1,233 results match your criteria Forehead Flaps


Reconstruction of Cutaneous Nasal Alar Defects Following Melanocytic Nevus Resection.

J Craniofac Surg 2021 Apr 29. Epub 2021 Apr 29.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Objective: The reconstruction of nasal alar defects after resection of a melanocytic nevus becomes one of the most challenging procedures for surgeons. Choosing the most appropriate technique is still difficult sometimes. The authors reviewed our cases and published experience on choosing optimal surgical methods to repair different types of nasal alar defect following melanocytic nevus resection. Read More

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A modified method for upper eyelid reconstruction with innervated orbicularis oculi myocutaneous flaps and lower lip mucosal grafts.

JPRAS Open 2021 Jun 24;28:131-139. Epub 2021 Mar 24.

Department of Plastic Surgery, National Hospital Organization Osaka National Hospital, Osaka, Japan.

Background: Numerous reports have described methods for repairing full-thickness upper eyelid defects using lower eyelid tissue. To avoid sacrificing the lower eyelid and thereby prevent lower eyelid sagging or dysfunction, we used innervated orbicularis oculi myocutaneous flaps harvested from the upper eyelid for upper eyelid reconstruction.

Methods: We modified a method reported by Moschella and Cordova for repairing full-thickness upper eyelid defects using innervated bipedicled orbicularis oculi myocutaneous flaps mobilized from the upper eyelid and labial mucosal grafts. Read More

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Total nasal reconstruction with pre-laminated, super-thin anterolateral thigh flap: A case report.

Microsurgery 2021 Apr 22. Epub 2021 Apr 22.

Plastic Reconstructive and Aesthetic Surgery, Manisa Celal Bayar University, Manisa, Turkey.

Many techniques for nasal reconstruction have been described to achieve aesthetically and functionally favorable results. Local tissues, specifically the forehead flap, provide the best tissue match with the nose. However, when local tissue donor sites are limited, alternative options such as free tissue transfers should be considered. Read More

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A Strategy for Integrative Reconstruction of Midface Defects Using an Extended Forehead Flap.

Facial Plast Surg Aesthet Med 2021 Apr 20. Epub 2021 Apr 20.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.

Midface reconstruction is challenging because the structures and deformities involved are complicated. In this study, we present a strategy for integrally reconstructing nasal and midface defects, including hair-bearing defects, using extended forehead-expanded flaps. From 2015 to 2018, a total of 22 patients with midface defects underwent reconstruction with extended forehead-expanded flaps. Read More

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Use of Dorsal Nasal Flap in Combination With Nasolabial Perforator Propeller Flap for Reconstruction of Nasal Skin Defects of Medium to Large Size; A Simpler Alternative to Frontal Flap.

J Craniofac Surg 2021 Mar 25. Epub 2021 Mar 25.

Department of Plastic, Reconstructive and Aesthethic Surgery, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine Department of Plastic, Reconstructive and Aesthethic Surgery, University of Health Sciences, Bakirköy Sadi Konuk Education and Research Hospital Department of Plastic, Reconstructive and Aesthethic Surgery, Memorial Atasehir Hospital, Istanbul Department of Plastic, Reconstructive and Aesthethic Surgery, University of Health Sciences, Izmir Bozyaka Education and Research Hospital, Izmir Department of Plastic, Reconstructive and Aesthethic Surgery, Kirsehir Education and Research Hospital, Kirsehir.

Abstract: Nasal reconstruction is one of the most challenging procedures in plastic surgery. To get optimal aesthetic and functional results, the surgeon should know all the options well. Forehead flap is the gold standard technique for closure of medium to large defects of the nose. Read More

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Predictors of Postoperative Complications After Paramedian Forehead Flaps.

Facial Plast Surg Aesthet Med 2021 Apr 13. Epub 2021 Apr 13.

Department of Otorhinolaryngology-Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.

