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3  Imaging the Paranasal Sinuses and Nasal Cavity

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3.6\ Rhinectomy

3.6.1\ Discussion

Rhinectomy is an oncological procedure that involves resecting part or all of the external nose when involved by high-risk nasal malignancies.

a

Prosthetic rehabilitation can be an alternative to flap reconstruction, particularly in those patients unsuitable for major reconstruction. Customized prostheses can be created via computer-aided design based on preoperative virtual laser scanning or CT of the affected site adapted to the postoperative laserscanned surface or CT (Fig. 3.10).

b

Fig. 3.10  Total rhinectomy with nose prosthesis. The patient had a history of nasal squamous cell carcinoma. Axial (a) and sagittal (b) CT images show a total

rhinectomy­ defect that was reconstructed using a custommade silicone prosthesis (arrows)