Diagnosis
The New Rome system's inclusion of four T categories facilitates easier integration with clinical nodal staging (cN stage), enhancing the overall clinical staging accuracy for cancer of the nasal vestibule [PMID:41579518].
Management
The study evaluated four T classification systems for cancer of the nasal vestibule (CNV) and found that the New Rome system, with its more objective criteria and four T categories, provided better prognostic stratification [PMID:41579518].
Following resection of the nasal hump, using diamond rasps, an autospreader, and morselized cartilage as camouflage can adequately restructure the nasal dorsum anatomy, thereby preventing irregularities [PMID:27097285].
Complications
Improper handling of the nasal dorsum post-resection frequently leads to palpable irregularities, often due to resection techniques [PMID:27097285].
Prognosis & Follow-up
Using multivariable analyses, the New Rome classification demonstrated diminishing survival rates and increasing hazards of disease-specific death and recurrence with each successive T category, indicating its utility in prognostic follow-up [PMID:41579518].
Key Recommendations
To achieve an aesthetic outcome and ideally prevent palpatory irregularities, it is recommended to restructure the nasal dorsum anatomy properly after resection [PMID:27097285]. (Evidence: Expert opinion)
References
1 van de Velde LJ, Scheurleer WFJ, Czerwinski MD, Verhoef LG, Ferrari M, De Berardinis R et al.. International multicentric validation of a novel T classification system for cancer of the nasal vestibule. European journal of cancer (Oxford, England : 1990) 2026. link 2 Casanueva FJ, Cardemil F. Avoiding irregularities on the nasal dorsum in rhinoplasty. Medwave 2016. link
2 papers cited of 3 indexed.