One Stage Forehead Flap for Nasal Reconstruction
Journal of Surgery
Volume 3, Issue 6, December 2015, Pages: 66-70
Received: Mar. 25, 2015;
Accepted: Sep. 30, 2015;
Published: Dec. 8, 2015
Views 4564 Downloads 80
Adel Tolba, Plastic and Reconstructive Surgery Department, Zagazig Universty Hospital, Zagazig, Egypt
Wael Elsh., General Surgery Department, Zagazig Universty Hospital, Zagazig, Egypt
Yaser H., General Surgery Department, Zagazig Universty Hospital, Zagazig, Egypt
Mansor M., General Surgery Department, Zagazig Universty Hospital, Zagazig, Egypt
Hasan A, General Surgery Department, Zagazig Universty Hospital, Zagazig, Egypt
Follow on us
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.
Single Stage, Forehead Flap, Nasal Defects
To cite this article
One Stage Forehead Flap for Nasal Reconstruction, Journal of Surgery.
Vol. 3, No. 6,
2015, pp. 66-70.
Menick FJ. Nasal reconstruction: forehead flap. Plast Reconstr Surg 2004; 113(6):100 -111.
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.
Johnson TM Baker SR Swanson N .Concepts of sliding and lifting tissue movement in flap reconstruction. Dermatol Surg. 2000; 26274- 278.
Tollefson TT, Kriet JD. Comple nasal defects. In Park SS, ed. Facial Plastic Surgery Clinics of North America. Philadelphia, PA: Elsevier Inc; 2005.
Woodard CR, Park SS. Reconstruction of nasal defects 1.5 cm or smaller. Arch Facial Plast Surg. Mar-Apr 2011; 13(2):97-102.
Motamedi MH Nasal reconstruction: experience using tissue expansion and forehead flap. J Oral Maxillofac Surg 2011; 69:1478-84.
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.
McGregor IA, Morgan G. Axial and random pattern flaps. Br J Plast Surg 1973; 26:202-13.
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.
Okada E, Maruyama Y. A simple method for forehead unit reconstruction. Plast Reconstr Surg 2000; 106:111-4.
Kilinc H, Bilen BT. Supraorbital
artery island flap for periorbital defects. J Craniofac Surg 2007; 18: 1114-9.
Shumrick KASmith TL The anatomic basis for the design of forehead flaps in nasal reconstruction. Arch Otolaryngol Head Neck Surg. 1992; 118373- 379.
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.