Related Experiment Video
Updated: Jul 27, 2026
08:01
Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach
Published on: August 24, 2018
9.0K
Decision Making in Nasal Reconstruction: When to Use the Forehead Flap?
Virginia E Drake1, Jeffrey S Moyer2
1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, 170 Manning Drive, CB #7070, Chapel Hill, NC 27599, USA.
Facial Plastic Surgery Clinics of North America
|April 4, 2024
Summary
This review covers paramedian forehead flap uses and patient selection. Preoperative discussions are crucial for managing surgical expectations and improving patient satisfaction in nasal reconstruction.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Otolaryngology
Background:
- The paramedian forehead flap is a versatile technique for nasal reconstruction.
- Patient selection is critical for successful outcomes in complex reconstructive cases.
- Understanding patient expectations and psychosocial factors is essential.
Purpose of the Study:
- To review the indications and uses of the paramedian forehead flap.
- To examine clinical scenarios emphasizing the importance of patient selection.
- To highlight the role of preoperative discussions in major nasal reconstruction.
Main Methods:
- Literature review of paramedian forehead flap applications.
- Analysis of clinical situations requiring careful patient selection.
- Examination of psychosocial aspects and preoperative communication strategies.
Main Results:
- Paramedian forehead flap is indicated for various nasal defects.
- Optimal patient selection enhances surgical outcomes.
- Thorough preoperative discussions improve patient satisfaction and manage expectations.
Conclusions:
- Paramedian forehead flap is a valuable reconstructive tool.
- Careful patient selection and informed consent are paramount.
- Addressing psychosocial factors improves the overall reconstructive experience.
Related Concept Videos
01:27Cranial Bones: Lateral View
The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
01:24Nose and Nasal Cavity
The nose is composed of an observable exterior segment (external nose) and an internal segment within the skull known as the nasal cavity (internal nose). The external nose, visible on the face, consists of a framework of bone and hyaline cartilage enveloped in skin and muscle and lined with a mucous membrane. This structure is supported by the frontal bone, nasal bones, and maxillary bone and is supplemented by a cartilaginous framework comprising the septal nasal cartilage, lateral nasal...
01:26Tonsillitis II: Management
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
01:30Epistaxis
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
01:29Suctioning the Nasopharyngeal Airway
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...