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Forehead flap method for total nasal reconstruction.

Gurminder Carter Singh1, Simon Withey, Peter E M Butler

  • 1Department of Surgery, Guy's, King's and St. Thomas' Schools of Medicine, London, United Kingdom. doctorsingh@doctors.org.uk

Asian Journal of Surgery
|April 29, 2006
PubMed
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The forehead flap is a time-tested surgical technique for nasal reconstruction after rhinectomy. This case highlights a novel osseous reconstruction of upper lateral cartilages for improved results in complex nasal deformities.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Otolaryngology

Background:

  • The forehead flap is a historically significant and enduring technique for correcting nasal deformities resulting from rhinectomy.
  • Despite advancements, it remains a benchmark in nasal reconstruction due to its efficacy and reliability.

Purpose of the Study:

  • To present a case study demonstrating the successful application of the forehead flap technique.
  • To highlight a novel modification involving osseous reconstruction of the upper lateral cartilages in nasal reconstruction.

Main Methods:

  • A case of a young male with a nasal pyramid separation due to assault was treated.
  • The reconstruction utilized a traditional forehead flap combined with a novel osseous graft for the upper lateral cartilages.

Related Experiment Videos

Main Results:

  • The patient achieved successful nasal reconstruction with satisfactory aesthetic and functional outcomes.
  • The use of osseous material for upper lateral cartilage reconstruction proved effective and is a novel approach.

Conclusions:

  • The forehead flap technique continues to be a reliable and effective method for nasal reconstruction.
  • Osseous reconstruction of the upper lateral cartilages represents a promising innovation in complex nasal reconstruction cases.