Abstract
Malignant tumors arising from the nasal septum are rare. The predominant tumors include squamous cell carcinoma, adenocarcinoma, and malignant melanoma. The majority of these lesions are seen on the anterior portion of the septum.
The recommended treatment for septal malignancies is wide excision usually approached via a lateral rhinotomy. However, this procedure may have increased morbidity and a less than desirable cosmetic result.
We feel that the external rhinoplasty approach for tumors of the anterior nasal septum offers the surgeon excellent visualization, decreased morbidity, and superior cosmetic results. We present a case of squamous cell carcinoma of the anterior nasal septum involving the columella that was successfully managed using this approach.
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