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Nasal Lining Reconstruction with Prelaminated Forehead Flap.

Khashayar Arianpour1, Patrick J Byrne2

  • 1Department of Otolaryngology - Head and Neck Surgery, Cleveland Clinic Head and Neck Institute, Cleveland Clinic, A7 Crile, 9500 Euclid Avenue, Cleveland, OH 44195. USA.

Facial Plastic Surgery Clinics of North America
|April 4, 2024
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Summary

The prelamination technique offers a solution for nasal lining reconstruction in larger defects. This method uses a staged skin graft on a forehead flap, enabling simultaneous internal and external nasal repair.

Keywords:
Forehead flapNasal liningNasal reconstructionPrefabricatedPrelaminated

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Otolaryngology

Background:

  • Nasal reconstruction requires a stable internal lining.
  • Large nasal defects present challenges in tissue acquisition and airway patency.
  • Current methods may not adequately address both internal and external nasal reconstruction needs simultaneously.

Purpose of the Study:

  • To review the background, techniques, and clinical considerations of the prelamination technique for nasal lining reconstruction.
  • To highlight the utility of the prelamination technique in managing partial to total nasal defects.

Main Methods:

  • The prelamination technique involves a staged skin graft to the paramedian forehead flap before transfer.
  • This creates a composite flap capable of reconstructing both internal and external nasal surfaces.

Main Results:

  • The prelamination technique allows for the transfer of adequate tissue for lining reconstruction.
  • It facilitates simultaneous reconstruction of internal and external nasal defects.
  • Maintains airway patency during reconstruction of large defects.

Conclusions:

  • The prelamination technique is a valuable method for nasal lining reconstruction, particularly for larger defects.
  • It offers a reliable approach for achieving stable internal nasal lining and concurrent external reconstruction.
  • Clinical considerations for its application in partial to total nasal defects are discussed.