The predictors of postoperative complications after paramedian forehead flaps (PMFF) are unknown. To determine whether preoperative factors can predict post-PMFF complications. A retrospective review of 1438 adults from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database who underwent PMFF between 2010 and 2018. Read More

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[Application of three-staged paramedian forehead flap in reconstruction and repair of full-thickness nasal defect].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Apr;56(4):374-380

Department of Maxillofacial Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China.

To evaluate the application of three-staged paramendian forehead flap technique in reconstruction of severe full-thickness nasal defect. Clinical data of 7 cases with nasal reconstruction by three-staged forehead flap technique in the First Affiliated Hospital of Xinjiang Medical University and HongKong University Shenzhen Hospital between June 2016 and October 2019 was retrospectively reviewed. All were males aged from 10 to 71 years. Read More

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Usefulness of a Skin Graft Obtained from the Bilateral Nasolabial Folds for a Skin Defect following Resection of a Malignant Tumor at the Nasal Tip.

Plast Reconstr Surg Glob Open 2021 Mar 26;9(3):e3481. Epub 2021 Mar 26.

Department of Plastic and Reconstructive Surgery, Kawasaki Medical School, Okayama, Japan.

The cosmetic appeal of the nose is very important, as it is a structure located at the center of the face. Hence, the removal of nasal tumors requires matching aesthetic subunits for the ensuing reconstruction. This procedure often creates large defects that require skin grafts or local flaps for repair. Read More

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Primary Reconstruction of Extensive Forehead Defects Using Supraorbital Artery Propeller Perforator Flap.

J Oral Maxillofac Surg 2021 Feb 9. Epub 2021 Feb 9.

Professor, Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China. Electronic address:

Purpose: Extensive resection of skin carcinomas in the periorbital and forehead regions often results in complicated defects involving the upper eyelid, superciliary arch, and nasal dorsum. The aim of this study is to report our experience with the use of supraorbital artery perforator propeller flaps for primary repair of complicated forehead defects.

Methods: A total of 6 patients underwent carcinoma resection with primary surgical reconstruction using supraorbital propeller flap at the Peking University School and Hospital of Stomatology from December 2015 to December 2018. Read More

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February 2021

Combination of Extended Paramedian Forehead Flap and Laser Hair Removal in the Reconstruction of Distal Nasal Defect.

Ann Plast Surg 2021 03;86(3 Suppl 2):S293-S298

From the Department of Plastic & Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, PR China.

Aim: The study sought to determine whether extended forehead flap by using part of the scalp combined with laser hair removal is a practical approach when repairing distal nasal defect.

Methods: A retrospective study was conducted with 6 patients who underwent reconstruction of nasal defects with extended forehead flaps (including scalp combined with subsequent laser hair removal) at Shanghai Ninth People's Hospital between June 2016 and December 2018. Surgical data collected included age, causes of defects, sizes of defects, invaded nasal subunits, implantation of tissue expander, time elapsed between the formation of defects and surgical treatments, sessions of laser hair removal, and follow-up results. Read More

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A Systematic Review and Overview of Flap Reconstructive Techniques for Nasal Skin Defects.

Facial Plast Surg Aesthet Med 2021 Mar 1. Epub 2021 Mar 1.

Dermatology Division, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

Reconstruction of nasal skin defects can be challenging due to limited skin laxity and underlying cartilage and, therefore, often require a complex repair. The aim of this review is to systematically analyze the literature on nasal skin reconstructions with specific detail to flap reconstructions. A systematic literature review of nasal skin reconstruction was performed and focused on flap reconstructions. Read More

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[In vitro regeneration of tissue engineered cartilage and its clinical application for nasal reconstruction].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Feb;35(2):221-226

Center of Rhinoplasty and Nasal Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, 100043, P.R.China.

Objective: To explore the clinical application and effectiveness of a personalized tissue engineered cartilage with seed cells derived from ear or nasal septal cartilage and poly-glycolic acid (PGA)/poly-lactic acid (PLA) as scaffold in patients with nasal reconstruction.

