BACKGROUND Reconstruction of nasal skin after tumor resection is imperative for full patient rehabilitation; and use of similar skin is necessary to achieve best esthetic and functional results. METHODS This clinical series study represent management of patients with large nasal defects (up to 4x7 cm) using subcutaneous pedicle island paramedian forehead flap, during a period of 2007-2009, 8 ...

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...

BACKGROUND The Department of Dermatology at Hospital Universitario de Guadalajara in Spain is a referral center for Mohs micrographic surgery. Consequently, we are regularly faced with the problem of repairing large surgical defects on the nose. The paramedian forehead flap is currently one of the techniques of choice for the repair of such defects. MATERIALS AND METHODS We review our experie...

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 ...

Learning Objectives: After studying this article, the participant should be able to: 1. Understand the history of nasal reconstruction and its implications to modern nasal repair. 2. Understand current developments in the use of intranasal lining flaps and primary cartilage grafts. 3. Understand the use of the two-stage and, specifically, the three-stage paramedian forehead flap with an interme...

Conjunctival melanoma is a rare and potentially deadly tumor. Therefore, adequate oncological resection essential, commonly leading to total orbital exenteration, which causes patients' extensive functional cosmetic impairment. As result, it essential reconstruct the region post-exenteration obliterate cavity, provide pliable cutaneous covering, restore stable vascularized tissue that can withs...