Abstract

Carcinoma of the upper aero-digestive tract accounts for 5% of all human tumors. Primary nasal septal malignancies were rare. The dominant type is squamous cell carcinoma, followed by melanoma and salivary gland malignancies. The preferable treatment of squamous cell carcinoma of the nasal septum is a wide surgical excision, with postoperative irradiation. As the nose is the most prominent feature of the face, surgical resection carries important aesthetic, physiologic, social, and psychological implication. We designed the dorsalis pedis osteocutaneous ”Sandwich” free flap for reconstruction of the nasal septal defect after resecting tumor and attained aesthetically acceptable result.

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