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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

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Published on: December 5, 2025

Nose defects reconstruction with forehead flap - case report.

Bogdan Chioaru¹, Elena Dragu¹, Ioan Lascar¹

¹Clinic of Plastic Surgery, Floreasca Emergency Clinical Hospital, Bucharest, Romania.

|January 2, 2015

Summary

For large nasal defects, a modified paramedian forehead flap offers excellent aesthetic and functional outcomes. This technique ensures good tissue coverage with minimal donor site impact, providing a satisfying result for patients.

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Area of Science:

Plastic Surgery
Reconstructive Surgery
Otolaryngology

Background:

Nasal reconstruction presents significant challenges in plastic surgery.
Small nasal defects can be managed with primary closure, local flaps, or skin grafts.
Large nasal defects necessitate donor tissue with matching color and texture for optimal functional and aesthetic results.

Observation:

A case report details the reconstruction of a large nasal defect in a patient treated in 2012.
The paramedian forehead flap was identified as the most suitable reconstructive option.
A two-step surgical procedure was performed, yielding highly satisfactory outcomes.

Findings:

A modified paramedian forehead flap, based on the left supratrochlear artery, was utilized.
This flap design allowed for rotation without vascular compromise.
The approach achieved excellent nasal coverage with a minimized donor site defect.

Implications:

The modified paramedian forehead flap is a reliable technique for large nasal defect reconstruction.
This method balances aesthetic and functional considerations effectively.
Tailoring the flap to individual patient needs is crucial for successful outcomes.