Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional study
ABSTRACT Introduction: nose is the central point of the face and vulnerable to the occurence of non-melanoma skin cancer (NMSC), impacting on appearance. The paramedian forehead flap (PMFF) is considered the best option to treat extensive nasal defects. The objective of this study is to present th...
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| Format: | Article |
| Language: | English |
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Colégio Brasileiro de Cirurgiões
2022-09-01
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| Series: | Revista do Colégio Brasileiro de Cirurgiões |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100231&tlng=pt |
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| author | RENAN DIEGO AMÉRICO RIBEIRO VITOR PENTEADO FIGUEIREDO PAGOTTO GIULIA GODOY TAKAHASHI RAFAEL MAMORU CARNEIRO TUTIHASHI CRISTINA PIRES CAMARGO FABIO DE FREITAS BUSNARDO ROLF GEMPERLI |
| author_facet | RENAN DIEGO AMÉRICO RIBEIRO VITOR PENTEADO FIGUEIREDO PAGOTTO GIULIA GODOY TAKAHASHI RAFAEL MAMORU CARNEIRO TUTIHASHI CRISTINA PIRES CAMARGO FABIO DE FREITAS BUSNARDO ROLF GEMPERLI |
| author_sort | RENAN DIEGO AMÉRICO RIBEIRO |
| collection | DOAJ |
| description | ABSTRACT Introduction: nose is the central point of the face and vulnerable to the occurence of non-melanoma skin cancer (NMSC), impacting on appearance. The paramedian forehead flap (PMFF) is considered the best option to treat extensive nasal defects. The objective of this study is to present the experience on PMFF for nasal reconstruction in the treatment of NMSC of a cancer referral center. Methods: retrospective study was carried out through data from medical records of patients who underwent nasal reconstruction with PMFF due to NMSC at the Cancer Institute of the State of São Paulo (ICESP). Results: 111 patients were identified, mostly ederly, with comorbidities and on initial tumors (T1 and T2). Basal cell carcinoma (BCC) was the predominant histological type. Dorsum and tip were the most affected subunitis. In addition to skin coverage, reconstruction of the lining and structural framework was also performed in half of the cases. Second intention healing was the technique of choice in closing the donor area. Pedicle division ocurred predominantly in the second operation and the median time to complete reconstruction was 6 months. There were low complication rates. Conclusions: the PMFF is safe and effective to treat nose NMSC, even in cases of high complexity. Since the treatment time can be prolonged and impact on quality of life, it is essential to emphasize and discuss this aspect with the patients before surgery. |
| first_indexed | 2024-12-10T15:20:52Z |
| format | Article |
| id | doaj.art-d7c675aa53b84dcc802687c2f2fe9856 |
| institution | Directory Open Access Journal |
| issn | 1809-4546 |
| language | English |
| last_indexed | 2024-12-10T15:20:52Z |
| publishDate | 2022-09-01 |
| publisher | Colégio Brasileiro de Cirurgiões |
| record_format | Article |
| series | Revista do Colégio Brasileiro de Cirurgiões |
| spelling | doaj.art-d7c675aa53b84dcc802687c2f2fe98562022-12-22T01:43:41ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-45462022-09-014910.1590/0100-6991e-20223034-enParamedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional studyRENAN DIEGO AMÉRICO RIBEIROhttps://orcid.org/0000-0003-3858-4227VITOR PENTEADO FIGUEIREDO PAGOTTOhttps://orcid.org/0000-0002-5674-9462GIULIA GODOY TAKAHASHIhttps://orcid.org/0000-0003-1729-7317RAFAEL MAMORU CARNEIRO TUTIHASHIhttps://orcid.org/0000-0001-9194-8726CRISTINA PIRES CAMARGOhttps://orcid.org/0000-0002-3134-0003FABIO DE FREITAS BUSNARDOhttps://orcid.org/0000-0003-0436-1383ROLF GEMPERLIhttps://orcid.org/0000-0001-9913-6079ABSTRACT Introduction: nose is the central point of the face and vulnerable to the occurence of non-melanoma skin cancer (NMSC), impacting on appearance. The paramedian forehead flap (PMFF) is considered the best option to treat extensive nasal defects. The objective of this study is to present the experience on PMFF for nasal reconstruction in the treatment of NMSC of a cancer referral center. Methods: retrospective study was carried out through data from medical records of patients who underwent nasal reconstruction with PMFF due to NMSC at the Cancer Institute of the State of São Paulo (ICESP). Results: 111 patients were identified, mostly ederly, with comorbidities and on initial tumors (T1 and T2). Basal cell carcinoma (BCC) was the predominant histological type. Dorsum and tip were the most affected subunitis. In addition to skin coverage, reconstruction of the lining and structural framework was also performed in half of the cases. Second intention healing was the technique of choice in closing the donor area. Pedicle division ocurred predominantly in the second operation and the median time to complete reconstruction was 6 months. There were low complication rates. Conclusions: the PMFF is safe and effective to treat nose NMSC, even in cases of high complexity. Since the treatment time can be prolonged and impact on quality of life, it is essential to emphasize and discuss this aspect with the patients before surgery.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100231&tlng=ptSkin NeoplasmsNose NeoplasmsNose Deformities, AcquiredMyocutaneous FlapQuality of Life |
| spellingShingle | RENAN DIEGO AMÉRICO RIBEIRO VITOR PENTEADO FIGUEIREDO PAGOTTO GIULIA GODOY TAKAHASHI RAFAEL MAMORU CARNEIRO TUTIHASHI CRISTINA PIRES CAMARGO FABIO DE FREITAS BUSNARDO ROLF GEMPERLI Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional study Revista do Colégio Brasileiro de Cirurgiões Skin Neoplasms Nose Neoplasms Nose Deformities, Acquired Myocutaneous Flap Quality of Life |
| title | Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional study |
| title_full | Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional study |
| title_fullStr | Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional study |
| title_full_unstemmed | Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional study |
| title_short | Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional study |
| title_sort | paramedian forehead flap in the treatment of nasal non melanoma skin cancer a cross sectional study |
| topic | Skin Neoplasms Nose Neoplasms Nose Deformities, Acquired Myocutaneous Flap Quality of Life |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100231&tlng=pt |
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