Epithetic nasal reconstruction after total rhinectomy: Oncologic outcomes, immediate and long-term adverse effects, and quality of life. Issue 3 (March 2021)

• Record Type: Journal Article
• Authors: D'heygere, Victoria; Mattheis, Stefan; Stähr, Kerstin; Bastian, Tobias; Höing, Benedikt; Lang, Stephan; Hussain, Timon
• Is Part Of: Journal of plastic, reconstructive & aesthetic surgery. Volume 74:Issue 3(2021)
• Page Start: 625
• Page End: 631
• Publication Date: 2021-03
• Subjects: Total rhinectomy -- Nasal epithesis -- FACE Q -- Nasal carcinoma; Surgery, Plastic -- Great Britain -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Surgery, Plastic -- Great Britain -- Periodicals; 617.9505
• DOI: 10.1016/j.bjps.2020.10.013
• Languages: English
• ISSNs: 1748-6815

Abstract

Summary: Introduction: Total rhinectomy for tumors of the nasal cavity substantially alters patients' appearance and requires local reconstruction. While full nasal epitheses are well-established for this purpose, potential long-term adverse effects and impact on patients' quality of life are not fully understood. Methods: Sixteen patients who underwent total rhinectomy with ensuing nasal reconstruction with a full nasal epithesis were included in the study. Oncologic outcomes were assessed, and adverse effects and quality of life analyses were performed based on a patient-reported outcomes tool. Results: In patients with squamous cell carcinomas of the nasal cavity, total rhinectomy led to excellent local tumor control. Immediate and long-term adverse effects of total rhinectomy and placement of a nasal epithesis were predominantly limited to the immediate nasal region. While patients were satisfied with their nasal appearance, they reported a worse assessment of their facial appearance and a measurable long-term effect on their psychological well-being. Conclusion: Total rhinectomy and reconstruction with a full nasal epithesis is a safe and oncologically sound treatment approach. However, its effects on patients' overall appearance and psychological well-being need to be considered during treatment planning and follow-up.