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Epithetic nasal reconstruction for nasal carcinoma: retrospective analysis on 22 patients

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Advanced nasal cancers usually demand partial or total rhinectomy followed by radiotherapy. Reconstruction of the resulting defects can be achieved by means of reconstructive plastic surgery and/or epithetic surgery. The data of 22 patients who had been treated after nasal ablation by means of custom-made silicone nasal epithesis fixed by bone-anchored magnets between 2003 and 2014 were evaluated retrospectively. There were 15 male (68.2 %) and 7 (31.8 %) female patients. The most common etiology that led to epithetic rehabilitation was a squamous cell carcinoma in 16 patients. An operative revision was necessary in two patients due to screw loss. Twenty patients were still alive with no evidence of disease after minimum follow-up of 2 years (90.9 %). Epithetic rehabilitation after nasal ablation to treat nasal malignancies is an interesting alternative to plastic and reconstructive surgery. Bone-anchored fixation using magnets can achieve a stable epithetic fixation after nasal ablation necessitating, in numerous cases, additional adjuvant therapy like radiation.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, University Medical Centre Homburg/Saar, University of Homburg, Kirrberg Straße, 66421, Homburg/Saar, Germany

    Giorgos Papaspyrou, Bernhard Schick & Basel Al Kadah

  2. Epithese Institut Schneider, Zweibrücken, Germany

    Mathias Schneider

Authors
  1. Giorgos Papaspyrou
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  2. Bernhard Schick
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  3. Mathias Schneider
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  4. Basel Al Kadah
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Correspondence to Giorgos Papaspyrou.

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The authors declare that they have no conflict of interest.

Research involving human participants and/or animals

Ethical approval All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.

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Informed consent was obtained from all individual participants included in the study.

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Papaspyrou, G., Schick, B., Schneider, M. et al. Epithetic nasal reconstruction for nasal carcinoma: retrospective analysis on 22 patients. Eur Arch Otorhinolaryngol 274, 867–872 (2017). https://doi.org/10.1007/s00405-016-4312-y

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  • DOI: https://doi.org/10.1007/s00405-016-4312-y

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