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Related Experiment Videos

Nasal reconstruction using a split forehead flap.

Qing Feng Li1, Feng Xie, Bin Gu

  • 1Shanghai, People's Republic of China From the Department of Plastic and Reconstructive Surgery, Shanghai 9th Hospital, Shanghai 2nd Medical University.

Plastic and Reconstructive Surgery
|November 15, 2006
PubMed
Summary
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A novel split forehead flap offers improved nasal reconstruction, reducing the need for secondary surgeries. This technique effectively restores nasal contour and forms septum-like structures, enhancing patient satisfaction.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Anatomy

Background:

  • The pedicle paramedian flap is a common but limited nasal reconstruction method, often requiring secondary debulking operations.
  • Its length limitations hinder the reconstruction of the distal nose.

Purpose of the Study:

  • To introduce a split forehead flap with an oblique orientation to overcome the limitations of the paramedian flap.
  • To evaluate the efficacy of this new flap in nasal reconstruction.

Main Methods:

  • A myocutaneous forehead flap with oblique orientation was designed, split into muscle and skin components supplied by supratrochlear vessels.
  • The muscle flap reconstructed the septum and cartilage framework; the skin flap formed the new nose.
  • In some cases, the flap was used as a superthin skin flap for distinct subunit nasal reconstruction without secondary debulking.

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Main Results:

  • The split forehead flap was successfully used in 11 cases with 6-25 months follow-up.
  • The cutaneous branch of the supratrochlear vessels was consistently observed.
  • All patients reported high satisfaction with their reconstructed noses.

Conclusions:

  • The split forehead flap with oblique orientation effectively restores nasal contour and creates septum-like structures.
  • This technique reduces the number of required surgical operations for nasal reconstruction.