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Expanded Paramedian Forehead Flap for Nasal Reconstruction Following Congenital Nevus Excision
Ranjit Kumar Sahu1,2,3,4, Sudeshna Acharya1,2,3,4, Manojit Midya1,2,3,4
1Ranjit Kumar Sahu, MBBS, MS, MCh (Plastic Surgery), FCLS, is Associate Professor, Department of Plastic Surgery, All India Institute of Medical sciences, Bhubaneswar, Odisha, India.
Plastic and Aesthetic Nursing
|November 30, 2022
Summary
This study details reconstructing a large facial congenital nevus using an expanded forehead flap. Modified techniques yielded excellent aesthetic results with minimal donor site complications.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Dermatologic Surgery
Background:
- Congenital nevi can present significant aesthetic challenges, particularly when large and involving facial structures like the nose.
- Surgical excision and reconstruction are primary treatment modalities for extensive congenital nevi.
Observation:
- A modified paramedian forehead flap was employed for nasal reconstruction following the excision of a large congenital nevus.
- Key modifications included tissue expansion, flap thinning, and precise pedicle placement along the supratrochlear artery's cutaneous branch.
Findings:
- The modified forehead flap technique achieved excellent aesthetic outcomes in nasal reconstruction.
- The procedure demonstrated negligible donor site morbidity over a 33-month follow-up period.
Implications:
- This approach offers a reliable and aesthetically superior option for complex nasal defects caused by congenital nevi.
- The described modifications enhance the versatility and success rate of forehead flap reconstruction in plastic surgery.
