Description:
Functional and surgical anatomy of the nose vestibule -- Histology of nose vestibule malignancy -- Peculiar patterns of spread of nose vestibule malignancies -- Subsites in the nose, the WHO classification and the current 8th edition of AJCC/UICC TNM in the staging of nose vestibule malignancies -- Current misclassification of nose vestibule malignancies: need for the definition of nose vestibule as a subsite in the nose/paranasal cavities with a specific T classification -- Diagnostic work up of nose vestibule malignancies -- Current therapeutic options in nose vestibule malignancies -- Surgery in nose vestibule malignancies: the demolitive phase -- Surgery in nose vestibule malignancies: the reconstructive phase -- Surgery in nose vestibule malignancies: prostheses -- External beam radiotherapy for nose vestibule malignancies -- Brachytherapy for nose vestibule malignancies: oncological results -- Brachytherapy for nose vestibule malignancies: functional results -- Implantation technique in nose vestibule malignancies: learning from rhinoseptoplasty, beyond the Paris system -- Brachytherapy for nose vestibule malignancies: treatment planning beyond the Paris system -- Combined approaches and other treatment modalities -- Managing the neck in nose vestibule malignancies -- A new standard for the treatment of nose vestibule malignancies.
This book provides up-to-date information on nasal vestibule malignancies, outlining the specific clinical history and pattern of spread. It also describes the flaws in TNM staging, which can be attirbuted to factors ranging from the anatomy to the definition of the main prognostic parameters. Nasal vestibule malignancies are associated with a peculiar oncological history, but there are also clear issues related to the reconstructive phase following ablative surgery due to the anatomic peculiarities. Such issues deeply impact the cosmetic and functional results, and hence the quality of life of surviving patients. Additionally, the book describes novel evidence on treatment outcomes for these malignancies in terms of both oncological and functional results. It proposes a new standard based on interstitial HDR brachytherapy for the primary lesion and on surgery for regional metastases. The book appeals to a wide readership, ranging from otolaryngologists, to radiation and clinical oncologists, dermatologists, plastic surgeons and maxillo-facial surgeons.