phenylephrine-hydrochloride and Ear-Neoplasms

Mohs micrographic surgery (MMS) is often the treatment of choice for skin cancer removal as it maximizes normal tissue sparing and can be paired with a reconstructive approach that optimizes function and cosmesis. Many tumors on the eyelid, nose, ear, and genitals are particularly well suited for MMS but can be challenging for the dermatologic surgeon.. To review the complex anatomy, as well as the authors' approach to executing and interpreting Mohs layers, at each of these anatomical sites.. A review of the literature on MMS of the eyelid, nose, ear, and genitals was performed using the PubMed database and relevant search terms.. These sites present potential pitfalls for tumor resection and reconstruction, but with the proper technique, the dermatologic surgeon can minimize tumor recurrence and MMS complications. Warning signs for potentially difficult tumor resection can signify when an interdisciplinary approach is warranted.

Topics: Ear Neoplasms; Ear, External; Eyelid Neoplasms; Eyelids; Female; Genital Neoplasms, Female; Genital Neoplasms, Male; Genitalia, Female; Genitalia, Male; Humans; Male; Mohs Surgery; Nose; Nose Neoplasms; Skin Neoplasms

Surgical treatment of advanced facial tumours is often physically, functionally and emotionally debilitating. The resulting defects often give grounds for surgical reconstruction, prosthetic reconstruction or a combination of both. During the past two decades, huge advances have been achieved in the development of prostheses. This has led to improved rehabilitation of facial defects. In the clinic of the Netherlands Cancer Institute - Antoni van Leeuwenhoek, both adhesive- and implant-retained facial prostheses are used. In recent decades, implant-retained prostheses have been used increasingly often. Patient satisfaction rates are very high for both types of prostheses.. Chirurgische behandeling van vergevorderde tumoren in het aangezicht is ingrijpend. De defecten die hierbij ontstaan, komen in de regel in aanmerking voor chirurgische reconstructie, prothetische reconstructie of een combinatie daarvan. In de afgelopen 20 jaar heeft de ontwikkeling van protheses een enorme vooruitgang geboekt. Dit heeft geleid tot een verbeterde rehabilitatie van aangezichts­defecten. In het Antoni van Leeuwenhoek worden zowel plakprotheses als implantaatgedragen protheses gebruikt. In de laatste decennia worden steeds vaker implantaatgedragen protheses toegepast. Patiënten zijn over beide typen protheses zeer tevreden.

Topics: Ear Neoplasms; Ear, External; Face; Head and Neck Neoplasms; Humans; Nose; Orbital Implants; Orbital Neoplasms; Patient Satisfaction; Prostheses and Implants

With conventional procedures for harvesting costal cartilage, several large, full-thickness cartilage blocks are harvested from the chest wall and are cut, shaped, and joined to create the desired form. Many pieces of unused cartilage are discarded excluding those preserved for future use. Conventional procedures for costal cartilage harvesting are also associated with severe problems such as pain, deformity of the chest wall, and a long scar. We developed a new technique that permits only the necessary size and shape of cartilage to be directly harvested with the use of a chisel. With this technique, both sides and the bottom of the cartilage remain intact at the donor site. The anterior perichondrium can be harvested simultaneously. This technique was performed in 28 patients. The required quantities could be harvested in all patients without severe complications such as perforation of the pleura and excessive bleeding. The procedure required 30 min or less in all patients. The length of the skin incision was less than 3 cm in 25 patients and greater than 3 cm in two obese patients and a young man who had hard subcutaneous connective tissue. Pain intensity was markedly lower than that after conventional techniques. Twenty-six patients could walk 1 day after the operation. There were virtually no deformities of the thorax, even in children younger than 10 years. The structure of the reconstructed site was maintained during at least 2 years follow-up in all patients. Our technique for harvesting costal cartilage is associated with smaller scars, less pain, and less deformity of the chest wall than conventional procedures. In addition, it is minimally invasive and can be performed in a short time.

Topics: Adolescent; Adult; Aged; Cartilage; Child; Ear Deformities, Acquired; Ear Neoplasms; Ear, External; Female; Humans; Male; Middle Aged; Nose; Nose Deformities, Acquired; Nose Neoplasms; Ribs; Tissue and Organ Harvesting; Transplantation, Autologous

Topics: Anesthesia, Local; Anesthetics, Local; Carcinoma, Basal Cell; Carcinoma, Squamous Cell; Ear; Ear Neoplasms; Epinephrine; Female; Humans; Male; Nose; Skin Neoplasms

Osseointegrated maxillofacial epitheses are an interesting therapeutic response for rehabilitation after loss of facial tissue when reconstructive plastic surgery cannot be proposed. We analyzed the criteria used for deciding on this type of treatment for the loss of local areas of auricular tissue, the nasal pyramid and the orbitopalpebral region, presenting individual clinical examples.

Topics: Adolescent; Adult; Aged; Amputation, Traumatic; Carcinoma, Adenoid Cystic; Carcinoma, Basal Cell; Ear Neoplasms; Ear, External; Eye Neoplasms; Eye, Artificial; Eyelid Neoplasms; Female; Humans; Lacrimal Apparatus Diseases; Male; Middle Aged; Nose; Nose Diseases; Orbital Implants; Osseointegration; Patient Care Planning; Prostheses and Implants; Prosthesis Design; Prosthesis Implantation

The technique of facial reconstruction used by the plastic team at the Cancer Center of the University of Brussels are presented. Free grafts are seldom performed because they often lead to disfigurement. An appropriate evaluation of the margins of resection is obtained during the operation by multiple frozen sections, and reconstruction is achieved by local flaps when possible. It is considered that a normal appearance is of extreme importance for old patients suffering from facial cancer, and that the aim of surgery is not only complete eradication of the lesion but also careful reconstruction of the removed structures by simple and safe procedures. The selected techniques are presented for each region of the face.

Topics: Aged; Carcinoma; Cheek; Ear Neoplasms; Ear, External; Eyelids; Face; Facial Neoplasms; Forehead; Humans; Lip; Middle Aged; Neoplasm Recurrence, Local; Nose; Scalp; Skin Neoplasms; Surgery, Plastic; Surgical Flaps

Extensive analysis of ten factors in 183 consecutive cases of basal cell carcinoma overlying cartilage of the nose and ear is performed in this prospective study. Duration of tumor and prior treatment rather than one specific modality of previous therapy are significant factors in predicting tumor invasion of cartilage, which necessitates removal of cartilage.

Topics: Aged; Carcinoma, Basal Cell; Cartilage; Ear Cartilage; Ear Neoplasms; Female; Humans; Male; Neoplasm Invasiveness; Nose; Nose Neoplasms; Prospective Studies

Topics: Blood Group Antigens; Ear Neoplasms; Head and Neck Neoplasms; Humans; Neoplasms; Nose; Nose Neoplasms

Topics: Blood Sedimentation; Ear Neoplasms; Fibrinogen; Neoplasms; Nose; Nose Neoplasms; Pharynx

Topics: Ear Neoplasms; Humans; Neoplasms; Nose; Nose Neoplasms; Pharynx

Topics: Ear Neoplasms; General Practitioners; Neck; Neoplasms; Nose; Pharynx

Topics: Ear; Ear Neoplasms; Head and Neck Neoplasms; Humans; Neck; Neoplasms; Nose; Nose Neoplasms