The Single-Stage Paramedian Forehead Flap

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

An alternative single-stage application of the paramedian forehead flap in reconstruction of the face.

BACKGROUND Paramedian forehead flap represents a workhorse in facial soft tissue reconstruction but always requires a second step in order to interrupt the skin bridge. Direct visualization and dissection of vascular pedicle may avoid this drawback. METHODS Twenty one patients were treated between January 2012 and January 2014: 6 underwent nasal reconstruction and 15 full thickness defect of ...

Single-stage forehead flap in nasal reconstruction.

The paramedian forehead flap has become the standard of care for major nasal reconstruction. The classic procedure involves a second-stage operation to divide and inset the external pedicle. We present our experience in a clinical series using single-stage forehead flap reconstruction. Our indications include elderly patients, pediatric patients treated during mission trips, and any patient in ...

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...

Spectacles under Pedicles: Eyewear Modification with the Paramedian Forehead Flap

The paramedian forehead flap is a widely used method of nasal reconstruction. The flap requires a bridge of tissue from forehead to the nose, for a period of 2 to 3 weeks, before it can be divided at a second procedure. During this time, patients often have difficulty positioning and wearing their eyewear underneath the pedicle of the flap. Here we present a novel approach to the problem. It re...