The Evaluation of Surgical Outcomes in Skin Tumors of the Nose: Our Experience

Year 2018, Volume: 1 Issue: 3, 58 - 62, 06.03.2019

Gökçe Tanyeri Toker , Peyker Temiz , Onur Dombaycı , Görkem Eskiizmir

Abstract

Objective: The nose is a common site for skin tumors because of its location on the face and it being exposed to sun. This study aimed to evaluate the tumor characteristics and reconstruction techniques in patients who underwent surgery for nasal skin tumors.

Material and Methods: Eighty-six patients who were operated in Manisa, Department of Otolaryngology Head and Neck Surgery between 2007 and 2017 were included in the study. The sociodemographic data, size, depth, volume, and histopathological type of the tumor; the reconstruction technique; and surgical outcomes were evaluated.

Results: The mean age of all patients was 64.8 years (range between 18 and 86 years). Among them, 45 patients were female, and 41 were male. Tumor histopathology was defined as basal cell carcinoma in 57 patients, squamous cell carcinoma in 14 patients, malignant melanoma in one patient, and solar keratosis in three patients. Local and regional flaps were used in 57 patients, primary repair in 17 patients, skin grafts in eight patients, and other techniques in four patients. The paramedian forehead flap and the melolabial flap were the most common and the second most common flap techniques, respectively.

Conclusion: The most common histopathological type in nasal skin tumors is basal cell carcinoma. The nasal reconstruction technique should be individualized based on the size, and depth, and location of the defect that occurs after tumor excision.

Keywords

Nasal skin cancer , nasal reconstruction , basal cell carcinoma , squamous cell carcinoma

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