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One Stage Forehead Flap for Nasal Reconstruction

Received: 25 March 2015    Accepted: 30 September 2015    Published: 8 December 2015
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Abstract

Background: The forehead flap is a useful technique to reconstruct deep and large nasal defects. Its disadvantages includes the fact that it is at least a two-stage procedure .The aim of this work is to describe our experience with the use of One stage forehead flap reconstruction to cover nasal defects. Patient: Fifteen patients with extensive nasal defects due to various causes. Full-thickness skin was lost in all cases, n=7 cases after excision due to rodent ulcer, n=5 cases after squamous cell carcinoma and n=3 cases after nasal trauma. Ulcer sizes and sites were demonstrated in table 1. All were repaired with a single stage forehead flap. The functional and aesthetic results were assessed. Results: High aesthetic and functional goals were achieved in all patients. There were no cases of significant flap necrosis. However, one patient developed mild superficial partial-thickness necrosis. Conclusions: The singe stage forehead flap represents one of the best methods for repair of extensive nasal defects, which may be a substitute for the traditional method (two stages) regard to time repair and cosmetic results.

Published in Journal of Surgery (Volume 3, Issue 6)
DOI 10.11648/j.js.20150306.13
Page(s) 66-70
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Single Stage, Forehead Flap, Nasal Defects

References
[1] Menick FJ. Nasal reconstruction: forehead flap. Plast Reconstr Surg 2004; 113(6):100 -111.
[2] Kleintjes WG. Forehead anatomy: arterial variations and venous link of the midline forehead flap. J Plast Reconstr Aesthet Surg. 2007; 60(6):593-606. Epub 2007 Feb 6.
[3] Johnson TM Baker SR Swanson N .Concepts of sliding and lifting tissue movement in flap reconstruction. Dermatol Surg. 2000; 26274- 278.
[4] Tollefson TT, Kriet JD. Comple nasal defects. In Park SS, ed. Facial Plastic Surgery Clinics of North America. Philadelphia, PA: Elsevier Inc; 2005.
[5] Woodard CR, Park SS. Reconstruction of nasal defects 1.5 cm or smaller. Arch Facial Plast Surg. Mar-Apr 2011; 13(2):97-102.
[6] Kheradm and
Motamedi MH Nasal reconstruction: experience using tissue expansion and forehead flap. J Oral Maxillofac Surg 2011; 69:1478-84.
[7] Reece EM, Schaverien M, Rohrich RJ. The paramedian forehead flap: a dynamic anatomical vascular study verifying safety and clinical implications. Plast Reconstr Surg 2008; 121:1956-63.
[8] McGregor IA, Morgan G. Axial and random pattern flaps. Br J Plast Surg 1973; 26:202-13.
[9] Zuker RM, Capek L, de Haas W. The expanded forehead scalping flap: a new method of total nasal reconstruction. Plast Reconstr Surg 1996; 98:155-9.
[10] Okada E, Maruyama Y. A simple method for forehead unit reconstruction. Plast Reconstr Surg 2000; 106:111-4.
[11] Kilinc H, Bilen BT. Supraorbital 
artery island flap for periorbital defects. J Craniofac Surg 2007; 18: 1114-9.
[12] Shumrick KASmith TL The anatomic basis for the design of forehead flaps in nasal reconstruction. Arch Otolaryngol Head Neck Surg. 1992; 118373- 379.
[13] Quetz J, Ambrosch P. Total nasal reconstruction: a 6-year experience with the three-stage forehead flap combined with the septal pivot flap. Facial Plast Surg 2011; 27:266-75.
Cite This Article
  • APA Style

    Adel Tolba, Wael Elsh., Yaser H., Mansor M., Hasan A. (2015). One Stage Forehead Flap for Nasal Reconstruction. Journal of Surgery, 3(6), 66-70. https://doi.org/10.11648/j.js.20150306.13

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    ACS Style

    Adel Tolba; Wael Elsh.; Yaser H.; Mansor M.; Hasan A. One Stage Forehead Flap for Nasal Reconstruction. J. Surg. 2015, 3(6), 66-70. doi: 10.11648/j.js.20150306.13

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    AMA Style

    Adel Tolba, Wael Elsh., Yaser H., Mansor M., Hasan A. One Stage Forehead Flap for Nasal Reconstruction. J Surg. 2015;3(6):66-70. doi: 10.11648/j.js.20150306.13

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  • @article{10.11648/j.js.20150306.13,
      author = {Adel Tolba and Wael Elsh. and Yaser H. and Mansor M. and Hasan A},
      title = {One Stage Forehead Flap for Nasal Reconstruction},
      journal = {Journal of Surgery},
      volume = {3},
      number = {6},
      pages = {66-70},
      doi = {10.11648/j.js.20150306.13},
      url = {https://doi.org/10.11648/j.js.20150306.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20150306.13},
      abstract = {Background: The forehead flap is a useful technique to reconstruct deep and large nasal defects. Its disadvantages includes the fact that it is at least a two-stage procedure .The aim of this work is to describe our experience with the use of One stage forehead flap reconstruction to cover nasal defects. Patient: Fifteen patients with extensive nasal defects due to various causes. Full-thickness skin was lost in all cases, n=7 cases after excision due to rodent ulcer, n=5 cases after squamous cell carcinoma and n=3 cases after nasal trauma. Ulcer sizes and sites were demonstrated in table 1. All were repaired with a single stage forehead flap. The functional and aesthetic results were assessed. Results: High aesthetic and functional goals were achieved in all patients. There were no cases of significant flap necrosis. However, one patient developed mild superficial partial-thickness necrosis. Conclusions: The singe stage forehead flap represents one of the best methods for repair of extensive nasal defects, which may be a substitute for the traditional method (two stages) regard to time repair and cosmetic results.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - One Stage Forehead Flap for Nasal Reconstruction
    AU  - Adel Tolba
    AU  - Wael Elsh.
    AU  - Yaser H.
    AU  - Mansor M.
    AU  - Hasan A
    Y1  - 2015/12/08
    PY  - 2015
    N1  - https://doi.org/10.11648/j.js.20150306.13
    DO  - 10.11648/j.js.20150306.13
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 66
    EP  - 70
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20150306.13
    AB  - Background: The forehead flap is a useful technique to reconstruct deep and large nasal defects. Its disadvantages includes the fact that it is at least a two-stage procedure .The aim of this work is to describe our experience with the use of One stage forehead flap reconstruction to cover nasal defects. Patient: Fifteen patients with extensive nasal defects due to various causes. Full-thickness skin was lost in all cases, n=7 cases after excision due to rodent ulcer, n=5 cases after squamous cell carcinoma and n=3 cases after nasal trauma. Ulcer sizes and sites were demonstrated in table 1. All were repaired with a single stage forehead flap. The functional and aesthetic results were assessed. Results: High aesthetic and functional goals were achieved in all patients. There were no cases of significant flap necrosis. However, one patient developed mild superficial partial-thickness necrosis. Conclusions: The singe stage forehead flap represents one of the best methods for repair of extensive nasal defects, which may be a substitute for the traditional method (two stages) regard to time repair and cosmetic results.
    VL  - 3
    IS  - 6
    ER  - 

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Author Information
  • Plastic and Reconstructive Surgery Department, Zagazig Universty Hospital, Zagazig, Egypt

  • General Surgery Department, Zagazig Universty Hospital, Zagazig, Egypt

  • General Surgery Department, Zagazig Universty Hospital, Zagazig, Egypt

  • General Surgery Department, Zagazig Universty Hospital, Zagazig, Egypt

  • General Surgery Department, Zagazig Universty Hospital, Zagazig, Egypt

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