Related Experiment Video
Updated: Jul 30, 2026

19:53
Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
106.0K
[Nasal reconstruction with paramedian forehead flaps]
Marie-Luise Schiffmann1, Dominik Schlarb2
1Hautklinik, Universitätsklinikum Münster, Von-Esmarch Str. 58, 48149, Münster, Deutschland.
Summary
Reconstructing nasal defects after skin cancer removal is crucial for facial aesthetics. The paramedian forehead flap offers a versatile solution for complex nasal reconstructions, addressing both size and multilayer defects.
Area of Science:
- Plastic Surgery
- Dermatology
- Oncology
Background:
- The nose significantly impacts facial aesthetics, making defect reconstruction vital.
- Nasal skin is susceptible to non-melanoma skin cancer (NMSC) and melanomas due to sun exposure.
- Defect size and multilayer involvement (cartilage, mucous membranes) complicate nasal reconstruction.
Purpose of the Study:
- To provide an overview of reconstruction options for nasal defects.
- To detail the indications and surgical implementation of the paramedian forehead flap for nasal reconstruction.
Main Methods:
- Review of surgical techniques for nasal defect closure.
- Focus on the paramedian forehead flap as a reconstructive option.
Main Results:
- The size of the defect post-excision dictates the closure strategy.
- Multilayer nasal defects present significant surgical challenges.
- The paramedian forehead flap is a viable option for various nasal defect extents.
Conclusions:
- Effective nasal reconstruction is essential for restoring facial form and function.
- The paramedian forehead flap is a valuable technique for addressing complex nasal defects, particularly those involving multiple tissue layers.

