucosa, structural reconstruction is required to restore nasal function and normal looking appearance of nose. We report treatment result of a 64-year old pa- tient diagnosed with squamous cell carcinoma at nasal dorsum. After wide excision of the lesion, para-median forehead rotational flap was used for reconstruction of soft tissue envelope of nasal dorsum and autologous cos- tal cartilage was used for cartilaginous framework. For the reconstruction of inner mucosal lining, reverse infe- rior turbinate flap was used. The patient was followed up for 16 months, and there was no recurrence of the pri- mary lesion. The site of reconstruction was well maintained its original shape without retraction and contracture.
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KEYWORD
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Reconstruction, Costal cartilage, Squamous cell cancer, Turbinate, Nose flapd
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