We report a case of 77
years old male patient who presented to our hospital with bleeding from a
fungating mass of the nose. Investigations revealed the lesion to be moderately
differentiated basaloid type squamous cell carcinoma, with lung, liver and
spleen metastasis. Oncologists started palliative chemotherapy for the patient.
Excision of the tumour required removal of most of the nose including the
lateral nasal cartilages and the nasal septum. Nasal reconstruction was done by
using left nasolabial flap after deepithelialising 3 parts of it and covering
that flap with a forehead flap. Residual tumour of the upper lip required
further excision later on and coverage with a fan flap. The patient survived
about 6 months after the surgery in a good appearance and was accepted and
approached well by his family. We think that this type of reconstruction is
suitable for late stages cancer nose considering the life expectancy of this
category of patients.
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