[Reconstruction of large external nose defect with forehead flap]

Area of Science:

• Plastic and Reconstructive Surgery
• Head and Neck Surgery
• Dermatologic Surgery

Context:

• Large external nasal defects pose significant reconstructive challenges.
• Previous reconstruction methods may have limitations in achieving optimal aesthetic and functional results.
• Forehead flaps are a versatile option for nasal reconstruction.

Purpose:

• To evaluate the safety and efficacy of forehead flaps in reconstructing large external nasal defects.
• To analyze the outcomes of single-stage island and two-stage interpolated forehead flaps.
• To assess patient satisfaction and functional recovery post-reconstruction.

Summary:

• A retrospective review of 11 male patients with large external nasal defects (average diameter 3.3 cm) reconstructed with forehead flaps (interpolated or island) between 2007 and 2011.
• Defects resulted primarily from skin cancer resection (9 cases) and trauma (2 cases); 4 cases involved alar defects.
• All reconstructions were successful with flap survival and inconspicuous scarring; one patient experienced mild nostril stenosis.

Impact:

• Forehead flaps provide a reliable and effective method for repairing extensive nasal defects, restoring both form and function.
• The technique is associated with high success rates and good cosmetic results, improving patient quality of life.
• This study supports the use of forehead flaps as a gold standard in complex nasal reconstruction.