Refinements of the application of paramedian forehead flap in nasal defects repair in Asian patients

2019 ◽  
Vol 19 (8) ◽  
pp. 2041-2048
Author(s):  
Wen‐Chao Zhang ◽  
Zhifei Liu ◽  
Xiaojun Wang ◽  
Ruijia Dong ◽  
Ang Zeng ◽  
...  
Keyword(s):  
Forehead Flap ◽  
Asian Patients ◽  
Paramedian Forehead Flap ◽  
Nasal Defects

Outcomes of paramedian forehead flap for reconstruction of large nasal defects: Menoufia experience

2019 ◽  
Vol 32 (4) ◽  
pp. 1282 ◽  
Author(s):  
HananAli Ali Dawoud ◽  
TarekFouad Keshk ◽  
AhmedFarag El-kased ◽  
DaliaMofreh El-Sakka ◽  
SherifMohamed El-kashty
Keyword(s):  
Forehead Flap ◽  
Paramedian Forehead Flap ◽  
Nasal Defects

scholarly journals The use of folded melolabial interpolation flaps to repair full thickness distal nasal defects: A review of technique and results

2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Eamonn Maher ◽  
Scott Walen ◽  
Ian Maher
Keyword(s):  
Cartilage Graft ◽  
Full Thickness ◽  
Forehead Flap ◽  
Common Site ◽  
Paramedian Forehead Flap ◽  
Surgical Teaching ◽  
Mucosal Lining ◽  
Cutaneous Flap ◽  
Surgical Options ◽  
Nasal Defects

<p>The nose is a common site for skin cancer and there are several surgical options available for reconstruction after excision. Traditional surgical teaching suggests that in the case of a partial full thickness defect involving the distal nose or ala, a paramedian forehead flap (PMFF) or an intranasal lining flap with free cartilage graft and additional cutaneous flap should be performed. However, each of these options comes with unique disadvantages. The incision and pedicle required for the PMFF can be unsightly and functionally limiting, while the intranasal lining flap is technically challenging and can obstruct the nostril. Herein, we review our experience with a two-stage folded-over melolabial interpolation flap (MLIF) to repair partial full thickness defects of the distal nose and ala in order to recreate the cutaneous covering, nasal rim, and inner mucosal lining.</p>

scholarly journals Paramedian forehead flap for nasal tip reconstruction after Mohs surgery

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Felipe Bochnia Cerci
Keyword(s):  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Surgical Planning ◽  
Full Thickness ◽  
Mohs Micrographic Surgery ◽  
Forehead Flap ◽  
Micrographic Surgery ◽  
Nasal Tip ◽  
Paramedian Forehead Flap ◽  
Nasal Defects

<p>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 by Mohs micrographic surgery and repaired with a paramedian forehead flap. Prior to reconstruction, it is essential that surgical margins are completely evaluated and free of tumor. For optimal paramedian forehead flap results, adequate surgical planning and meticulous technique are imperative.</p>

scholarly journals Modifications of Paramedian Forehead Flap

2021 ◽  
pp. 16
Author(s):  
◽  
◽  
Keyword(s):  
Full Thickness ◽  
Forehead Flap ◽  
Purposive Sampling ◽  
Rib Cartilage ◽  
Facial Defects ◽  
Paramedian Forehead Flap ◽  
Excellent Tool ◽  
Nasal Defects ◽  
Delayed Reconstruction ◽  
Multiple Stages

Introduction Paramedian forehead flap an interpolated flap based on supratrochlear vessels is considered as a workhorse for nasal and periorbital reconstruction however it re-quires modification’s to meet reconstruction requirement. Modifications includes islanded single stage forehead flap, expanded forehead flap, pre-fabricated with rib cartilage, folded forehead flap, split forehead flap and delayed flap, are associated with complications which can be minimized using different techniques. This article’s objective is to re-view indications for modification of Paramedian forehead flap, its complications and techniques of minimizing them. Methods: Twenty-three patients with facial defects reconstructed with modified Paramedian forehead flap were analysed by non-probability purposive sampling from September 2010 to August 2014, while traditional forehead flap reconstructions were excluded. Results: Nasal and periorbital region defects were present in twenty-one and two patients respectively.13 had full thickness nasal defects, 14 had BCC while SCC in 2 patients. Reconstruction was performed in multiple stages except in three patients. Expanded forehead flap was used in four, subcutaneously islanded pedicle forehead and flap prefabricated forehead flaps in three each, split forehead and delayed reconstruction in two patients each. No total loss of flap was observed except in one folded forehead flap where partial distal one cmnecrosed; one patient with expanded forehead flap required revision due to flap contraction. Conclusions: Modifications of Paramedian forehead flap appear reliable, versatile and excellent tool for nasal and periorbital reconstruction. Judicious modifications of flap de-sign as per indication can give satisfactory results with minimal complications by following the techniques mentioned in literature.

scholarly journals Paramedian Forehead Flap for the Reconstruction of Extensive Nasal Defects

2011 ◽  
Vol 102 (3) ◽  
pp. 187-192
Author(s):  
P. Belmar ◽  
E. de Eusebio ◽  
C. Sánchez ◽  
A. Vergara ◽  
A. Martín ◽  
...  
Keyword(s):  
Forehead Flap ◽  
Paramedian Forehead Flap ◽  
Nasal Defects

Large Nasal Defects with Exposed Cartilage: The Folded Transposition Flap as an Innovative Alternative to the Paramedian Forehead Flap

Dermatology ◽  
2018 ◽  
Vol 234 (3-4) ◽  
pp. 99-104 ◽  
Author(s):  
Kristina Schäfer ◽  
Christina Rudolph ◽  
Sebastian Cotofana ◽  
Matthias Goebeler ◽  
Gerhard Weyandt
Keyword(s):  
Forehead Flap ◽  
Transposition Flap ◽  
Paramedian Forehead Flap ◽  
Nasal Defects
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