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BioMed Research International
Volume 2017 (2017), Article ID 9750135, 8 pages
https://doi.org/10.1155/2017/9750135
Review Article

Surgical Treatment with Locoregional Flap for the Nose

1Department of Surgery “Valdoni”, Unit of Plastic and Reconstructive Surgery, “Sapienza” University of Rome, Rome, Italy
2Department of Emergency and Organ Transplantation, Plastic and Reconstructive Surgery and Burns Unit, University of Bari “Aldo Moro”, Bari, Italy
3Dermatology Unit “Daniele Innocenzi”, Department of Medical and Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04019 Terracina, Italy
4Instituto Nacional de Oncología y Radiobiología, Servicio de Cirugía Reconstructiva, 29 yF Vedado, Plaza de la Revolución, 10400 La Habana, Cuba

Correspondence should be addressed to Marco Marcasciano

Received 20 July 2017; Accepted 22 November 2017; Published 24 December 2017

Academic Editor: Michel Saint-Cyr

Copyright © 2017 Marco Marcasciano et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Nonmelanotic skin cancers (NMSCs) are the most frequent of all neoplasms and nasal pyramid represents the most common site for the presentation of such cutaneous malignancies, particularly in sun-exposed areas: ala, dorsum, and tip. Multiple options exist to restore functional and aesthetic integrity after skin loss for oncological reasons; nevertheless, the management of nasal defects can be often challenging and the best “reconstruction” is still to be found. In this study, we retrospectively reviewed a total of 310 patients who presented to our Department of Plastic and Reconstructive Surgery for postoncological nasal reconstruction between January 2011 and January 2016. Nasal region was classified into 3 groups according to the anatomical zones affected by the lesion: proximal, middle, and distal third. We included an additional fourth group for complex defects involving more than one subunit. Reconstruction with loco regional flaps was performed in all cases. Radical tumor control and a satisfactory aesthetic and functional result are the primary goals for the reconstructive surgeon. Despite tremendous technical enhancements in nasal reconstruction techniques, optimal results are usually obtained when “like is used to repair like.” Accurate evaluation of the patients clinical condition and local defect should be always considered in order to select the best surgical option.