Immediate reconstruction of nasal alar defects after malignant skin tumor excision without mohs surgery

Authors : Mehmet TAPAN, Özlenen ÖZKAN

Pages : 1027-1033

Doi:10.18621/eurj.1335333

View : 49 | Download : 66

Publication Date : 2023-09-04

Article Type : Research Paper

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 insert ignore into journalissuearticles values(BCC); or squamous cell carcinoma insert ignore into journalissuearticles values(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.
Keywords : Malignant skin tumor, Mohs surgery, nasal alar defects, reconstruction