Proceedings of the 2nd Global Health and Innovation in conjunction with 6th ORL Head and Neck Oncology Conference (ORLHN 2021)

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Management of Stage IVA Sinonasal Carcinoma Infiltrating Skin of Cheek: A Case Report

Authors
Luchia Elfira1, 2, *, Fadhlia Fadhlia1, 2, Benny Kurnia1, 2, Darmayanti Darmayanti1, 2
1Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of Syiah Kuala
2dr. Zainoel Abidin Hospital, Aceh, Indonesia
*Corresponding author. Email: luchiaelfira01@gmail.com
Corresponding Author
Luchia Elfira
Available Online 21 February 2022.
DOI
10.2991/ahsr.k.220206.039How to use a DOI?
Keywords
Sinonasal carcinoma; non-keratinizing squamous cell carcinoma; surgery
Abstract

Advanced stage of sinonasal carcinoma that infiltrating skin of cheek is rarely found, surgery is still the main modality since the cancer has not penetrated the intracranial. Based on the distribution, Ohngren is divided into: suprastructure and infrastructure. To report the diagnosis and management of stage IVA sinonasal ccarcinoma. A 59-year-old female with a mass in the right nasal cavity since a year ago. Initially, cancer was in the right nasal cavity, then became progressively enlarged and infiltrated the skin of the right cheek. Computed tomography (CT) scan of paranasal sinuses revealed a mass infiltrating the right and left nasal cavities to the anterior cutis of the nasal region and destroying the nasal region and the medial wall of the maxillary right sinus, nasal bone and nasal septum. The histopathologic result was non-keratinizing squamous cell carcinoma. The patient had been managed by partial maxillectomy with Weber-Ferguson + Dieffenbach approach incision and wide excision. Using PubMed, Medline, manual research to search for the evidence and literature. The removal of the tumor had been performed maximally, closure of the defect using a paramedian forehead flap + cervicofacial flap was planned for adjuvant radiotherapy. Management of stage IVA suprastructure sinonasal carcinoma with the extensive defect is challenging, due to the difficulty of closing the defect and ensuring tumor-negative margins.

Copyright
© 2022 The Authors. Published by Atlantis Press International B.V.
Open Access
This is an open access article under the CC BY-NC license.

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Volume Title
Proceedings of the 2nd Global Health and Innovation in conjunction with 6th ORL Head and Neck Oncology Conference (ORLHN 2021)
Series
Advances in Health Sciences Research
Publication Date
21 February 2022
ISBN
978-94-6239-540-4
ISSN
2468-5739
DOI
10.2991/ahsr.k.220206.039How to use a DOI?
Copyright
© 2022 The Authors. Published by Atlantis Press International B.V.
Open Access
This is an open access article under the CC BY-NC license.

Cite this article

risenwbib
TY  - CONF
AU  - Luchia Elfira
AU  - Fadhlia Fadhlia
AU  - Benny Kurnia
AU  - Darmayanti Darmayanti
PY  - 2022
DA  - 2022/02/21
TI  - Management of Stage IVA Sinonasal Carcinoma Infiltrating Skin of Cheek: A Case Report
BT  - Proceedings of the 2nd Global Health and Innovation in conjunction with 6th ORL Head and Neck Oncology Conference (ORLHN 2021)
PB  - Atlantis Press
SP  - 206
EP  - 209
SN  - 2468-5739
UR  - https://doi.org/10.2991/ahsr.k.220206.039
DO  - 10.2991/ahsr.k.220206.039
ID  - Elfira2022
ER  -