Expanded Paramedian Forehead Flaps for Nasal Defects: Beyond Aesthetic Subunits

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Otolaryngology

Background:

• Nasal tip defect reconstruction is complex, requiring attention to form, function, and aesthetics.
• The expanded paramedian forehead flap offers reliable reconstruction with matching tissue characteristics.
• This study details a modified expanded paramedian forehead flap for nasal tip defects.

Purpose of the Study:

• To evaluate the efficacy of a modified expanded paramedian forehead flap for nasal tip reconstruction.
• To assess functional and cosmetic outcomes in patients undergoing this procedure.
• To report complication rates associated with the technique.

Main Methods:

• Twenty-two patients with nasal tip defects were treated.
• Sixteen patients received expanded forehead flaps; 6 also had autogenous rib cartilage grafts.
• Outcomes were assessed using a 1-10 scale by surgeons, patients, and relatives.

Main Results:

• Significant aesthetic improvements were observed in all patients.
• Minor complications included mild hyperpigmentation (2), thick flaps (2), and brow elevation (3).
• No serious complications like infection, flap necrosis, or deviation occurred.

Conclusions:

• The modified expanded paramedian forehead flap is a safe and effective method for nasal tip reconstruction.
• The technique yields favorable functional and cosmetic results with a low complication profile.
• This approach is recommended for addressing defects on or around the nasal tip.