Pagotto Vitor Penteado Figueiredo, Tutihashi Rafael Mamoru Carneiro, Ribeiro Renan Diego Americo, Takahashi Giulia Godoy, Camargo Cristina Pires, Busnardo Fábio de Freitas, Gemperli Rolf
Division of Plastic Surgery, Medical School, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil.
Instituto do Câncer do Estado de São Paulo (ICESP), São Paulo, Brazil.
Plast Reconstr Surg Glob Open. 2021 Apr 8;9(4):e3533. doi: 10.1097/GOX.0000000000003533. eCollection 2021 Apr.
Nonmelanoma skin cancer (NMSC) is responsible for high morbidity and mortality, resulting in a high cost to the health system. The nose is the leading region affected by this type of tumor and may need reconstruction by tissue transfer. The paramedian forehead flap (PFF) is one of the main options used, and the factors that influence the result should be studied. The FACE-Q questionnaire allows the assessment of appearance, quality of life, and side effects related to the procedure, whereas the Nasal Obstruction Symptom Evaluation questionnaire enables the nose function evaluation.
This study evaluates nasal reconstruction with a PFF after resection of NMSC with the FACE-Q questionnaire and Nasal Obstruction Symptom Evaluation. Spearman Rank correlation coefficient tests between the questionnaire results and patients' characteristics were performed.
The questionnaires were completely answered by 49 patients who underwent this reconstruction between 2011 and 2019 in a cancer center. The patients' evaluations demonstrate high satisfaction with appearance, quality of life, side effects, and function. Completing reconstruction under 6 months was associated with a higher quality of life among patients ( = 0.002). Reconstruction of lining or scaffold, moment of flap division, complications, and number of operations did not show an association.
This study suggests that the PFF is a reliable option for nasal reconstruction. Identifying the total reconstruction time as an impact factor on patients' quality of life should be considered when planning treatment.
非黑色素瘤皮肤癌（NMSC）导致了高发病率和死亡率，给卫生系统带来了高昂成本。鼻子是受这类肿瘤影响的主要部位，可能需要通过组织转移进行重建。正中旁前额皮瓣（PFF）是主要的使用选项之一，应研究影响其效果的因素。FACE-Q问卷可用于评估外观、生活质量以及与手术相关的副作用，而鼻阻塞症状评估问卷则能对鼻子功能进行评估。
本研究使用FACE-Q问卷和鼻阻塞症状评估对NMSC切除术后采用PFF进行鼻重建的情况进行评估。对问卷结果与患者特征之间进行了Spearman等级相关系数检验。
49例在2011年至2019年期间于某癌症中心接受该重建手术的患者完整回答了问卷。患者对外观、生活质量、副作用和功能的评价显示出高度满意度。在6个月内完成重建与患者更高的生活质量相关（ = 0.002）。衬里或支架的重建、皮瓣分割时机、并发症和手术次数均未显示出相关性。
本研究表明PFF是鼻重建的可靠选择。在规划治疗时，应将确定总重建时间作为影响患者生活质量的一个因素加以考虑。
