Cost-effectiveness of Early Division of the Forehead Flap Pedicle

Paramedian Forehead Flap Raised in the Base of Previously Used Median Forehead Flap Pedicle

Use of laser-assisted indocyanine green angiography for early division of the forehead flap pedicle.

IMPORTANCE The paramedian forehead flap is used to reconstruct medium to large nasal defects. The staged nature, with its vascular pedicle bridging the medial eyebrow to the nose, results in significant facial deformity. Earlier division lessens this morbidity. OBJECTIVES To quantify flap neovascularization 2 weeks after the initial flap transfer and to describe an algorithm for earlier divis...

Paramedian Forehead Flap Raised in the Base of Previously Used Median Forehead Flap Pedicle

Nose is the most common site of facial skin cancer because of its continuous sun exposure.1 Soft tissue tumors such as basal cell carcinoma (BCC) are the most common tumors of this region. The choice of treatment for BCC is surgical demolitions. Since these tumors grow more aggressively and are so likely to recur from the involved surgical margins, the surgery requires often wide resection of t...

paramedian forehead flap raised in the base of previously used median forehead flap pedicle

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CASE REPORT Laser-Assisted Indocyanine Green Evaluation of Paramedian Forehead Flap Perfusion Prior to Pedicle Division

OBJECTIVE To present the use of indocyanine green and the LifeCell SpyElite System to confirm perfusion and viability of a forehead flap prior to division and inset, thereby eliminating the question of flap survival based on clinical judgment alone. METHODS A case report of a 67-year-old man with a forehead flap reconstruction following an acquired nasal defect due to resection of an adenoid ...