Abstract
References
- 1. Menick FJ - Nasal Reconstruction Art and Practice. New York: Mosby/Elsevier, 2009. google scholar
- 2. Menick FJ. Aesthetic refinements in use of forehead for nasal reconstruction: the paramedian forehead flap. Clin Plast Surg 1990;17(4):607-22. google scholar
- 3. Correa BJ, Weathers WM, Wolfswinkel EM, Thornton JF. The forehead flap: the gold standard of nasal soft tissue reconstruction. Semin Plast Surg 2013;27(2):96-103. google scholar
- 4. Boyd CM, Baker SR, Fader DJ, Wang TS, Johnson TM. The forehead flap for nasal reconstruction. Arch Dermatol 2000;136(11):1365-70. google scholar
- 5. Pochat VD, Oliveira FC, Mata FS, Cunha MS, Alonso N, Meneses JV. Preliminary stages before nasal reconstruction using forehead flap: restoring perinasal subunits and nostril patency. Plast Aesthet Res 2015;2:34-7. google scholar
- 6. Weng R, Li Q, Gu B, Liu K, Shen G, Xie F. Extended forehead skin expansion and single-stage nasal subunit plasty for nasal reconstruction. Plast Reconstr Surg 2010;125:1119-28. google scholar
Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft
Abstract
This is an interesting case of a male patient with traumatic nasal injury with partial nasal amputation who was referred to our centre 3 months after the initial trauma. The wound was complicated with necrosis, the amputated nose had fallen off and a scar had formed at the wound bed. The nasal defect was greater than 2.5cm in length. More than 50% of the nose had fallen off including the bilateral alar lobule, the tip and the dorsal part of the nose. We utilized a tissue expander to create more tissue on the forehead in view of the patient’s short forehead, for donor site closure and to lengthen our flap. We performed a modified paramedian forehead flap with a widened distal portion of flap, in a two-staged nasal reconstruction surgery supported by L-strut cartilage graft harvested from the 7th rib. In this report we provide an illustrative description of the procedure, its cosmetic and functional outcome and we also share the challenges we faced.
References
- 1. Menick FJ - Nasal Reconstruction Art and Practice. New York: Mosby/Elsevier, 2009. google scholar
- 2. Menick FJ. Aesthetic refinements in use of forehead for nasal reconstruction: the paramedian forehead flap. Clin Plast Surg 1990;17(4):607-22. google scholar
- 3. Correa BJ, Weathers WM, Wolfswinkel EM, Thornton JF. The forehead flap: the gold standard of nasal soft tissue reconstruction. Semin Plast Surg 2013;27(2):96-103. google scholar
- 4. Boyd CM, Baker SR, Fader DJ, Wang TS, Johnson TM. The forehead flap for nasal reconstruction. Arch Dermatol 2000;136(11):1365-70. google scholar
- 5. Pochat VD, Oliveira FC, Mata FS, Cunha MS, Alonso N, Meneses JV. Preliminary stages before nasal reconstruction using forehead flap: restoring perinasal subunits and nostril patency. Plast Aesthet Res 2015;2:34-7. google scholar
- 6. Weng R, Li Q, Gu B, Liu K, Shen G, Xie F. Extended forehead skin expansion and single-stage nasal subunit plasty for nasal reconstruction. Plast Reconstr Surg 2010;125:1119-28. google scholar
Details
| Primary Language | English |
|---|---|
| Subjects | Otorhinolaryngology |
| Journal Section | Case Report |
| Authors | |
| Publication Date | September 7, 2021 |
| Submission Date | May 16, 2021 |
| Published in Issue | Year 2021 |