Excision Lesions on the Nose and Reconstruction of Surgical Defects Part 1

Rodrigo Arrangoiz MS, MD, FACS, FSSO
  • The basic principles of reconstruction of cutaneous defects on the nose:
    • Require a thorough understanding of the anatomy of the nasal aesthetic subunits:
      • To facilitate appropriate excision and reconstruction
  • The cutaneous surface of the nose:
    • Is divided into several aesthetic subunits, shown in Figure:
      • The most cephalad part of the nose:
        • Also called the root of the nose:
          • Encompasses a subunit extending from the medial aspect of the eyebrow from one side to the other
      • The middle third of the nose is divided into:
        • The dorsum and lateral walls
      • The lower third of the nose is divided into:
        • The tip of the nose, the alar subunit, and the columella
  • Excision of any lesion involving any part of the cutaneous surface of the nose:
    • Therefore should include consideration of these subunits:
      • In planning not only the excision but also repair or reconstruction:
        • If the nasal aesthetic subunits are not considered in treatment planning:
          • The aesthetic result is not optimal
Aesthetic Subunits of the Nose
#Arrangoiz #SurgicalOncologist #CancerSurgeon #HeadandNeckSurgeon #ThyroidSurgeon #ParathyroidSurgeon #AestheticUnitsoftheNose #SkinCancer #MountSinaiMedicalCenter #MSMC #Miami Mexico

Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

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