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Updated: Feb 12, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Nasal reconstruction with pre-laminated forehead flap.

N S Prasanna1

  • 1Tanvi Plastic Surgery Centre, Shimoga, Karnataka, India.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
|April 6, 2018
PubMed
Summary

This study details a successful nasal reconstruction using a pre-laminated forehead flap in an elderly patient. The procedure restored nasal form and function under local anesthesia as a daycare surgery.

Keywords:
Ala support with cartilage graftforehead flap nosenasal liningpre-laminated flapsupratrochlear vessels

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Otolaryngology

Background:

  • Nasal defects, including skin, cartilage, and lining loss, result in significant deformity and functional impairment.
  • Reconstruction aims to restore nasal aesthetics, support, and internal lining, particularly challenging in complex cases.
  • Elderly patients with comorbidities and spiritual restrictions require tailored surgical approaches, often favoring local anesthesia and daycare procedures.

Observation:

  • A case study involving an elderly patient with diabetes, hypertension, and spiritual restrictions presented with extensive nasal defect.
  • A pre-laminated forehead flap was utilized, incorporating all three nasal layers (skin, cartilage, lining).
  • The flap was transferred and customized, with the pedicle divided while preserving supratrochlear vessels for vascularity and future adjustments.

Findings:

  • Successful reconstruction of nasal skin, lining, and cartilage support was achieved.
  • The procedure was performed under local anesthesia as a daycare procedure, respecting patient's spiritual restrictions.
  • Preservation of supratrochlear vessels ensured flap viability and allowed for potential debulking or manipulation post-transfer.

Implications:

  • This technique offers a viable solution for complex nasal reconstruction in elderly patients with comorbidities.
  • Forehead flap reconstruction, especially when pre-laminated, provides robust tissue for restoring nasal form and function.
  • Daycare procedures under local anesthesia can be effective and patient-centered in specific clinical scenarios.