Methods: Between March 2014 and October 2015, 4 cases of acquired nasal defects and 1 case of congenital nasal deformity were admitted. The patient with congenital nasal deformity was a 4-year-old boy, and the source of seed cells was nasal septal cartilage. Read More

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February 2021

Office-Based Forehead Flaps: A Safe and Reliable Reconstructive Option.

Ann Plast Surg 2021 03;86(3):287-291

Warner Aesthetic & Reconstructive Institute, Winnetka, IL.

Background: Forehead flaps are one of the workhorse flaps for nasal reconstruction, especially for large defects involving the nasal tip, ala, or multiple nasal subunits. Forehead flaps are often performed on older patients who have accompanying comorbidities and who may be at higher risk for anesthetic complications. The aim of this retrospective study was to compare the safety and success of forehead flap nasal reconstruction in 2 different clinical settings: those performed under local anesthesia in an office-based procedure room, compared with those performed in the operating room under either general anesthesia or intravenous sedation. Read More

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Prelaminated paramedian forehead flap for subtotal nasal reconstruction using three-dimensional printing.

BMJ Case Rep 2021 Jan 26;14(1). Epub 2021 Jan 26.

Department of Otolaryngology, Division of Facial Plastic & Reconstructive Surgery, University of Virginia, Charlottesville, Virginia, USA.

Nasal reconstruction following a total or subtotal resection presents a challenging clinical scenario. Ample external skin coverage is readily available using the paramedian forehead flap (PMFF), but restoring adequate internal lining of sufficient size and pliability is a major limitation. Intranasal mucosal flaps or free tissue transfer is often employed for this purpose, each with their own sets of limitations. Read More

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January 2021

"Zipper" Concept for Designing Expanded Forehead Flap in Facial-Cervical Reconstruction.

J Craniofac Surg 2021 Jan 25. Epub 2021 Jan 25.

Ninth Department of Plastic Surgery, Plastic Surgery Hospital of Peking, Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.

Background: Skin defect of the lower part of the face and neck is a severe condition for many patients with burn and traumatic injuries or skin lesions. The expanded forehead flap with anterofrontal temporal vessel pedicles has been widely used in lower cheeks, chin, and neck reconstruction. (In this study, we introduce a new concept- "Zipper concept" of the flap design. Read More

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January 2021

Reconstruction of a secondary scalp defect using the crane principle and a split-thickness skin graft.

BMC Surg 2021 Jan 18;21(1):41. Epub 2021 Jan 18.

School of Medicine, National Yang-Ming University, Taipei, Taiwan.

Background: Scalp reconstruction is a common challenge for surgeons, and there are many different treatment choices. The "crane principle" is a technique that temporarily transfers a scalp flap to the defect to deposit subcutaneous tissue. The flap is then returned to its original location, leaving behind a layer of soft tissue that is used to nourish a skin graft. Read More

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January 2021

Total nasal reconstruction with a forehead flap: Focusing on the facial aesthetic subunit principle.

J Plast Reconstr Aesthet Surg 2020 Dec 14. Epub 2020 Dec 14.

Department of Plastic and Reconstructive Surgery, Ulsan university, College of medicine, Asan medical center, Seoul, Korea. Electronic address:

The nasal aesthetic subunit principle has been widely accepted as the standard for nasal reconstruction with forehead flaps. However, in our experience, one's impression of a reconstructed face can easily be represented by the nose's entire appearance rather than a single nasal component. Accordingly, we hypothesized that total nasal reconstruction focusing more on the facial aesthetic subunit principle would be superior to focal nasal subunit partial reconstruction. Read More

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December 2020

Repair of severe traumatic nasal alar defects with combined pedicled flap and conchal cartilage composite grafts: a retrospective study.

Ann Transl Med 2020 Nov;8(22):1495

Department of Aesthetic Plastic and Burn Surgery, West China Hospital, Sichuan University, Chengdu, China.

