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