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[Nasal reconstruction with the modified expanded forehead skin flap].
Xiao-jing Li1, Ji-long Ning, Xue-hong Gao
1Department of Plastic Surgery, the Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Zhonghua Zheng Xing Wai Ke Za Zhi = Zhonghua Zhengxing Waike Zazhi = Chinese Journal of Plastic Surgery
|September 1, 2005
Summary
A modified forehead flap technique for nasal reconstruction shows excellent survival and aesthetic outcomes. This method enhances flap expansion and results in inconspicuous scarring, proving effective for patients.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Nasal reconstruction presents challenges in achieving optimal aesthetic and functional results.
- Forehead skin flaps are a common option, but modifications can improve outcomes.
Observation:
- A modified expanded forehead skin flap technique was applied to 11 cases of nasal reconstruction.
- The technique involved ligating specific frontal arteries to enhance flap expansion and delay.
- The expanded transversal forehead flap utilized direct donor site closure for inconspicuous scarring.
Findings:
- All modified flaps demonstrated successful survival.
- Long-term follow-up (6 months to 8+ years) indicated satisfactory aesthetic appearance and functional restoration.
- The modification effectively addressed nasal defects.
Implications:
- This modified forehead flap technique offers a reliable and effective option for nasal reconstruction.
- Modulating flap blood supply and utilizing the upper forehead area are key to successful outcomes.
- The technique minimizes visible scarring, enhancing patient satisfaction.