Nasal Reconstruction at the Brazilian National Cancer Institute: experience in 253 cases

Abstract

In the present study, the authors analyse 253 cases of nose reconstruction, 80.63% due to basal cell carcinoma and 7.51% due to squamous cell carcinoma. The main nasal subunits involved are distributed as follows: dorsum (41.50%), alae (30.43), tip (24.90%) and sidewall (12.25%). Excluding the simple direct advancement, the main surgical technique employed for reconstruction of the dorsum was the dorsum-glabelar flap (17.14%), of the alae was the nasolabial flap (55.84%), of the tip was the bilobed flap (20.63%) and of the sidewall was the nasolabial flap (58.06%). In the cases of total nose reconstruction (2.77%) the Converse scalping flap was the principal procedure used (71.42%).