Особенности дефектов наружного носа с утратой хряща у пациентов с опухолями кожи

Abstract

09 patients underwent ablative cancer surgery with primary closure of external nose defects. 27 of them (24.8%) had missing of the cartilage. The different reconstructive techniques were used for skin defects, skin+cartilage (two-layed) defects and full-thickness defects. The rate of the alar deformation was higher in the patients with full-thickness defects. Full-thickness defects with closed contour demand alar lining. Full-thickness defects with unclosed contour were reconstructed by easier techniques. The rate of the alar deformation was higher in the patients with full-thickness closed defects, then with unclosed. We categorize full-thickness and skin+cartilage (two-layed) defects among defects with missing of the nose cartilage. In addition we divide defects with closed and unclosed contours among full-thickness defects. This defines the techniques of reconstruction and predicted risk of complications.