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Related Experiment Videos

Nasal septal melanoma.

J Y Suen1, J Medina, K C Westbrook

  • 1Department of Otolaryngology, University of Arkansas for Medical Sciences, Little Rock.

Head & Neck Surgery
|July 1, 1988
PubMed
Summary

Management of nasal septal melanoma is debated, particularly pretreatment evaluation and nodal dissection extent. Wide local excision is recommended for the primary tumor, but reconstruction and radiotherapy remain experimental.

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Area of Science:

  • Otolaryngology
  • Surgical Oncology

Background:

  • Nasal septal melanoma presents complex management challenges.
  • Controversy exists regarding optimal pretreatment evaluation protocols.

Observation:

  • Minimum pretreatment evaluation may include chest radiograph, complete blood count (CBC), and liver function tests.
  • Use of bone scans and CT scans for brain, lungs, and abdomen is debated due to limited yield.
  • Regional metastasis patterns involve buccal, submental, and submandibular nodal groups, potentially bilaterally.

Findings:

  • Wide local excision is agreed upon for the primary tumor.
  • No consensus exists on the extent of nodal dissection required.
  • Primary septal reconstruction is not recommended by consultants.

Implications:

  • Further research is needed to standardize pretreatment evaluation for nasal septal melanoma.
  • Optimal surgical management, including nodal dissection, requires further investigation.
  • Postoperative radiotherapy protocols are under investigation and considered experimental.

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