Background: Repair of traumatic alar defect is challenging because poor blood supply is caused by contracture scars, which sometimes extend beyond the alar groove. However, few studies have investigated the reconstruction results of severe traumatic cases. This study aimed to examine the clinical outcomes of severe traumatic alar defect reconstruction using either pedicled nasolabial or forehead flaps combined with conchal cartilage. Read More

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November 2020

Combination of Mustardè cheek advancement flap and paramedian forehead flap as a reconstructive option in orbital exenteration.

Eur J Ophthalmol 2020 Nov 25:1120672120976550. Epub 2020 Nov 25.

Vita-Salute San Raffaele University, Milan, Italy.

Purpose: To describe a combinatory technique made of Mustardè cheek advancement flap and paramedian forehead flap as a reconstructive option after orbital exenteration.

Methods: We retrospectively reviewed all patients who underwent orbital exenteration and subsequent reconstruction with this technique at our Head and Neck Department, Divisions of Ophthalmology and Otolaryngology, at San Raffaele Hospital, Milan, Italy.

Results: Three patients were treated with the aforementioned technique, following orbital exenteration due to malignancies. Read More

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November 2020

Single-Stage Adipofascial Turnover Flap as an Alternate Option for Large Nasal Defects Usually Requiring Two-Stage Forehead Flap.

Plast Reconstr Surg 2020 12;146(6):1371-1375

From the Section of Plastic Surgery, Virginia-Tech Carilion.

Background: Large nasal defects involving the tip, ala, and/or columella with denuded cartilage have traditionally required a two-stage forehead flap. As many Mohs patients are presenting older with increased medical comorbidities, a single-stage adipofascial turnover flap with a full-thickness skin graft was developed by the senior author as an alternative method. The authors hypothesize that the adipofascial turnover flap would have similar success rates and cost less than the forehead flap. Read More

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December 2020

Esthetic outcome after nasal reconstruction with paramedian forehead flap and bilobed flap.

J Plast Reconstr Aesthet Surg 2021 Apr 24;74(4):740-746. Epub 2020 Oct 24.

Department of Oral, Maxillofacial and Facial Plastic Surgery, School of Medicine, University Hospital RWTH Aachen, Pauwelsstraße 30, 52074 Aachen, Germany.

The incidence of skin cancer, which often affects the facial skin, has risen worldwide. After resecting such facial lesions, plastic reconstruction is necessary in most cases. The paramedian forehead flap (PFF) and the bilobed flap (BF) are commonly used for nasal reconstruction, but whether patients and physicians are satisfied with the esthetics is undetermined? In this study, scar questionnaires (Manchester Scar Scale, Vancouver Scar Scale, and Patient and Observer Scar Assessment Scale) and optical three-dimensional (3D) imaging were used for subjective and objective evaluation of esthetical outcomes after plastic reconstruction of the nose in 30 patients. Read More

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Paramedian forehead flap reconstruction for skin tumors involving central subunit of face: An analysis of 37 cases.

J Oral Biol Craniofac Res 2020 Oct-Dec;10(4):764-767. Epub 2020 Oct 21.

Department of Surgical Oncology, King George's Medical University, Lucknow, UP, India.

Introduction: Tumors of facial skin are common in upper part of central subunit of face. Defects after resection require a flap, which is pliable, thin, and has a good colour match. Among the various local flaps available paramedian forehead flap is a good option. Read More

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October 2020

Craniofacial Trauma Due to Stone-pelting - Patterns of Injury and Management.

J Craniofac Surg 2020 Oct 20. Epub 2020 Oct 20.

Department of Oral and Maxillofacial Surgery, Military Hospital, Srinagar, India.

Aim: The aims of the study were to elucidate the pattern of stone-pelting induced cranio-facial injuries and to document soft and hard tissue injuries, their management, and complications.

Methods: A retrospective descriptive study was conducted using a sample of patients reporting to our department in the years 2015 to 2020. Cranio-facial injuries were assessed for soft and hard tissue injuries, including tissue loss, and corresponding management. Read More

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October 2020

Reconstruction of Orbital Exenteration Defect With Cheek or Combined Cheek and Forehead Advancement Flaps.

