The precise midline forehead flap as a musculocutaneous flap

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Head and Neck Surgery

Background:

• The midline forehead flap has historical roots tracing back to ancient India.
• Significant full-thickness defects of the nose often require advanced reconstructive techniques.
• Forehead flaps are a well-established option for facial reconstruction.

Purpose of the Study:

• To present a modified midline forehead flap design for nasal reconstruction.
• To describe a musculocutaneous flap incorporating multiple tissue layers.
• To outline a stepwise approach for flap design and application.

Main Methods:

• The described flap is a musculocutaneous flap, integrating skin, subcutaneous tissue, muscle, and aponeurosis.
• Enhanced vascularity is a key feature, enabling precise thinning and tailoring.
• A detailed, stepwise description of the flap's design is provided.

Main Results:

• The modified flap is suitable for reconstructing significant full-thickness nasal defects.
• The flap's design allows for meticulous shaping of the distal portion.
• Enhanced vascularity supports improved flap viability and contouring.

Conclusions:

• The modified midline forehead flap is a valuable tool for nasal reconstruction.
• This musculocutaneous flap offers versatility in addressing complex nasal defects.
• The described technique facilitates precise and effective reconstruction.