Three-dimensional alar nasal reconstruction by exeresis of basal cell carcinoma in a geriatric patient

Authors

  • Denia Morales Navarro Universidad de Ciencias Médicas de La Habana. Facultad de Estomatología “Raúl González Sánchez”. La Habana
  • Vanessa Barreto Orozco Hospital Universitario “General Calixto García”. La Habana https://orcid.org/0000-0002-4259-3655

Keywords:

basal cell carcinoma, nose, neoplasms, ear cartilage, ambulatory surgical procedures, elderly person.

Abstract

Introduction: Patients with skin lesions have changes in their personal appearance, not only because of the injury itself, but also because of the surgical treatments they must undergo. In the facial region these lesions are clearly evident and have greater aesthetic importance.

Objective: Characterize a case of three-dimensional alar nasal reconstruction by exeresis of basal cell carcinoma in a geriatric patient.

Clinical case: An 81-year-old male patient with a personal history of hypertension reports the presence of a nasal lesion of 5-month evolution with progressive growth. At facial physical examination an alteration is detected of the contour of the right nasal wing due to a lesion with a diagnostic impression of basal cell carcinoma. After the preoperative check-up, it is decided to perform three-dimensional exeresis and reconstruction by cartilaginous graft of the auricular concha and nasogenian pedicled flap. At four weeks, the second surgical act is scheduled for disconnection of the pedicled flap.

Conclusions: The nasogenian pedicled flap combined with an autologous cartilage graft constituted an excellent therapeutic option that allowed three-dimensional nasal reconstruction, obtaining good aesthetic and functional effects, as well as high patient satisfaction with the results obtained.

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Author Biographies

Denia Morales Navarro, Universidad de Ciencias Médicas de La Habana. Facultad de Estomatología “Raúl González Sánchez”. La Habana

Doctora en Ciencias Estomatológicas. Especialista de segundo grado en Cirugía Maxilofacial. Profesor Titular de la Facultad de Estomatología UCMH

Vanessa Barreto Orozco, Hospital Universitario “General Calixto García”. La Habana

Residente de tercer año de Cirugía Maxilofacial. Hospital Universitario “General Calixto García”

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Published

2019-05-27

How to Cite

1.
Morales Navarro D, Barreto Orozco V. Three-dimensional alar nasal reconstruction by exeresis of basal cell carcinoma in a geriatric patient. Rev Cubana Estomatol [Internet]. 2019 May 27 [cited 2025 Jul. 7];56(2):198-206. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/2021

Issue

Vol. 56 No. 2 (2019): APR- JUN

Section

Case Report

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