Abstract
This article comes as a presentation of the clinical experience in the plastic surgery department. Gather the experience of 3 clinical cases, more representative, with different histopathological tumors, of important dimensions that occupied a large part of the facial anatomical unit, the nose. The article is structured by presenting the risk factors that are the causes of malignant lesions and by recalling the therapeutic options and general principles of addressing large lesions. Malignant lesions that occur most frequently in the nose are reviewed. We consider that it is a serious health problem, with various consequences, of a functional nature, which can affect the airways and aesthetically that can lead to a reconsideration of self-respect and the perception of the affected person towards his peers. The approach of the cases was done sequentially. The first surgical stage involved the excision of the lesion with the oncological safety limit, the defect being larger than the lesion and the more elaborate therapeutic options on the reconstruction scale. The first operative stage ended each time with covering the defect with a graft to have the confirmation of the histopathological examination, free of the tumor. The second stage of the treatment involved lifting the flap and accommodating it. The last surgical stage involved the sectioning of the pedicle and its reintegration into the donor area.
Highlights
Skin cancer is the most common form of cancer diagnosed in the world, exceeding the combined incidence of breast, prostate, lung and colon cancer cases annually
The predominant risk factors include: intense sunlight and UV exposure, Fitzpatrick skin types I-II, a family history of skin cancer, male sex, smoking, human papilloma virus, exposure to arsenic or hydrocarbons, previous radiation and immunodeficiency resulting from acquired immunodeficiency syndrome or systemic drugs required for transplant recipients
But there are basal cell carcinoma (BCC) associated with several clinical syndromes like Bazex syndrome, Gorlin syndrome and xeroderma pigmentosum
Summary
Skin cancer is the most common form of cancer diagnosed in the world, exceeding the combined incidence of breast, prostate, lung and colon cancer cases annually. The predominant risk factors include: intense sunlight and UV exposure, Fitzpatrick skin types I-II, a family history of skin cancer, male sex, smoking, human papilloma virus, exposure to arsenic or hydrocarbons, previous radiation and immunodeficiency resulting from acquired immunodeficiency syndrome or systemic drugs required for transplant recipients. It usually arises sporadically, but there are BCC associated with several clinical syndromes like Bazex syndrome, Gorlin syndrome (basal cell nevus syndrome) and xeroderma pigmentosum. The paramedian forehead flap method that is a very old and constantly improved technique[3,4,5,6,7,8,9,10,11,12,13,14]
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