Reconstructive Nose Surgery: Cancer and the Flap Technique
Nose cancer treatment may involve both a surgeon to remove the cancer and a reconstructive plastic surgeon to improve the resulting disfigurement. Nose cancer is often treated by a dermatological surgeon. The most advanced technique for the removal of nose cancer is Moh’s surgery. Moh’s surgery has a 99% success rate, according to the American College of Moh’s Surgery. Surgeons who have completed at least one additional year of fellowship training and three years dermatology residency training may quality for membership in the American College of Moh’s Surgery. During Moh’s surgery, the surgeon will use a refined microscope to remove cancerous tissue layer-by-layer without causing harm to healthy tissue. Moh’s surgery may treat nose cancer that is rooted beneath the nasal skin and in the subcutaneous tissue.
The idea behind the flap technique in reconstructive plastic surgery is to remove necessary skin and subcutaneous tissue from one area of the body and transfer the skin and tissue to area of the nose that requires reconstructive plastic surgery treatment. The success of the flap technique is highly dependent upon the approach used in the procedure. In the case of the flap technique, the life of the tissue is dependent upon oxygen, nutrition and its own blood supply. It is critically important to protect the arterial system to provide the nose with a vascular supply.
It was not until the 1980’s that researchers identified certain tissue units that were appropriate for transfer from one area of the body to the nose. Advanced optical equipment soon became available to allow precision for the preservation of the blood supply during tissue transfer. Since the 1980’s, researchers obtained a better understanding of the cellular biology of these tissues to allow for the regeneration of bone and cartilage as well.
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