Nasal and Upper Lip Reconstruction of a Case of Squamous Cell Carcinoma Nose Stage IV—A Case Report


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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Habib, M. , Mamoun, M. , Al-Samarrae, M. and Reuter, C. (2014) Nasal and Upper Lip Reconstruction of a Case of Squamous Cell Carcinoma Nose Stage IV—A Case Report. Modern Plastic Surgery, 4, 58-65. doi: 10.4236/mps.2014.44011.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Mazzola, I. (2012) Plastic Surgery: Principles. Elsevier Health Sciences, 11-12.
[2] Namdev, L.N. and Darbari, A. (2013) Nasal Reconstruction with Forehead Flap: Our Experience. Indian Journal of Otolaryngology and Head & Neck Surgery, 65, 177-180.
[3] Menick, F.J. (2007) Nasal Reconstruction. Grabb and Smith’s Plastic Surgery. 6th Edition, 389-396.
[4] Thakur, D.R., Mohindroo, N.K. and Sharma, D.R. (2010) Forehead Flap for Nasal Reconstruction. Clinical Rhinology: An International Journal, 3, 13-15.
[5] Boyd, C.M., Baker, S.R., Fader, D.J., Wang, T.S. and Johnson, T.M. (2000) The Forehead Flap for Nasal Reconstruction. Archives of Dermatology, 136, 1365-1370.
[6] Ribuffo, D., Serratore, F., Cigna, E., Sorvillo, V., Guerra, M., Bucher, S. and Scuderi, N. (2012) Nasal Reconstruction with the Two Stages vs Three Stages Forehead Flap. A Three Centres Experience over Ten Years. European Review for Medical and Pharmacological Sciences, 16, 1866-1872.
[7] Ebrahimi, A., Motamedi, M.H.K., Nejadsarvari, N. and Koushki, E.S. (2012) Subcutaneous Forehead Island Flap for Nasal Reconstruction. Iranian Red Crescent Medical Journal, 14, 271-275.
[8] Winslow, C.P., Cook, T.A., Burke, A. and Wax, M.K. (2003) Total Nasal Reconstruction; Utility of the Free Radial Forearm Fascial Flap. Archives of Facial Plastic Surgery, 5, 159-163.
[9] Li, Q.F., Weng, R., Gu, B., Liu, K., Shen, G.X., Xie, F. and Zheng, D.N. (2010) Anchor-Shaped Nasal Framework Designed for Total Nasal Reconstruction. Journal of Plastic, Reconstructive & Aesthetic Surgery, 63, 954-962.
[10] Byrne, P.J. and Garcia, J.R. (2007) Autogenous Nasal Tip Reconstruction of Complex Defects. A Structural Approach Employing Rapid Prototyping. Archives of Facial Plastic Surgery, 9, 358-364.
[11] Rodriguez-Prieto, M.A., Alonso-Alonso, T. and Sanchez-Sambucety, P. (2009) Nasal Reconstruction with Titanium Mesh. Dermatologic Surgery, 35, 282-286.
[12] Irfanullah, Khan, A., Khan, N., Shah, S.A. and Tahmeedullah (2012) Indications and Outcome of Nasolabial Flap: Experience at a Plastic Surgical Facility. Annals of Pakistan Institute of Medical Sciences, 8, 168-171.
[13] Kline, R.M. (2004) Aesthetic Reconstruction of the Nose Following Skin Cancer. Clinics in Plastic Surgery, 31, 93-111.
[14] Lesavoy, M.A. and Smith, A.D. (2006) Lower Third Face and Lip Reconstruction. Plastic Surgery, 3, 799-858.

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