Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-28T05:07:40.712Z Has data issue: false hasContentIssue false
  • English
  • Français

Rhinectomy for the management of nasal malignancies

Published online by Cambridge University Press:  03 August 2011

E Chipp ,
D Prinsloo  and
S Rayatt
E Chipp*
Affiliation:
Department of Plastic and Reconstructive Surgery, University Hospital North Staffordshire, Stoke on Trent, UK
D Prinsloo
Affiliation:
Department of Plastic and Reconstructive Surgery, University Hospital North Staffordshire, Stoke on Trent, UK
S Rayatt
Affiliation:
Department of Plastic and Reconstructive Surgery, University Hospital North Staffordshire, Stoke on Trent, UK
*
Address for correspondence: Ms Elizabeth Chipp, 19 Old Oak Rd, Birmingham B38 9AJ, UK Fax: +44 (0)121 507 2480 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Tumours of nasal skin or mucosa are common, and can usually be treated with limited surgical excision or radiotherapy. This paper highlights a subset of high risk tumours which require rhinectomy for complete oncological clearance.

Method:

Retrospective case note review of 14 patients undergoing rhinectomy for nasal tumours. Clinical and histological findings, treatment and outcome are reviewed and discussed.

Results:

Forty-three per cent of patients had recurrent disease and underwent rhinectomy as a salvage procedure following previous surgery or radiotherapy. Most tumours (79 per cent) were basal cell carcinoma or squamous cell carcinoma. After a mean follow up of 30.1 months (range, zero to 96 months), seven patients (50 per cent) were alive and disease-free. Reconstruction was most commonly with a prosthesis.

Conclusion:

Rhinectomy is an oncologically sound procedure for the management of high risk nasal malignancies. Prosthetic rehabilitation can be an excellent alternative to surgery, particularly in those patients unsuitable for major reconstruction.

Keywords

Nasal TumoursCarcinomaRhinectomySurgery, PlasticProstheses And Implants
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 10 , October 2011 , pp. 1033 - 1037
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Johnson, JT. Management of advanced cancers of the external nose. Oncology 1993;7:73–7Google ScholarPubMed
2Harrison, DFN. Total rhinectomy – a worthwhile operation? J Laryngol Otol 1982;96:1113–23CrossRefGoogle ScholarPubMed
3Stanley, RJ, Olsen, KD. Rhinectomy for malignant disease: a 20 year experience. Arch Otolaryngol Head Neck Surg 1998;114:1307–11CrossRefGoogle Scholar
4Teichgraeber, JF, Goepfert, H. Rhinectomy: timing and reconstruction. Otolaryngol Head Neck Surg 1990;102:362–9CrossRefGoogle ScholarPubMed
5Mignogna, FV, Garay, KF. Surgical rescue of recurrent carcinoma of the nasal columella. Am J Surg 1995;170:453–6CrossRefGoogle ScholarPubMed
6Panje, RW, Ceilley, RI. The influence of embryology of the mid-face on the spread of epithelial malignancies. Laryngoscope 1979;89:1914–20CrossRefGoogle ScholarPubMed
7Baek, CH, Kim, KS, Kang, MK. Primary mucosal melanoma of the nasal cavity. Otolaryngol Head Neck Surg 1996;115:582–3CrossRefGoogle ScholarPubMed
8Flood, TR, Russell, K. Reconstruction of nasal defects with implant-retained nasal prostheses. Br J Oral Maxillofac Surg 1998;36:341–5CrossRefGoogle ScholarPubMed
9Evans, GRD, Williams, JZ, Ainslie, NB. Cutaneous nasal malignancies: is primary reconstruction safe? Head Neck 1997;19:182–73.0.CO;2-Z>CrossRefGoogle ScholarPubMed