Nasal Reconstruction (rebuilding the nose after skin cancer)

Explore nasal reconstruction after sclerosing basal cell skin cancer, nasal surgery, & sculpture of the nose by Dr. Michael Bermant, MD plastic & cosmetic surgery. Cheek flap reconstruction was used.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

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Sclerosing Basal Cell Skin Cancer

Case 2

This patient had been treated by other surgeons several times and had recurrent sclerosing basal cell skin cancer. Sclerosing basal cell cancer is more invasive than other kinds and is sometimes harder to completely remove.

Sclerosing Basal Cell Cancer of Nose

 This is a particularly invasive form of cancer. A thorough excision results in a large defect

Sclerosing basal cell cancer of nose

By using modified Mohs' surgical control of the margins, the full extent of the tumor was found. This tumor tends to have tiny fingers that branch into surrounding tissues. Modified Mohs' lets the surgeon and pathologist follow these extensions until they have been removed.

 Surgical Defect

After surgery 

Surgical defect for plastic surgery closure

cheek flap closure of nasal defect for sclerosing basal cell cancer

The defect was closed with a cheek flap reconstruction. The cheek was undermined and advanced to close the wound. Note that reconstruction did not create an ectropion (pulling of the eyelid down). This complication (ectropion) could be caused by other reconstructive methods.

 

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