Nasal reconstruction with vascularized forehead flap (preliminary communication)

Area of Science:

• Plastic Surgery
• Anatomy
• Reconstructive Surgery

Background:

• Nasal reconstruction often requires well-vascularized flaps.
• The forehead flap is a common choice for nasal defects.
• Understanding its vascular anatomy is crucial for successful outcomes.

Observation:

• Ten cadaver dissections and three patient cases were analyzed.
• The blood supply originates from supratrochlear, supraorbital, and frontal branches of the superficial temporal vessels.
• Anastomoses form a network between the frontal muscle and skin.

Findings:

• The vascularized oblique forehead flap demonstrated successful nasal reconstruction in three patients.
• Reconstruction addressed traumatic nasal injuries and defects from oncological ablation.
• The flap's blood supply network ensures viability for complex reconstructions.

Implications:

• This study validates the anatomical basis for using forehead flaps in nasal reconstruction.
• The findings support the flap's reliability and safety, evidenced by good outcomes and no complications.
• Forehead flap vascularity is key for successful functional and aesthetic nasal restoration.