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Reconstruction after Nasal Skin Cancer Resection: Nasal Obstruction and Associated Factors
Elizabeth S Longino1, Rahul K Sharma1, Nicole G Desisto1
1Otolaryngology & Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Facial Plastic Surgery & Aesthetic Medicine
|February 4, 2025
Summary
Nasal reconstruction after skin cancer surgery rarely causes obstruction. Female patients, ala defects, and cartilage grafts may increase obstruction risk, while skin grafts reduce it.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Dermatology
Background:
- Nasal reconstruction balances aesthetics and function after skin cancer removal.
- Limited data exist on functional outcomes post-nasal reconstruction.
- Nasal obstruction is a key functional concern.
Purpose of the Study:
- To identify factors influencing functional outcomes in nasal reconstruction.
- To analyze the incidence and predictors of nasal obstruction post-reconstruction.
Main Methods:
- Retrospective review of 193 patients undergoing Mohs nasal defect reconstruction.
- Reconstruction techniques included primary closure, skin grafts, and flaps.
- Nasal obstruction assessed via subjective reports, physician exams, and the SCHNOS-O survey.
Main Results:
- The overall incidence of nasal obstruction was low.
- Female sex, ala subunit defects, and auricular cartilage use correlated with higher obstruction risk.
- Skin/composite grafts were associated with a lower risk of obstruction.
Conclusions:
- Nasal obstruction following reconstruction is infrequent.
- Risk factors for obstruction include female sex, ala involvement, and use of auricular cartilage.
- Skin grafts appear to be a protective factor against obstruction.
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