Related Experiment Video
Updated: Jun 5, 2026
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Nasal reconstruction: experience using tissue expansion and forehead flap.
Ali A Kheradmand1, Ata Garajei, Mohammad Hosein Kalantar Motamedi
1Department of Head and Neck Surgical Oncology and Reconstructive Surgery, The Cancer Institute, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Summary
This study modified the forehead flap technique for nasal reconstruction, improving outcomes for cancer patients. The enhanced method addresses donor site defects and flap contouring challenges, leading to successful repairs.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Oncology
Background:
- The forehead flap is a preferred donor site for nasal reconstruction due to its versatility and aesthetic match.
- However, its stiffness and the need for skin grafting for the donor site present challenges.
Purpose of the Study:
- To evaluate a modified two-stage forehead flap technique for nasal reconstruction in cancer patients.
- To assess the efficacy and patient satisfaction with the modified technique over a 5-year period.
Main Methods:
- A modified two-stage forehead flap technique was employed in 48 patients undergoing nasal reconstruction.
- This involved tumor excision, tissue expander insertion, flap elevation, and delayed pedicle division.
Main Results:
- The modified technique successfully reconstructed various nasal defects, including the dorsum, alar, tip, columella, and septum.
- All patients achieved successful graft take, and donor site closure was primary.
Conclusions:
- The modified forehead flap technique, combined with tissue expansion, offers a viable option for nasal reconstruction.
- While advantages exist, potential disadvantages require careful consideration in patient selection and surgical planning.
