Reconstructive challenges of sinonasal tumors: A case report

Palade,Dragos Octavian; Hainarosie,Razvan; Pertea,Mihaela; Anghelina,Florin; Zaharia,Petronela; Pietroșanu,Cătălina; Calu,Valentin; Ardeleanu,Valeriu; Manole,Felicia

doi:10.3892/etm.2022.11346

Reconstructive challenges of sinonasal tumors: A case report

Authors:
- Dragos Octavian Palade
- Razvan Hainarosie
- Mihaela Pertea
- Florin Anghelina
- Petronela Zaharia
- Cătălina Pietroșanu
- Valentin Calu
- Valeriu Ardeleanu
- Felicia Manole
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Affiliations: Department of Otorhinolaryngology and Head and Neck Surgery, ‘Sf. Spiridon’ Clinical Hospital, 700111 Iasi, Romania, Department of Otorhinolaryngology and Head and Neck Surgery, ‘Prof. Dr. D. Hociota’ Institute of Phonoaudiology and Functional ENT Surgery, 061344 Bucharest, Romania, Department of Plastic and Reconstructive Surgery, ‘Sf. Spiridon’ Clinical Hospital, 700111 Iasi, Romania, Department of Otorhinolaryngology and Head and Neck Surgery, Dolj County Hospital, 200349 Craiova, Romania, Department of Surgery, ‘Elias’ Emergency University Hospital, 011461 Bucharest, Romania, Doctoral School, Faculty of Medicine, ‘Ovidius’ University, 900527 Constanta, Romania, Faculty of Medicine and Pharmacy, University of Oradea, 411073 Oradea, Romania
Published online on: April 29, 2022 https://doi.org/10.3892/etm.2022.11346
Article Number: 419
Copyright: © Palade et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Sinonasal tumors are an uncommon pathological entity and applying the optimal treatment may represent a challenge, even for experienced physicians. A various number of techniques and materials may be used in the reconstruction of craniofacial defects following surgery for extensive sinonasal cancer. The aim of the present study was to present the case of a 33‑year‑old male patient diagnosed with a large sinonasal tumor and discuss the challenges faced while selecting the most suitable rehabilitation technique. In the present case, it was decided that the optimal solution was to use a craniofacial prosthesis in order to cover the entire defect, as well as a temporoparietal flap. In summary, reconstructive interventions must always be adapted to each individual patient and a multimodal approach may lead to a highly satisfactory outcome, for both the patient and the surgical team. All the reconstructive solutions available must always be kept in mind and adapted to the individual requirements of each case, taking into consideration both the extent of the tumor and the comorbidities of the patient, as there is no one solution that is considered as optimal for all patients.

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