Humans ; Neurilemmoma ; diagnosis ; Nose ; Nose Neoplasms ; diagnosis

The nose plays a significant role in the determination of one's physical appearance as well as various other important functions such as respiration, olfaction, and resonance. It also occupies the most prominent position on the face, a position that makes it vulnerable to distortion by trauma, and incidentally, it is a feature that is most frequently predisposed to skin tumors. The surgical reconstruction for nasal defects caused by the resection of these neoplasms should be considered from two viewpoints : the aesthetic and the functional aspect of the nose. For aesthetic reconstruction of the nose, the tissues for reconstruction should match the surrounding tissue in terms of color and texture. For functional reconstruction, the mucosal layer and the cartilage framework should be reconstructed. We have reconstructed nasal defects in five cases of nasal neoplasms using the forehead flap, full-thickness skin graft, nasolabial flap, buccal mucosal flap, and local flap. We are reporting these cases along with reviews of the relevant references.
Cartilage ; Forehead ; Nose ; Nose Neoplasms ; Respiration ; Rhinoplasty* ; Skin ; Smell ; Transplants

BACKGROUND AND OBJECTIVES: Reconstruction of the nasal defect caused by resection of nose neoplasm or trauma represents a particular challenge to reconstructive surgeons. Each tissue defect has to be evaluated individually in terms of the best possible substitution or alteration from both aesthetic and functional points of view. The method of reconstruction varies according to the location, size, and depth of the defect. Of various methods, local Rap is frequently used because the nasal contours are variable with convex and concave surfaces in close proximity, and there is little lax skin from which to borrow tissue for closure, and the skin of the nose has a texture and color not easily matched by skin elsewhere. Of various local flaps, transposition flap and forehead flap are most frequently used for reconstruction of the nasal defect. The authors carried out retrospectively a clinical study on seven cases of nasal reconstruction that used local flaps after resection of malignant tumors of the nose with a brief review of the literature. MATERIALS AND METHODS: A single surgeon's results in seven consecutive patients were clinically analyzed retrospectively. RESULTS: There were no significant complications. Good aesthetic and functional outcomes were observed with nasal defects reconstructed with the local flaps. CONCLUSION: Local flaps were the most useful choice for reconstructive rhinoplasty. Transposition flaps and forehead flaps, in particular, were particularly useful for each cosmetic unit of the nose.
Forehead ; Humans ; Nose ; Nose Neoplasms ; Retrospective Studies ; Rhinoplasty ; Skin

Aged ; Female ; Hemangioma ; Humans ; Nose Neoplasms ; Turbinates

Adenoma, Pleomorphic ; Adult ; Female ; Humans ; Nose Neoplasms

Hemangioendothelioma(HE) is a rare intermediate-grade malignant vascular neoplasm first described in 1982 by Weiss and Enzinger as a specific entity. The HE is differentiated by both in its characteristic behavior and histologic appearance into benign (hemangioma) and malignant tumor (angiosarcoma). The tumor rarely occurs in the nose and paranasal cavity. At least four distinct entities are recognized within HE: epitheloid HE, spindle cell HE, kaposiform HE, malignant endovascular papillary angioendothelioma. However, it is difficult to classify a small remaining group of vascular neoplasms that show a considerable overlap in their histologic appearance. The composite and polymorphous HE are therefore classified separately. Surgical excision is the treatment of choice. Generally, the prognosis is good. The authors recently experienced a case of HE on the nasal septum which was treated by excision. We report this case with the review of literature.
Hemangioendothelioma* ; Nasal Septum* ; Nose ; Prognosis ; Vascular Neoplasms

Adult ; Hemangioma ; Humans ; Male ; Nose Neoplasms ; Paranasal Sinus Neoplasms

Aged ; Ameloblastoma ; Female ; Humans ; Jaw Neoplasms ; Nasal Septum ; Nose Neoplasms

Adult ; Bone Neoplasms ; Female ; Humans ; Nose Neoplasms ; Sarcoma, Ewing

The clinical data of two adolescents with unilateral nasal cavity neoplasm were analyzed. Both were male, one was 14-year-old and the other was 17. Both were complained of unilateral nasal obstruction and nasal discharge; The course of disease of the former was one month ,and that of the latter was three month; both were found neoformation in unilateral nasal cavity in medical examination. Occupying lesion in unilateral nasal cavity and sinus were demonstrated in CT scan of two cases. Endoscopy surgery were operated in both cases, incisal opening in labiogingival groove was added in the latter. Pathology of the former was capillary hemangioma and the latter was rhabdomyosarcoma. No findings indicating recurrence has been observed in two cases under 6 months follow-up. Recognition at nasal cavity and paranasal sinus neoplasm in adolescent is essential so that proper management can be initiated.
Adolescent ; Humans ; Male ; Nasal Cavity ; Nose Neoplasms ; Paranasal Sinus Neoplasms