Nasal reconstruction: an analysis of a series of cases
INTRODUCTION: Nasal reconstruction is challenging because of the central position and role of the nose in the face. Minor defects in this region become obvious. A retrospective analysis of 146 nasal reconstruction surgeries in the Integrated Plastic Surgery Services of the Ipiranga Hospital (SICP-HI...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2016-09-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/1765/en_v31n3a12.pdf |
| _version_ | 1797419447260020736 |
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| author | Beatriz Buzzini Moura Fernando Luiz Signore Thaise Erani Buzzo Luciano Portante Watanabe Rinaldo Fischler José Octávio Gonçalves de Freitas |
| author_facet | Beatriz Buzzini Moura Fernando Luiz Signore Thaise Erani Buzzo Luciano Portante Watanabe Rinaldo Fischler José Octávio Gonçalves de Freitas |
| author_sort | Beatriz Buzzini Moura |
| collection | DOAJ |
| description | INTRODUCTION: Nasal reconstruction is challenging because of the central position and role of the nose in the face. Minor defects in this region become obvious. A retrospective analysis of 146 nasal reconstruction surgeries in the Integrated Plastic Surgery Services of the Ipiranga Hospital (SICP-HI) was performed, evaluating the incidence of nasal defects, as well as the main surgical techniques performed in accordance with each nasal region.
METHODS: A retrospective descriptive study through a review of 109 medical records and photograph archives of patients treated in SICP-HI, São Paulo, SP, from January 2011 to June 2014.
RESULTS: A total of 146 surgeries were performed. The mean patient age was 67 years. Regarding the type of malignant tumors found, 104 (73%) were basal cell carcinoma and 3 (2%) were squamous cell carcinoma. The remaining 36 (25%) lesions were benign. The most affected nasal regions were as follows: nasal wing, 55 (38%); the dorsum, 36 (25%); tip, 26 (18%); sidewalls, 12 (8%); unspecified, 7 (5%); total involvement of the nose, 5 (3%); and the columella, 2 (1%). There was a preference for primary closure of the defect. However, if this was infeasible, local flaps were used, in agreement with the literature.
CONCLUSION: The nasal aesthetic subunits can be reconstructed using a variety of surgical techniques. The surgeon should seek an appropriate aesthetic and functional outcome. |
| first_indexed | 2024-03-09T06:47:26Z |
| format | Article |
| id | doaj.art-9ded00a6a0bf44de9e7f1ec9c0192aa6 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T06:47:26Z |
| publishDate | 2016-09-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-9ded00a6a0bf44de9e7f1ec9c0192aa62023-12-03T10:33:27ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352016-09-01310336837210.5935/2177-1235.2016RBCP0060Nasal reconstruction: an analysis of a series of casesBeatriz Buzzini Moura0Fernando Luiz Signore1Thaise Erani Buzzo2Luciano Portante Watanabe3Rinaldo Fischler4José Octávio Gonçalves de Freitas5Hospital Ipiranga, São Paulo, SP, BrazilHospital Ipiranga, São Paulo, SP, BrazilHospital Ipiranga, São Paulo, SP, BrazilHospital Ipiranga, São Paulo, SP, BrazilHospital Ipiranga, São Paulo, SP, BrazilHospital Ipiranga, São Paulo, SP, BrazilINTRODUCTION: Nasal reconstruction is challenging because of the central position and role of the nose in the face. Minor defects in this region become obvious. A retrospective analysis of 146 nasal reconstruction surgeries in the Integrated Plastic Surgery Services of the Ipiranga Hospital (SICP-HI) was performed, evaluating the incidence of nasal defects, as well as the main surgical techniques performed in accordance with each nasal region. METHODS: A retrospective descriptive study through a review of 109 medical records and photograph archives of patients treated in SICP-HI, São Paulo, SP, from January 2011 to June 2014. RESULTS: A total of 146 surgeries were performed. The mean patient age was 67 years. Regarding the type of malignant tumors found, 104 (73%) were basal cell carcinoma and 3 (2%) were squamous cell carcinoma. The remaining 36 (25%) lesions were benign. The most affected nasal regions were as follows: nasal wing, 55 (38%); the dorsum, 36 (25%); tip, 26 (18%); sidewalls, 12 (8%); unspecified, 7 (5%); total involvement of the nose, 5 (3%); and the columella, 2 (1%). There was a preference for primary closure of the defect. However, if this was infeasible, local flaps were used, in agreement with the literature. CONCLUSION: The nasal aesthetic subunits can be reconstructed using a variety of surgical techniques. The surgeon should seek an appropriate aesthetic and functional outcome.http://www.rbcp.org.br/export-pdf/1765/en_v31n3a12.pdfnasal surgical proceduresbasal cell carcinomasquamous cell carcinomaskin cancersurgical flaps |
| spellingShingle | Beatriz Buzzini Moura Fernando Luiz Signore Thaise Erani Buzzo Luciano Portante Watanabe Rinaldo Fischler José Octávio Gonçalves de Freitas Nasal reconstruction: an analysis of a series of cases Revista Brasileira de Cirurgia Plástica nasal surgical procedures basal cell carcinoma squamous cell carcinoma skin cancer surgical flaps |
| title | Nasal reconstruction: an analysis of a series of cases |
| title_full | Nasal reconstruction: an analysis of a series of cases |
| title_fullStr | Nasal reconstruction: an analysis of a series of cases |
| title_full_unstemmed | Nasal reconstruction: an analysis of a series of cases |
| title_short | Nasal reconstruction: an analysis of a series of cases |
| title_sort | nasal reconstruction an analysis of a series of cases |
| topic | nasal surgical procedures basal cell carcinoma squamous cell carcinoma skin cancer surgical flaps |
| url | http://www.rbcp.org.br/export-pdf/1765/en_v31n3a12.pdf |
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