Elegant solutions for complex paramedian forehead flap reconstruction.
نویسندگان
چکیده
Nasal reconstruction is one of the most challenging aspects of facial plastic surgery. The authors present reconstructive techniques to maximize the final aesthetic result and minimize scarring. They discuss techniques used in nasal reconstruction with a paramedian forehead flap (PMFF) that help to achieve these goals and minimize the chance of complications, including performing a surgical delay, using generous, supportive cartilage grafts, adding extra length and bulk to the flap at the alar rim and using topical nitroglycerin and triamcinolone injections when indicated. The steps outlined can help to create a more elegant and consistent result in PMFF nasal reconstruction.
منابع مشابه
Paramedian forehead flap for nasal tip reconstruction after Mohs surgery
The paramedian forehead flap is a great option for restoring complex nasal defects. Its main indications are large and deep wounds located on the distal third of the nose (tip and ala). For full-thickness defects, the paramedian forehead flap may be used alone or in combination with other methods. We presented a patient with a nodular basal cell carcinoma on the nasal tip and collumela treated ...
متن کاملUse of Forehead Flap for Nasal Tip Reconstruction after Traumatic Nasal Amputation
Nose is one of the most important aesthetic unit of the face.Management of nasal trauma plays a significant role in the practices of the majority of facial and reconstructive surgeons. Replantation, although technically very challenging, is undoubtedly the procedure of choice following traumatic nasal amputation. Here we present an illustrative case report of the traumatic amputation of a nasal...
متن کاملParamedian forehead flap combined with hinge flap for nasal tip reconstruction*
The paramedian forehead flap is a great option for restoration of complex nasal defects. For full-thickness defects, it may be used alone or in combination with other methods. We present a patient with a basal cell carcinoma on the distal nose treated by Mohs micrographic surgery, and a resulting full-thickness defect repaired with paramedian forehead flap combined with a hinge flap. For optima...
متن کاملParamedian Forehead Flap Raised in the Base of Previously Used Median Forehead Flap Pedicle
متن کامل
An alternative method for reconstruction of large intranasal lining defects: the Farina method revisited.
OBJECTIVE To examine use of the paramedian forehead flap for intranasal lining. METHODS The medical records and photographs were reviewed for patients who underwent a nasal reconstruction involving a paramedian forehead flap used for internal lining. RESULTS Three patients underwent this procedure. In all patients, the flap provided excellent intranasal lining. External incisions were accep...
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ورودعنوان ژورنال:
- Facial plastic surgery clinics of North America
دوره 19 3 شماره
صفحات -
تاریخ انتشار 2011