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Repurposing the PMFF Pedicle Before Final Division: Distal Necrosis Salvage With Long-Term Success
Carson K Gates1, Ghazal S Daher2, Grant S Hamilton3
1University of Missouri School of Medicine, Columbia, Missouri, USA.
The Laryngoscope
|August 11, 2026
Summary
A novel technique repurposed a paramedian forehead flap pedicle to salvage a compromised nasal alar reconstruction, avoiding further surgery. This tissue-sparing method ensured long-term flap survival and excellent aesthetic and functional outcomes.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Dermatologic Surgery
Background:
- Mohs surgery defects often require complex reconstruction.
- Forehead flaps are common for nasal reconstruction but can have complications.
- Venous congestion and necrosis are potential risks in flap surgery.
