Núñez-Castañeda José Miguel, Chang-Grozo Silvana Lucia
Head, Neck and Maxillofacial Surgery Service, Hospital Nacional Dos de Mayo, Parque "Historia de la Medicina Peruana", S/N, Av. Miguel Grau 13, Cercado de Lima Lima, Perú.
Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú.
Indian J Otolaryngol Head Neck Surg. 2022 Sep;74(3):305-313. doi: 10.1007/s12070-021-02475-2. Epub 2021 Mar 16.
The aim of this study was to determine the prevalence of nasal skin cancer, its location by facial aesthetic subunits and the type of reconstructive procedures performed for each nasal subunit after excision for nasal skin tumors. Observational cross-sectional study of all consecutive patients with the diagnosis of skin tumor located in the nasal unit, treated from 2018 to 2019 by the department of head and neck surgery of a general hospital. 60 patients were treated with nasal skin tumors excisions. A total of 52 patients (86,6%) had basal cell skin cancer, 7 (11,6%) had squamous cell skin cancer and 1 (1,6%) had melanoma. Fifty-nine patients (98.33%) presented a primary tumor and just 1 case (1,66%) recived a previous surgical treatment. Regardless of the type of tumor, the tip subunit was the most often involved with 29 (48,33%) cases in total. Despite of the nasal aesthetic subunit affected, the most frequent type of procedure used for reconstruction was the rotation or advancement flap, based on aesthetic nasal subunits, which was performed in 39 cases (65%). Nasal reconstruction after skin cancer can be very complex, especially since all patients have high expectations about the results. In order to achieve good results, there is a necessity for careful analysis of the defect, correct planning and excellent technical execution of the procedures Frequently, staged procedures will be needed to achieve an optimal result.
本研究的目的是确定鼻皮肤癌的患病率、按面部美学亚单位划分的病变位置以及鼻皮肤肿瘤切除术后各鼻亚单位所采用的重建手术类型。对一家综合医院头颈外科2018年至2019年治疗的所有连续诊断为位于鼻单位的皮肤肿瘤患者进行观察性横断面研究。60例患者接受了鼻皮肤肿瘤切除术。共有52例患者（86.6%）患有基底细胞皮肤癌，7例（11.6%）患有鳞状细胞皮肤癌，1例（1.6%）患有黑色素瘤。59例患者（98.33%）为原发性肿瘤，仅1例（1.66%）曾接受过手术治疗。无论肿瘤类型如何，鼻尖亚单位受累最为常见，总共29例（48.33%）。尽管鼻美学亚单位受到影响，但基于鼻美学亚单位进行重建最常用的手术类型是旋转或推进皮瓣，共39例（65%）。皮肤癌后的鼻重建可能非常复杂，尤其是因为所有患者对结果都有很高的期望。为了取得良好的效果，有必要仔细分析缺损情况、正确规划并出色地执行手术操作。通常，需要分阶段进行手术以达到最佳效果。
