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Partial nasal reconstruction with titanium mesh: report of five cases
M A Rodríguez-Prieto1, A Pérez-Bustillo, T Alonso-Alonso
1Department of Dermatology, Complejo Asistencial de León, 24071 León, Spain.
The British Journal of Dermatology
|June 24, 2009
Summary
Titanium mesh effectively reconstructs nasal cartilage lost to skin cancer. This biocompatible material offers good functional and aesthetic outcomes without complications.
Area of Science:
- Plastic Surgery
- Biomaterials Science
- Oncology
Background:
- Nonmelanoma skin cancer frequently affects the nasal pyramid, sometimes requiring extensive tissue removal.
- Reconstruction of the nasal cartilaginous framework presents significant surgical challenges.
- Current reconstruction methods may involve autologous cartilage grafts with associated risks.
Observation:
- A 0.1 mm fenestrated titanium mesh was utilized to replace partial losses of nasal cartilage.
- Five patients with nasal basal cell carcinoma treated by Mohs micrographic surgery were included in this study.
- The titanium mesh served as a substitute for the excised cartilaginous structures.
Findings:
- No instances of rejection or other complications were observed in any of the five patients.
- The use of titanium mesh resulted in favorable functional and aesthetic outcomes for nasal reconstruction.
- The biocompatibility of titanium mesh was confirmed through successful patient outcomes.
Implications:
- Titanium mesh presents a viable and effective alternative to autologous cartilage for nasal reconstruction.
- This approach minimizes the need for donor site cartilage harvesting, reducing associated morbidity.
- The use of titanium mesh may lower the risk of graft necrosis and improve overall surgical results in complex nasal reconstructions.
