A Simple Algorithm For The Reconstruction Of Nasal Defects: A Single Center Study

Abstract

INTRODUCTION: Nasal defects occur mostly after cancer surgery or as a result of trauma, and are of importance in reconstructions. It is highly likely that the cosmetic consequences of nasal defect reconstructions will affect the individual's social life as the location of the nose is in the middle zone of the face. METHODS: 40 male patients and 36 female patients who underwent operations on nasal defects for various reasons, such as trauma, cancer surgery etc. Depending on several reasons, including size, the location of the defect and surgical border. A simple, easy and reliable algorithm that could be used in nasal defects was developed RESULTS: The youngest patient, a 3-year-old girl with xeroderma pigmentosum and she has a basal cell carcinoma in her nose and the eldest patient at the age of 92, who had basal cell carcinoma at the tip of the nose. The mean age is 57.75. The largest defect after surgery is 10x7 cm (mass 8x5 cm). Radial forearm free flap was applied to close this defect. The smallest defect was 0.6 cm (6 mm-lesion 3 mm) and this defect was closed primarily. The diagnosis of the largest lesion was basosquamous cell carcinoma, the smallest lesion was basal cell carcinoma. DISCUSSION AND CONCLUSION: The nose is a complex structure that is made up of such sub-units as the dorsum, lateral nasal walls, type, alar wings, soft triangle and columellate. If a reconstruction is performed after the defects in these sub-units are evaluated according to a certain algorithm, better results could be obtained.

Keywords

• nasal defects
• reconstruction
• algorithm