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April 1989

Rhinectomy: Timing and Reconstruction

Arch Otolaryngol Head Neck Surg. 1989;115(4):421. doi:10.1001/archotol.1989.01860280015001

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Teichgraeber and Goepfert, from the M. D. Anderson Cancer Center, Houston, reported on their experience with patients with nasal skin cancer requiring full-thickness resection of nasal skin. Their report was presented at the recent meeting of the American Academy of Otolaryngology–Head and Neck Surgery in Washington, DC. They emphasized the nature of aggressive nasal lesions as being usually squamous cell carcinoma or basal cell carcinoma, with a prior history of previous treatment. Of these, 62% of squamous cell carcinoma and 80% of all lesions greater than 4 cm required rhinectomy. They noted a worse prognosis in this series overall, and recommended delay in reconstruction for two years. The authors note that their series of 147 patients, of whom 37% had previous treatment prior to referral, had a worse prognosis than reported in other series, representing more advanced lesions of this type. They were able to correlate poor prognosis to size

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