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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Subcutaneous forehead island flap for nasal reconstruction.
A Ebrahimi1, M H Kalantar Motamedi, N Nejadsarvari
1Department of Plastic Surgery, Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Iranian Red Crescent Medical Journal
|July 26, 2012
Summary
The island paramedian forehead flap offers excellent aesthetic and functional outcomes for nasal reconstruction. This single-stage procedure is a cost-effective and efficient option for large nasal defects.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Nasal skin reconstruction is crucial for patient rehabilitation after tumor removal.
- Utilizing similar skin ensures optimal aesthetic and functional outcomes.
Purpose of the Study:
- To evaluate the efficacy of the subcutaneous pedicle island paramedian forehead flap for large nasal defect reconstruction.
Main Methods:
- A clinical series study involving 8 patients (5 male, 3 female; mean age 53) with large nasal defects (up to 4x7 cm) treated between 2007-2009.
- All patients underwent single-stage reconstruction using the island paramedian forehead flap.
Main Results:
- Satisfactory aesthetic and functional results were achieved in all cases.
- One patient required a secondary debulking procedure for flap optimization.
Conclusions:
- The island paramedian forehead flap is a reliable method for single-stage nasal reconstruction, yielding good aesthetic and functional results.
- This flap is particularly advantageous for patients seeking cost-effective and non-multistage treatment options for nasal defects.
