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Nasal Reconstruction With Forehead Flap: Our 12 Years' Experience
Santolo D'Antonio1, Francesco Castellaneta1, Vincenzo Rullo1,2
1From the Division of Plastic Surgery, IRCCS-Centro di riferimento Oncologico della Basilicata, Rionero in Vulture, Potenza, Italy.
Plastic and Reconstructive Surgery. Global Open
|February 10, 2025
Summary
Paramedian forehead flaps are highly successful for reconstructing large nasal defects after skin cancer removal. This reliable method shows excellent outcomes even in patients with comorbidities.
Area of Science:
- Plastic Surgery
- Dermatology
- Oncology
Background:
- The nose is highly susceptible to environmental damage and trauma.
- Reconstructing nasal defects post-skin cancer removal presents significant aesthetic and functional challenges.
- Paramedian forehead flaps have been utilized for large nasal defect repair.
Purpose of the Study:
- To evaluate the success rates of paramedian forehead flaps in large nasal defect reconstruction.
- To assess flap viability and patient outcomes over a 12-year period.
Main Methods:
- Retrospective study of 77 patients undergoing nasal reconstruction with paramedian forehead flaps (2010-2022).
- Analysis of patient data including age, sex, defect size, tumor histology (basal cell carcinoma, squamous cell carcinoma), and follow-up duration.
- Inclusion of comorbidities (diabetes, hypertension, coronary artery disease) that could impact flap success.
Main Results:
- No instances of paramedian forehead flap loss were reported in the study cohort.
- A total of 77 patients (42 male, 35 female) were included, with a mean follow-up of 65 months.
- Basal cell carcinoma (59.2%) and squamous cell carcinoma (40.8%) were the primary indications; 5.3% experienced recurrence.
Conclusions:
- Paramedian forehead flaps demonstrate reliability for reconstructing extensive nasal defects.
- The flap technique is effective even in patients with risk factors such as smoking and comorbid conditions.
- Successful outcomes support the use of paramedian forehead flaps in challenging nasal reconstruction cases.
