Case Report
An 88-year-old patient with a history of epidermoid carcinoma on the
left cheek skin resected 12 years ago. He had a lesion in the right
nasal wing with full-thickness perforation and the presence of an
obstructing tumor in the entire right nostril, invading the septum for
the last 2 years. (Fig. 1, Fig. 2.)
The CT reported tumor invasion of the nasal wing, septum, right nasal
dorsum, right inferior turbinate in its frontal area; it did not involve
nasal floor, maxilla or paranasal sinuses. It was staged as T3N0M0
according to AJCC eighth edition of primary cutaneous carcinoma. A
biopsy was taken with histopathological results of moderately
differentiated squamous cell carcinoma.
Total rhinectomy was scheduled, which was performed without
complications, obtaining a pathology result that confirmed moderately
differentiated, invasive and ulcerated squamous cell carcinoma of 3.3 x
2.3 cm deep that invaded the nasal mucosa up to the elastic cartilage of
the nasal septum and negative skin edges for neoplasia (T3N0M0). (Fig.
3). The patient received adjuvant radiotherapy (45 Gy in 15 sessions)
with no complications nor recurrence due to clinical manifestations or
PET-CT during 1 year follow-up.
4.5 months after the rhinectomy, the patient showed healing of the skin
and mucosa of the nasal defect. Therefore the reconstructive surgery
department evaluated a nasal prosthesis placement. Maxillofacial
department was in charge of the prosthesis impression. The implant-
retained prosthesis was made out of silicone, mimicked the natural skin
of the patient and was chemically attached. (Fig.4)