Immediate reconstruction of nasal alar defects after malignant skin tumor excision without mohs surgery
The European Research Journal, vol.9, no.5, pp.1027-1033, 2023 (Peer-Reviewed Journal)
- Publication Type: Article / Article
- Volume: 9 Issue: 5
- Publication Date: 2023
- Doi Number: 10.18621/eurj.1335333
- Journal Name: The European Research Journal
- Journal Indexes: Academic Search Premier, EMBASE, TR DİZİN (ULAKBİM)
- Page Numbers: pp.1027-1033
- Open Archive Collection: AVESIS Open Access Collection
- Akdeniz University Affiliated: Yes
Abstract
Objectives: The National Comprehensive Cancer Network guidelines state that any nasal region with squamous or basal cell skin cancer is at high risk. Although Mohs surgery is the gold-standard procedure for many types of skin cancer, it is not applicable worldwide. A mean of 1.7 Mohs surgery stage is performed in cases of tumors. Nasal obstruction is a problem with Mohs surgery. In this study, we aimed to investigate nasal alar region nonmelanoma malignant skin tumor excision using immediate reconstruction without Mohs surgery. Methods: Ten patients underwent reconstruction surgery between 2018 and 2022. The inclusion criterion were ulcerated lesions in the nasal alar region measuring less than 1 cm in diameter, the lesions which were suspected either as basal cell carcinoma (BCC) or squamous cell carcinoma (SCC) on dermatoscopic examination, the patients who had intact nasal mucosa during anterior rhinoscopy. Results: The mean follow-up duration was 26 months. No patient required re-operation because of an excisional biopsy result that involved border proximity. We observed no serious complications or long-term recurrences. Conclusion: We recommend our algorithm for patients for whom Mohs surgery is not applicable.