Discussion
In this case, the patient underwent a total rhinectomy which was
preferred based on the histological type and the rapid growth, which led
to better tumor control. No immediate adverse effects were present
during the rhinectomy procedure nor the prosthesis placement.
Nevertheless a long term tumor recurrency should be followed.
Although rhinectomy promises a lower risk of recurrence and good tumor
control, it is important to mention the adverse effects, which can be
either local symptoms such as numbness, swelling and tightness of the
face as well as generalized symptoms such as headache, lightheaded and
burning sensation, which did not occur in this patient.2,4
Tissue invasion by this tumor required surgery which causes severe
facial deformity and decreased nasal function. Unlike nasal
reconstructions with autologous flaps, the type of prosthesis used does
not require subsequent surgical approaches and is not affected by bone
and tissue damage after adjuvant radiotherapy. 4
In addition, it improves the quality of life as it gives a good
functional and aesthetic result. By having a self- retained prosthesis
with similarity to the natural nose prior to surgery, it increases the
patient’s self-esteem and social activity. It is important for the
patient to go to therapy or get used to the prosthesis because
functionality might get altered. Although it is recovered, it can cause
difficulty in communication, breathing, swallowing, eating and drinking.2