Total rhinectomy for recurrent skin cancer (squamous cell carcinoma)!
Total rhinectomy is an uncommon procedure for the treatment of nasal malignancies, usually reserved for locally advanced tumors. Prosthetic rehabilitation can be an excellent alternative to surgery, particularly in those patients unsuitable for major reconstruction. Skin cancer is the most common head and neck malignant neoplasm in the vast majority of the world. The nose is a typical subsite of head and neck skin cancers, reaching almost 50% of them in some series. The majority of malignancies are diagnosed in earlier stages, requiring limited excisions, many times performed by different specialists. Total rhinectomy (TR) is an exception procedure, reserved for locally advanced tumors. About 75–80% of nasal skin malignant tumors are Basal Cell Carcinomas (BCC), Squamous Cell Carcinomas (SCC) comprising the other 20–25%. Although central face topography is considered among NCCN high risk features for cutaneous SCC of head and neck, regional metastasis are usually associated with large size, deeply invasive lesions and high grade tumors, often with perineural and lymphovascular invasion. Follow us at @Medicalpedia for more!
Hemodynamic stimuli&nonhemodynamic stimuli
