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Paramedian forehead flap: advances, procedural nuances, and variations in technique
Nathaniel J Jellinek1, Tri H Nguyen, John G Albertini
1*Department of Dermatology, The Warren Alpert Medical School at Brown University, Providence, Rhode Island; †Division of Dermatology, University of Massachusetts Medical School, Worcester, Massachusetts; ‡Dermatology Professionals, Inc., East Greenwich, Rhode Island; §Northwest Diagnostic Clinic, Mohs & Dermatology Associates, Houston, Texas; ‖The Skin Surgery Center, Winston Salem, North Carolina; ¶Department of Plastic and Reconstructive Surgery, Wake Forest University School of Medicine, Winston Salem, North Carolina.
The paramedian forehead flap (PFF) offers refined techniques for nasal reconstruction. Surgeons can achieve better outcomes for complex nasal defects by incorporating these procedural nuances and variations.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- The paramedian forehead flap (PFF) is a standard method for repairing large nasal defects.
- Advancements in surgical techniques have expanded options for PFF procedures.
Purpose of the Study:
- To detail procedural nuances and technical tips for optimizing paramedian forehead flap outcomes.
- To describe specific techniques for flap design, lining restoration, and wound care.
- To present the 3-staged turnover forehead flap for complex nasal lining reconstruction.
Main Methods:
- Compilation of techniques and approaches from three surgeons across different institutions.
- Inclusion of diverse training backgrounds to provide a comprehensive overview.
- Detailed description of the 3-staged turnover forehead flap technique.
Main Results:
- The paramedian forehead flap (PFF) technique has evolved with numerous variations.
- Specific techniques enhance flap design, including length extension and hair exclusion.
- Restoration of full-thickness defects and detailed wound care are addressed.
Conclusions:
- The paramedian forehead flap (PFF) technique is refined with increasing procedural variations.
- Knowledge of these nuances empowers nasal reconstructive surgeons for optimal patient outcomes.
- The 3-staged turnover forehead flap offers a revolutionary approach to complex nasal reconstruction.
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