Tumors of the nasal pyramid: treatment with grafts and follow-up

摘要

Abstract Introduction: The purpose of this paper is to present the follow-up of patients suffering from tumors of the nasal pyramid, who have been treated with the use of different grafts.Methods: Patients with tumors of the nasal dorsum, the alar margin and the base of the nose are included in this paper. The age range of the patients is from 29 to 88 years. All of them were treated with full thickness excision of the tumor and cover of the defect with full thickness skin grafts obtained from the supraclavicular area, except for the one involving the alar margin, which was covered with composite graft (skin – cartilage – skin) obtained from the auricle. All operations were conducted in one step.Results: No graft was rejected. The only early complication was a case of skin allergy to the adhesive tape, though two patients were suffering from diabetes mellitus, a factor which is described in literature as being aggravating for operations involving grafts. The follow-up lasts from 1 day to 12 years. No tumor has recurred – at least up to now – though one patient was operated for the recurrence of a tumor already operated elsewhere. Neither lymphatic nor distal metastases have been noticed in cases of squamous cell carcinoma. A death has been recorded, but it was due to irrelevant reason. No patient expressed dissatisfaction with the final aesthetic result.Conclusion: The treatment of tumors of nasal pyramid with the appropriate graft offers the best results both from the oncologic and aesthetic point of view.Der Erstautor gibt keinen Interessenkonflikt an.