Related Experiment Video
Updated: Jun 13, 2026
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Single-stage forehead flap in nasal reconstruction
Gary M Fudem1, Richard D Montilla, Carolyn J Vaughn
1Department of Surgery, Division of Plastic Surgery, University of Massachusetts Medical School, Worcester, MA 01655, USA.
Annals of Plastic Surgery
|April 17, 2010
Summary
Single-stage paramedian forehead flap reconstruction offers a safe alternative for nasal reconstruction, particularly for specific patient groups. This method avoids a second surgery and potential complications associated with external pedicles.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Head and Neck Surgery
Background:
- The paramedian forehead flap is standard for major nasal reconstruction.
- The traditional method requires a two-stage procedure to divide the pedicle.
- External pedicles can lead to complications and patient dissatisfaction.
Purpose of the Study:
- To evaluate the efficacy of a modified single-stage paramedian forehead flap for nasal reconstruction.
- To identify patient groups benefiting from a single-stage approach.
- To present a modification that avoids the drawbacks of external pedicles.
Main Methods:
- A clinical series of 9 patients undergoing single-stage forehead flap reconstruction from 2008-2009.
- Modification involved removing radix/proximal nasal skin/fat and deepithelializing the proximal pedicle.
- Indications included elderly, pediatric (mission trips), and patients with contraindications for two-stage procedures.
Main Results:
- The majority of defects were due to skin cancer excision.
- The modification allowed inset without compression or kinking.
- No mandatory secondary procedures were required for these 9 patients.
Conclusions:
- Single-stage paramedian forehead flap reconstruction is a safe and effective technique.
- The modified approach successfully avoids sequelae of external pedicles.
- This method is suitable for select patients, improving outcomes and patient experience.
