[Reconstructive surgical treatment of nasal skin cancer]

Results of reconstructive surgical treatment of malignant nasal skin tumours in 96 patients (46 men and 50 women) are presented. All of them underwent surgery including extensive excision of the affected nasal skin. The postoperative defect was substituted by the following varieties of grafts: sliding cellulocutaneous flap (n=38), rotation cellulocutaneous buccal flap (n=36), free full-thickness flap (n=2), free chondrocutaneous flap (n=5), cutaneous-aponeurotic forehead flap (n=2), composite graft (cellulocutaneous buccal flap with a fragment of free auricular cartilage) (n=13). A new modification of reconstructive surgical treatment was proposed to correct a through defect of the nasal ala using a rotation cellulocutaneous buccal flap. The frequency of continued growth or relapse of nasal skin tumours following plastic reconstruction by different methods was 7.3%. Wound healing by first intention was documented in 90.6% of the patients. The new variant of reconstructive treatment of through defects in the nasal alae ensures efficacious healing of the postoperative wound and a good cosmetic result.