Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional study

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Autor(a) principal: RIBEIRO,RENAN DIEGO AMÉRICO
Data de Publicação: 2022
Outros Autores: PAGOTTO,VITOR PENTEADO FIGUEIREDO, TAKAHASHI,GIULIA GODOY, TUTIHASHI,RAFAEL MAMORU CARNEIRO, CAMARGO,CRISTINA PIRES, BUSNARDO,FABIO DE FREITAS, GEMPERLI,ROLF
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100231
Resumo: ABSTRACT Introduction: nose is the central point of the face and vulnerable to the occurence of non-melanoma skin cancer (NMSC), impacting on appearance. The paramedian forehead flap (PMFF) is considered the best option to treat extensive nasal defects. The objective of this study is to present the experience on PMFF for nasal reconstruction in the treatment of NMSC of a cancer referral center. Methods: retrospective study was carried out through data from medical records of patients who underwent nasal reconstruction with PMFF due to NMSC at the Cancer Institute of the State of São Paulo (ICESP). Results: 111 patients were identified, mostly ederly, with comorbidities and on initial tumors (T1 and T2). Basal cell carcinoma (BCC) was the predominant histological type. Dorsum and tip were the most affected subunitis. In addition to skin coverage, reconstruction of the lining and structural framework was also performed in half of the cases. Second intention healing was the technique of choice in closing the donor area. Pedicle division ocurred predominantly in the second operation and the median time to complete reconstruction was 6 months. There were low complication rates. Conclusions: the PMFF is safe and effective to treat nose NMSC, even in cases of high complexity. Since the treatment time can be prolonged and impact on quality of life, it is essential to emphasize and discuss this aspect with the patients before surgery.
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spelling Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional studySkin NeoplasmsNose NeoplasmsNose Deformities, AcquiredMyocutaneous FlapQuality of LifeABSTRACT Introduction: nose is the central point of the face and vulnerable to the occurence of non-melanoma skin cancer (NMSC), impacting on appearance. The paramedian forehead flap (PMFF) is considered the best option to treat extensive nasal defects. The objective of this study is to present the experience on PMFF for nasal reconstruction in the treatment of NMSC of a cancer referral center. Methods: retrospective study was carried out through data from medical records of patients who underwent nasal reconstruction with PMFF due to NMSC at the Cancer Institute of the State of São Paulo (ICESP). Results: 111 patients were identified, mostly ederly, with comorbidities and on initial tumors (T1 and T2). Basal cell carcinoma (BCC) was the predominant histological type. Dorsum and tip were the most affected subunitis. In addition to skin coverage, reconstruction of the lining and structural framework was also performed in half of the cases. Second intention healing was the technique of choice in closing the donor area. Pedicle division ocurred predominantly in the second operation and the median time to complete reconstruction was 6 months. There were low complication rates. Conclusions: the PMFF is safe and effective to treat nose NMSC, even in cases of high complexity. Since the treatment time can be prolonged and impact on quality of life, it is essential to emphasize and discuss this aspect with the patients before surgery.Colégio Brasileiro de Cirurgiões2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100231Revista do Colégio Brasileiro de Cirurgiões v.49 2022reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20223034-eninfo:eu-repo/semantics/openAccessRIBEIRO,RENAN DIEGO AMÉRICOPAGOTTO,VITOR PENTEADO FIGUEIREDOTAKAHASHI,GIULIA GODOYTUTIHASHI,RAFAEL MAMORU CARNEIROCAMARGO,CRISTINA PIRESBUSNARDO,FABIO DE FREITASGEMPERLI,ROLFeng2022-08-30T00:00:00Zoai:scielo:S0100-69912022000100231Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2022-08-30T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false
dc.title.none.fl_str_mv Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional study
title Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional study
spellingShingle Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional study
RIBEIRO,RENAN DIEGO AMÉRICO
Skin Neoplasms
Nose Neoplasms
Nose Deformities, Acquired
Myocutaneous Flap
Quality of Life
title_short Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional study
title_full Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional study
title_fullStr Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional study
title_full_unstemmed Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional study
title_sort Paramedian forehead flap in the treatment of nasal, non-melanoma skin cancer: a cross-sectional study
author RIBEIRO,RENAN DIEGO AMÉRICO
author_facet RIBEIRO,RENAN DIEGO AMÉRICO
PAGOTTO,VITOR PENTEADO FIGUEIREDO
TAKAHASHI,GIULIA GODOY
TUTIHASHI,RAFAEL MAMORU CARNEIRO
CAMARGO,CRISTINA PIRES
BUSNARDO,FABIO DE FREITAS
GEMPERLI,ROLF
author_role author
author2 PAGOTTO,VITOR PENTEADO FIGUEIREDO
TAKAHASHI,GIULIA GODOY
TUTIHASHI,RAFAEL MAMORU CARNEIRO
CAMARGO,CRISTINA PIRES
BUSNARDO,FABIO DE FREITAS
GEMPERLI,ROLF
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv RIBEIRO,RENAN DIEGO AMÉRICO
PAGOTTO,VITOR PENTEADO FIGUEIREDO
TAKAHASHI,GIULIA GODOY
TUTIHASHI,RAFAEL MAMORU CARNEIRO
CAMARGO,CRISTINA PIRES
BUSNARDO,FABIO DE FREITAS
GEMPERLI,ROLF
dc.subject.por.fl_str_mv Skin Neoplasms
Nose Neoplasms
Nose Deformities, Acquired
Myocutaneous Flap
Quality of Life
topic Skin Neoplasms
Nose Neoplasms
Nose Deformities, Acquired
Myocutaneous Flap
Quality of Life
description ABSTRACT Introduction: nose is the central point of the face and vulnerable to the occurence of non-melanoma skin cancer (NMSC), impacting on appearance. The paramedian forehead flap (PMFF) is considered the best option to treat extensive nasal defects. The objective of this study is to present the experience on PMFF for nasal reconstruction in the treatment of NMSC of a cancer referral center. Methods: retrospective study was carried out through data from medical records of patients who underwent nasal reconstruction with PMFF due to NMSC at the Cancer Institute of the State of São Paulo (ICESP). Results: 111 patients were identified, mostly ederly, with comorbidities and on initial tumors (T1 and T2). Basal cell carcinoma (BCC) was the predominant histological type. Dorsum and tip were the most affected subunitis. In addition to skin coverage, reconstruction of the lining and structural framework was also performed in half of the cases. Second intention healing was the technique of choice in closing the donor area. Pedicle division ocurred predominantly in the second operation and the median time to complete reconstruction was 6 months. There were low complication rates. Conclusions: the PMFF is safe and effective to treat nose NMSC, even in cases of high complexity. Since the treatment time can be prolonged and impact on quality of life, it is essential to emphasize and discuss this aspect with the patients before surgery.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/0100-6991e-20223034-en
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dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
dc.source.none.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões v.49 2022
reponame:Revista do Colégio Brasileiro de Cirurgiões
instname:Colégio Brasileiro de Cirurgiões (CBC)
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reponame_str Revista do Colégio Brasileiro de Cirurgiões
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