TY - JOUR
T1 - Multi-purpose use of nasal stents for prosthetic rehabilitation of facial defect: A case report
AU - Tanveer, Waqas
AU - Molinero-Mourelle, Pedro
AU - Reduwan, Nor Hidayah
AU - Chotprasert, Natdhanai
N1 - Funding Information: The authors want to acknowledge the academic, clinical and laboratory support of Maxillofacial Prosthetic Service, Mahidol University Dental Hospital, especially to Dr Binit Shrestha for his undivided attention and clinical guidance during prosthetic rehabilitation of facial defect. No separate funding was required for this clinical case. Publisher Copyright: © Penerbit Universiti Sains Malaysia. 2020. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020
Y1 - 2020
N2 - Basal cell carcinoma is the most common cause of nasal defects. For large lesions with deep tissue extensions a total rhinectomy may be indicated followed by adjunctive therapies, such as radiotherapy or chemotherapy. Subsequent surgical reconstruction of these defects poses a challenge due to the compromised tissue bed and may require rehabilitation with facial prosthesis. In current case report, patient had basal cell carcinoma, which had involved the nasal cartilages, right inferior turbinate, nasolabial fold, upper lip and adjacent vascular and perineural tissues. Basal cell carcinoma was surgically excised, followed by postoperative radiotherapy. The resulted nasal defect was closed by forehead pedicle flap. Nasal stents were inserted postoperatively to prevent stenosis of nostrils. Prosthetic rehabilitation of a complete nasal defect was done by utilising nasal stents to prevent nasal stenosis, improved stability and precision, in placement of prosthesis over flat nasal defect. Skin adhesive was applied on margins to enhance the retention of prosthesis and to blend the margins of prosthesis with adjacent skin.
AB - Basal cell carcinoma is the most common cause of nasal defects. For large lesions with deep tissue extensions a total rhinectomy may be indicated followed by adjunctive therapies, such as radiotherapy or chemotherapy. Subsequent surgical reconstruction of these defects poses a challenge due to the compromised tissue bed and may require rehabilitation with facial prosthesis. In current case report, patient had basal cell carcinoma, which had involved the nasal cartilages, right inferior turbinate, nasolabial fold, upper lip and adjacent vascular and perineural tissues. Basal cell carcinoma was surgically excised, followed by postoperative radiotherapy. The resulted nasal defect was closed by forehead pedicle flap. Nasal stents were inserted postoperatively to prevent stenosis of nostrils. Prosthetic rehabilitation of a complete nasal defect was done by utilising nasal stents to prevent nasal stenosis, improved stability and precision, in placement of prosthesis over flat nasal defect. Skin adhesive was applied on margins to enhance the retention of prosthesis and to blend the margins of prosthesis with adjacent skin.
KW - Basal cell carcinoma
KW - Facial prosthesis
KW - Nasal stents
KW - Prosthetic rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=85089475218&partnerID=8YFLogxK
U2 - https://doi.org/10.21315/AOS2020.15.1.405
DO - https://doi.org/10.21315/AOS2020.15.1.405
M3 - Article
SN - 1823-8602
VL - 15
SP - 65
EP - 72
JO - Archives of Orofacial Sciences
JF - Archives of Orofacial Sciences
IS - 1
ER -