Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: Jun 13, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

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.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

The Impact of Needle Geometry on Tissue Damage and Anastomotic Leakage: A Combined Analysis of Human Skin and Porcine Cardiovascular Models.

Journal of reconstructive microsurgery·2025

Same author

Reduced Epinephrine Efficacy and Increased Bleeding Risk in Rosacea During Central Facial Surgery.

Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]·2025

Same author

Assessment of Needle Point Behavior in Cartilage: Investigating Puncture Force and Suture Retention.

Annals of plastic surgery·2025

Same author

Impact of Needle Design and Suture Gauge on Tissue Tearing During Skin Suturing: A Comparative Analysis.

Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]·2024

Same author

Comparative Analysis of Taper Point and Reverse Cutting Needles on Skin Puncture Force.

Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]·2024

Same author

Collagenase Tenotomy for Dupuytren Boutonniere.

Plastic and reconstructive surgery·2021

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.

More Related Videos

Surgical Approach to Full Soft Tissue Face Allograft Procurement for Vascularized Composite Allotransplantation

Surgical Approach to Full Soft Tissue Face Allograft Procurement for Vascularized Composite Allotransplantation

Published on: December 30, 2025

Related Experiment Videos

Last Updated: Jun 13, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Surgical Approach to Full Soft Tissue Face Allograft Procurement for Vascularized Composite Allotransplantation

Surgical Approach to Full Soft Tissue Face Allograft Procurement for Vascularized Composite Allotransplantation

Published on: December 30, 2025

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.