Barakati Tamana, Ehsan Hedayatullah, Humkar Omid, Shadab Hassina, Ibrahimkhil Munir Ahmad
Faculty of Medicine and Dentistry Queen Mary University of London London UK.
Medical Sciences Research Center Ghalib University Kabul Afghanistan.
Clin Case Rep. 2025 Jan 6;13(1):e70020. doi: 10.1002/ccr3.70020. eCollection 2025 Jan.
Nasal rehabilitation following basal cell carcinoma (BCC) and radiotherapy presents significant challenges due to the intricate balance between aesthetic and functional restoration. This case report discusses the rehabilitation of a 73-year-old male who underwent surgical excision and radiotherapy for BCC located on the left ala of the nose. Post-treatment, the patient experienced dissatisfaction with his facial appearance, negatively impacting his quality of life. This study highlights the critical role of interdisciplinary collaboration in achieving optimal outcomes through prosthetic reconstruction. The process involved careful surgical removal of residual tissue, followed by detailed impression-taking, modeling, and fabrication of a custom nasal prosthesis. Key considerations included anatomical accuracy, symmetry, and color matching to ensure a natural appearance. Emphasis was placed on patient-centered care, addressing both physical and psychological aspects. Despite achieving satisfactory results, limitations such as the absence of long-term follow-up data were noted. Future research should focus on long-term prosthesis performance and patient-reported outcomes to enhance rehabilitation strategies. This case underscores the importance of an integrated approach combining surgical precision, prosthodontic expertise, and psychological support to improve patient satisfaction and quality of life following nasal rehabilitation post-BCC and radiotherapy.
基底细胞癌(BCC)及放疗后的鼻修复因美学与功能恢复之间的复杂平衡而面临重大挑战。本病例报告探讨了一名73岁男性的修复情况,该患者因位于左鼻翼的基底细胞癌接受了手术切除及放疗。治疗后,患者对其面部外观不满意,对其生活质量产生了负面影响。本研究强调了跨学科合作在通过假体重建实现最佳效果方面的关键作用。该过程包括仔细手术切除残留组织,随后进行详细的取模、建模以及定制鼻假体的制作。关键考虑因素包括解剖学准确性、对称性和颜色匹配,以确保自然外观。重点在于以患者为中心的护理,兼顾身体和心理方面。尽管取得了满意的结果,但也指出了一些局限性,如缺乏长期随访数据。未来的研究应关注假体的长期性能以及患者报告的结果,以改进修复策略。本病例强调了结合手术精准度、口腔修复专业知识和心理支持的综合方法对于提高基底细胞癌及放疗后鼻修复患者的满意度和生活质量的重要性。