Near-Total Nasal Reconstruction Open image in new window
The patient was a 61-year-old man who presented with a 2-year history of progressive swelling of the nose. Physical examination showed a mass involving the nasal bridge. The skin was indurated over the entire nasal tip and dorsum to the level of the rhinion (Fig. 29.1). The tumor was fixed to the underlying nasal cartilages and caudal aspect of the nasal bones. It appeared to involve the nasal tip and alae. The neoplasm was not visible intranasally, and the patient did not complain of nasal obstruction. There was no evidence of cervical lymphadenopathy. A biopsy confirmed the presence of a squamous cell carcinoma, probably arising from nasal skin.