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Reconstruction of 2 Independent Facial Defects Using A Single Paramedian Forehead Flap.
Leonardo Gonzalez-Parrilla1, Jenna Thuman2, Mahmoud Awad1
1Department of Otolaryngology-Head & Neck Surgery, Medical University of South Carolina.
The Journal of Craniofacial Surgery
|January 17, 2025
Summary
A single paramedian forehead flap (PMFF) effectively reconstructed two facial defects in a radiated patient. This study demonstrates the flap
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Otolaryngology
Background:
- The paramedian forehead flap (PMFF) is established for single nasal defects and recognized for lower eyelid reconstruction.
- The use of a single pedicled PMFF for multiple facial defects remains undescribed.
Purpose of the Study:
- To describe the novel application of a single pedicled PMFF for reconstructing two distinct ipsilateral facial defects.
- To evaluate the safety and efficacy of this technique in a patient with prior radiation therapy.
Main Methods:
- A case report of a 59-year-old male patient with basal cell carcinoma requiring adjuvant radiation therapy.
- Reconstruction of ipsilateral lower eyelid and nasal ala defects using a single pedicled PMFF after initial radial forearm free flap failure.
Main Results:
- At 6 months post-reconstruction, the PMFF demonstrated viability and adequate positioning without contraction.
- The patient experienced significant improvement in symptoms related to both the eye and nasal defects.
Conclusions:
- A single pedicled PMFF can be safely and effectively utilized for reconstructing multiple facial defects.
- This technique offers a viable option for complex facial reconstruction in selected patients, including those with a history of radiation.
