PlasticProcedures in Nasal Tumors

Abstract

For removal of nasal and especially intranasal tumors we need sometimes to have recourse to the rhinotomy of Bordley and Longmire (1949), which is reproduced in the Denecke and Meyer book. It is particularly effective for cases of ethmoidal tumors extending to the dura, a few of which I have had occasion to deal with (Fig. 35.1). In my extension of Bordley and Longmire’s opening procedure, I leave the nasal flap attached only at the lateral osteotomy and the alar facial fold on one side with skin and periosteum as a hinge. Septocolumellar tumors are more frequently benign, and malignant lesions involving only the nasal septum are an uncommon entity (Weimert et al. 1978; Beatty et al. 1982). It is reported that the total number of published cases is probably no more than 300 (McGuirt and Thompson 1984; Hasegawa et al. 1987). Like Hasegawa et al., I have performed bilateral rhinotomy removing the posterior two-thirds of the septum in 3 of those cases.