Ophthalmic Plast Reconstr Surg 2020 Oct 8. Epub 2020 Oct 8.

Department of Ophthalmology, Uludag University, Bursa, Turkey.

Purpose: To review the outcomes of orbital exenteration defect reconstruction using cheek or combined cheek-forehead advancement flap.

Methods: Charts of 14 patients who underwent reconstruction of the exenterated orbit with cheek advancement flap were reviewed. In surgery, a cheek flap elevated via a nasofacial sulcus incision, and preperiosteal dissection was advanced over the defect. Read More

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October 2020

Ultrasound-Guided Local Anesthetic Nerve Blocks in a Forehead Flap Reconstructive Maxillofacial Procedure.

Anesth Prog 2020 09;67(3):164-169

Department of Anesthesiology, Asahi General Hospital, Chiba, Japan.

Head and neck reconstructive surgery involving tissue flaps is often complex requiring the development of an individualized anesthetic plan. The following case report describes the anesthetic management of an 87-year-old man considered at high risk for postoperative delirium due to advanced age and blindness undergoing general anesthesia for resection of squamous cell carcinoma of the right side of the nose and reconstructive surgery with a scalping forehead flap. Ultrasound-guided local anesthetic maxillary and supraorbital nerve blocks were successfully used perioperatively to reduce the need for alternative analgesics associated with higher risks of complications such as postoperative nausea, vomiting, and delirium. Read More

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September 2020

V-Y Flap for Nasal Reconstruction.

Plast Reconstr Surg Glob Open 2020 Aug 11;8(8):e3040. Epub 2020 Aug 11.

Division of Plastic & Reconstructive Surgery, University of Miami, Miami, Fla.

The nasal tip is a complex zone for reconstruction. Numerous flap reconstructions have been proposed. In addition to the technique presented here, only the Gillies-Millard bishop's miter flap and the paramedian forehead flap should be considered. Read More

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Use of Pericranial Flaps with Dermal Substitute for Scalp Reconstruction: A Case Series.

Plast Reconstr Surg Glob Open 2020 Aug 17;8(8):e3011. Epub 2020 Aug 17.

Plastic and Reconstructive Surgery Department, Beaumont Health, Royal Oak, Mich.

Skin cancer incidence has been rapidly increasing over the past 2 decades, and the resulting defects from excision have significant aesthetic and functional implications. In particular, wound coverage for large scalp and forehead defects with calvarial exposure can lead to hairline distortion, contour irregularities, and alopecia. We describe a 2-stage technique for scalp reconstruction, which preserves the normal hairline, covers exposed bone with vascularized tissue, and restores an aesthetic soft-tissue contour. Read More

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Dual Purpose of De-Epithelialized Latissimus Dorsi Musculocutaneous Flap for Treatment of Chronic Frontal Sinusitis and Frontal Bone Defect.

J Craniofac Surg 2020 Sep 22. Epub 2020 Sep 22.

Department of Plastic and Reconstructive Surgery, Hiroshima University Hospital, Hiroshima, Japan.

Treating frontal sinusitis refractory to endoscopic sinus surgery and complicating frontal bone defect remains a challenge. One surgical option determined is free flap transfer, which has the versatility to accommodate adequate sinus obliteration and reconstruct skin and bone defects. After successful free flap transfer, forehead recessus deformity can emerge as an esthetic problem for patients waiting for cranioplasty. Read More

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September 2020

Revisiting the Rintala advancement flap for nasal tip reconstruction.

Dermatol Online J 2020 Aug 15;26(8). Epub 2020 Aug 15.

Department of Internal Medicine, Baylor University Medical Center, Dallas, TX.

The approach to nasal reconstruction is based on the nature of the defect and the donor tissue. The Rintala flap, first described by Rintala and Asko-Slejavaara, is a surgical technique used to close midline nasal defects. It is a simple, one-stage procedure and is most effective for defects ranging from 1. Read More

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