Navigation Links
Repairing the nose after skin cancer in just one step
Date:3/12/2013

ANN ARBOR, Mich. The skin cancer growing on Carolyn Bohlmann's nose was not a very aggressive variety. But it was deep and located right on her nostril. The tricky part was not so much removing it MOHS surgery, the procedure Bohlmann had, is a fairly common outpatient procedure.

The tricky part would be reconstructing her nostril so that it didn't lift up or droop down. It's an important cosmetic issue, but it's also critical for breathing.

Bohlmann opted for a new reconstruction technique her surgeon, Jeffrey Moyer, M.D., was offering at the University of Michigan Comprehensive Cancer Center. Moyer removed some cartilage from behind Bohlmann's ear and skin from her shoulder and shaped it to create a new nostril in the place where the tumor had been growing.

"It healed up nicely. You can see a bit of a wrinkle, sort of a raised wrinkle. No one notices it unless I say something about having a surgery," says Bohlmann, 69.

Ten days after having the procedure done, she was back to work at the deli counter, where none of her customers said a word about her nose.

"The nose is a fairly complicated area to reconstruct," says Moyer, an associate professor of otolaryngology at the U-M Medical School and the senior author on a paper that outlines this new technique.

The most common method for nostril reconstruction requires taking cartilage from one part of the body and skin from the cheek or forehead to create a special skin flap. The skin flap stays in place for about three weeks so that the blood vessels can grow in the new spot. It looks very conspicuous during that time. Then patients come back to the operating room where surgeons finish the procedure by removing the flap. The tissue and blood vessels have grown over the cartilage, ensuring everything stays in place. Typical results look good and the nostril functions correctly.

But what about patients who can't or don't want to endure two procedures?

Moyer and his team started with one key question: Do we really need that blood supply from the skin flap? Bohlmann was one of 20 patients to take part in a clinical trial to help answer that.

The new procedure skips the skin flap and the need for a second procedure but still appears to allow for the cartilage to take hold and keep its place without the nostril either collapsing or pulling up. On a 1-5 scale (1 is best), the average cosmetic result was judged a 2.3 considered to be good to very good, with minimal scarring that was not distracting to the patient's appearance. Bohlmann's result was judged as a 2.5.

"This could save people a lot of effort and time. The last thing people want to do is return to the OR," Moyer says. "It allows us to spare people multiple surgeries or a scar that dominates the cheek."

Moyer says that the cheek flap technique has a somewhat better cosmetic result than his new procedure. But since many skin cancer patients are older, they often have other medical conditions that make that second procedure unadvisable.

"The incremental benefit with a cheek flap is not worth it for some patients. The ability to do something less but still get the same quality of results is important," he says.


'/>"/>

Contact: Nicole Fawcett
nfawcett@umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert  

Related medicine news :

1. DNA-repairing protein may be key to preventing recurrence of some cancers
2. Umbilical cord cells outperform bone marrow cells in repairing damaged hearts
3. Viagra, Aliskiren Not Helpful for Heart Failure After All: Studies
4. Study: Mega Vitamins Wont Help After Heart Attack, Chelation Treatment Might
5. Newly Hired Emergency Workers Who Witness Trauma May Struggle Afterward
6. Changes in heart attack timing continue years after hurricane
7. Anxiety May Be More Common Than Depression After Pregnancy
8. What predicts distress after episodes of sleep paralysis?
9. Thyroid hormones reduce damage and improve heart function after myocardial infarction in rats
10. After the human genome project: The human microbiome project
11. Diabetes Doesnt Seem to Raise Risks After Knee Replacement
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Repairing the nose after skin cancer in just one step
(Date:5/23/2016)... (PRWEB) , ... May 23, 2016 , ... On the ... took the time to summarize the weight loss process: , New patients have a ... Composition Analysis (BCA) to get accurately evaluated. , Body Composition Analysis, There are 15 ...
(Date:5/23/2016)... , ... May 23, 2016 , ... According to an ... that, less than 1% of United Kingdom residents who could benefit from bariatric surgery ... Service (NHS) increases the number of bariatric procedures it offers to obese patients from ...
(Date:5/23/2016)... ... May 23, 2016 , ... The ... high-level representatives from the Japan PMDA, US FDA, industry and academia at the ... standards help format data from clinical trials so that it can be shared ...
(Date:5/23/2016)... ... May 23, 2016 , ... In light of ... reminds pet owners that intervening at the first sign of their pet overheating ... normal body mechanisms cannot keep the body’s temperature within a safe range. Considered ...
(Date:5/23/2016)... ... May 23, 2016 , ... ... in research on discriminated minorities’ quality of life and is currently focusing on ... creating advocacy documentaries to be tested through research to find out whether watching ...
Breaking Medicine News(10 mins):
(Date:5/20/2016)... PUNE, India , May 20, 2016 /PRNewswire/ ... Professional Survey Report 2016 to Medical Devices of ... professional and in-depth survey on the current state ... basic overview of the industry like definitions, classifications, ... gives information about manufacturing process like Raw Material ...
(Date:5/20/2016)... India , May 20, 2016 ... - Pipeline Review, H1 2016" market research report ... Plaque Psoriasis (Psoriasis Vulgaris), complete with comparative analysis ... mechanism of action (MoA), route of administration (RoA) ... featured news and press releases. It also reviews ...
(Date:5/19/2016)... 19, 2016 According to a new market ... Countries, (U.S., Germany , France ... , and Japan )", published by MarketsandMarkets, The ... a CAGR of 13.9% from 2016 to 2021.      ... market data Tables spread through 26 Pages and in-depth TOC on ...
Breaking Medicine Technology: