Radiodermatitis of the nose is due either to massive X-ray adminstration in the treatment of both benign or malignant diseases of this region, or to wrong therapeutic indication or prolonged exposure to ionizing radiation, the resulting injury being expressed normally over a period of many years after exposure. Chronic radiodermatitis is characterized by athropic, dystrophic or ulcerative-necrotic lesions, with possible malignant evolution. A distinction should be made between injuries pertaining the infant and the adult: in the first case they may interfere with tissue growth mechanisms. The management depends on the type of lesion (atrophic or ulcerative), the histopathological changes, the clinical appearance (size, site, scarring, etc.), the age of the patient, etc. While it is generally agreed that in the care of chronic radiodermatitis skin graft represents the most frequently used procedure for resurfacing raw areas, the authors believe that, as far as the nose is concerned, other solutions should be used to ensure the best possible match in terms of color, texture and contour. Local or forehead flaps remain the methods of choice, provided that their skin is unscarred and not compromised by radiation. In the ulcerative a radical surgery is required. The reconstructive stage necessitates a wide flap outlined on one side of the forehead to be rotated down for covering, and a midline forehead flap turned down for lining. Skin grafts or local flaps are not feasible. In some cases additional flaps are required to restore the surrounding areas when affected by radiodermatitis. The authors report their experiences with 14 cases treated according to the above criteria.
|Number of pages||6|
|Publication status||Published - 1982|
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