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
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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
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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
Adel Tolba, Wael Elsh., Yaser H., Mansor M., Hasan A, One Stage Forehead Flap for Nasal Reconstruction, Journal of Surgery. Vol. 3, No. 6, 2015, pp. 66-70. doi: 10.11648/j.js.20150306.13
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