Section: 
Science articles
Science articlesReconstructive aspects of surgical treatment of external nose skin neoplasms
A. L. Klochikhin (1), A. L. Chistyakov (2), V. V. Byrikhina (1)
(1) Yaroslavl State Medical University, Yaroslavl, 150000, Russia
(2) Clinical Oncology Hospital, Yaroslavl, 150047, Russia
UDK: 616.5:616.212-006.6-089.844
DOI: https://doi.org/10.18692/1810-4800-2019-5-40-45
ABSTRACT
The unsatisfactory results of treatment of external nose skin neoplasms is a serious social problem. The nose is the central and most visible part of the face, therefore, the patients are very sensitive even to minor defects in this area. The social significance of the location of skin tumors on the face is the predominant factor of the choice of a treatment method. Radiation therapy, cryodestruction and laser excision of malignant skin tumors provide equally favorable results at stages I–II of the process. However, with these types of treatment, the percentage of tumor recurrences is rather high. In most cases, the cause of recurrence is the inadequate excision of the tumor due to the desire of simultaneous replacement of the defect with local tissues. The more radical the treatment is and the earlier it is carried out, the lower is the probability of recurrence. The objective of study: to improve the oncological and functional results of surgical treatment of external nose skin neoplasms. The authors have analyzed the results of surgical treatment of external nose skin neoplasms in 93 patients, including 45 men and 48 women. The operation included wide excision of neoplasm with simultaneous closure of the formed defect with the help of some kind of plastics. The average age of patients was 70.5 years. According to the histological structure, 62 patients had basal cell carcinoma of the nasal skin, 21 had squamous cell carcinoma, 5 had metatypical cancer, 4 had melanoma, and 1 patient had ganglioneuroblastoma. The distribution of patients according to TNM system was as follows: T1 – 50 patients; T2 – 29; T3 – 3; T4 – 11. The reconstruction of external nose defects was performed using various types of flaps. The wound healing by primary intention was observed in 75 of 93 patients, which accounted for 80.6%. Complicated wound healing was observed in 18 patients (19.4%): trophic disorders were observed in 3 patients (3.2%), postoperative wound suppuration – in 4 (4.3%); partial flap necrosis – in 11 (11.8%). The suggested new method of external nose plastics provides safe healing of postoperative wounds and good cosmetic results.
Publication date:
25.10.2019
Keywords:
nose skin, tumor, defect, reconstructive surgery, wound process, wound healing. For citation:
Klochikhin A. L., Chistyakov A. L., Byrikhina V. V. Reconstructive aspects of surgical treatment of external nose skin neoplasms. Rossiiskaya otorinolaringologiya. 2019;18(5):40–45. https://doi.org/10.18692/1810-4800-2019-5-40-45