195 results match your criteria Nasal Reconstruction Paramedian Forehead Flap


VITOM-3D assisted paramedian forehead flap for nasal reconstruction.

Am J Otolaryngol 2022 May 10:103493. Epub 2022 May 10.

U.O.C di Otorinolaringoiatria ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.

Background: The study was designed with the purpose of showing the potential advantages of the VITOM-3D assisted paramedian forehead flap for nasal reconstruction.

Methods: A 72 years-old female patient presented to our department with a wide left nasal defect. On her clinical history she referred a basal cell carcinoma of the left nasal skin treated with multiple excision in another center without reconstruction. Read More

View Article and Full-Text PDF

Viability and Cosmesis of Right Angle and Vertical Paramedian Forehead Flaps Are Equivalent: A Retrospective Quantitative Study.

Dermatol Surg 2022 May 16. Epub 2022 May 16.

All authors are affiliated with the Department of Dermatology and Skin Science, University of British Columbia, Vancouver, BC, Canada.

Background: Paramedian forehead flaps (PMFFs) are commonly used for reconstruction of nasal defects. The classic PMFF is vertically oriented while the modified PMFF is designed with a 90-degree angle. No study has compared outcomes between these PMFF designs. Read More

View Article and Full-Text PDF

Rintala Flap and Posterior Perichondrial Cutaneous Graft: A Combined Approach for Nasal Tip Reconstruction.

Plast Reconstr Surg Glob Open 2022 May 6;10(5):e4316. Epub 2022 May 6.

Department of Plastic, Reconstructive and Aesthetic Surgery, Geneva University Hospitals, University of Geneva, Geneva, Switzerland.

Nasal tip reconstruction requires a meticulous approach due to the complexity of the nasal anatomy and its aesthetic importance. Many procedures have been described to restore this aesthetic unit, including the paramedian forehead flap, which is one of the workhorse flaps. However, despite excellent final outcomes, this procedure may be refused by patients, due to its temporary conspicuous appearance possibly associated with serious psychological implications, and the need of multiple interventions. Read More

View Article and Full-Text PDF

Single-staged Tunneled Forehead Flap for Medial Canthal and Eyelid Reconstruction.

Plast Reconstr Surg Glob Open 2022 Apr 22;10(4):e4223. Epub 2022 Apr 22.

Eyeplastx, Oculofacial Plastic and Reconstructive Surgery, San Antonio, Tex.

Purpose: The paramedian forehead flap, while initially used for reconstruction of nasal defects, has been adapted for repair of anatomical subunits in the medial canthal and eyelid area. A significant obstacle for utilizing the flap has been the bulky, unsightly vascular pedicle that is maintained between surgical stages. We describe our surgical experience using the tunneled variation in a single stage procedure. Read More

View Article and Full-Text PDF

A computer based facial flaps simulator using projective dynamics.

Comput Methods Programs Biomed 2022 May 3;218:106730. Epub 2022 Mar 3.

Computer Graphics Laboratory, Dept. of Computer Science, University of Wisconsin (Madison), USA.

Background And Objectives: Interactive surgical simulation using the finite element method to model human skin mechanics has been an elusive goal. Mass-spring networks, while fast, do not provide the required accuracy.

Methods: This paper presents an interactive, cognitive, facial flaps simulator based on a projective dynamics computational framework. Read More

View Article and Full-Text PDF

Simultaneous Paramedian Pedicle Forehead and Free Medial Sural Artery Perforator Flap Reconstruction of a Composite Nasal Defect: A Case Report.

Ann Plast Surg 2022 03;88(1s Suppl 1):S106-S109

From the Department of Plastic and Reconstructive Surgery, Linkou Chang Gung Memorial Hospital.

Background: Extensive nasal defects after resection of a malignancy are a challenge for all plastic surgeons. Nasal composite tissue defects have to be reconstructed with multiple staging surgeries. A paramedian pedicled forehead flap and free tissue transfer can be used for lining and skin replacement at different stages. Read More

View Article and Full-Text PDF

[The triplane aesthetic reconstruction of the alar unit after removal of advanced basal cell carcinomas. About 26 cases].

Authors:
A Belmahi

Ann Chir Plast Esthet 2022 Feb 1;67(1):26-34. Epub 2022 Feb 1.

Clinique des nations unies, rue Abou Der-Agdal, 10800 Rabat, Maroc. Electronic address:

Introduction: The aesthetic reconstruction of full thickness defects of the entire ala is difficult because of its complex tridimensional anatomy. The triplan reconstruction of this unit which includes: -a lining with a mucosal flap, -a sculptured cartilage framework imitating the anatomy of the opposite ala -and a skin coverage by an immediate defatted forehead flap, gives regularly a very good aesthetic results, superior to the ones obtained by other techniques.

Patients And Methods: From may 2008 to December 2020, 26 patients aged between 49 and 78 years old have benefited from this triplan aesthetic reconstruction after an excision of evolved basal cell carcinomas interesting the ala unit. Read More

View Article and Full-Text PDF
February 2022

A Clinical Report of the Complete Nasal Agenesis: Reconstruction of Congenital Arhinia and Review of the Literature.

Cleft Palate Craniofac J 2022 Jan 24:10556656221075939. Epub 2022 Jan 24.

37515Hacettepe University, Research and Application Center for the Treatment of Cleft Lip and Palate and Craniomaxillofacial Deformities, Ankara, Turkey.

Congenital absence of the nose or arhinia is an exceptionally rare craniofacial malformation, and the pathophysiology of the arhinia is still unknown. Most arhinia patients can have difficulties with breathing and feeding due to the absence of the nose, nasal cavities, and associated problems. A 38-day-old female patient was referred to our clinic with arhinia. Read More

View Article and Full-Text PDF
January 2022

Two or Three? Approaches to Staging of the Paramedian Forehead Flap for Nasal Reconstruction.

Plast Reconstr Surg Glob Open 2021 May 13;9(5):e3591. Epub 2021 May 13.

Division of Plastic, Maxillofacial, and Oral Surgery, Department of Surgery, Duke University Health System, Durham, N.C.

The paramedian forehead flap is a historic cornerstone of plastic surgery and a mainstay of complex nasal reconstruction. Although initially described as a 2-stage procedure, several procedural advancements and modifications have been proposed, with the most notable being the addition of a third, intermediate stage. Proponents of this 3-stage approach argue that the addition of an intermediate stage improves flap perfusion, expands lining and structural support options, and provides superior aesthetic outcomes. Read More

View Article and Full-Text PDF

[Nasal reconstruction with paramedian forehead flaps].

Hautarzt 2021 Oct 16;72(10):913-921. Epub 2021 Sep 16.

Hautklinik, Universitätsklinikum Münster, Von-Esmarch Str. 58, 48149, Münster, Deutschland.

The nose has an important function in the esthetic perception of the face. The esthetic coverage of defects on the nose is therefore of particular importance; however, the position is exposed to sunlight and poses a particular risk for the development of non-melanoma skin cancer (NMSC) and melanomas. After tumor excision, the size of the defect is decisive for defect closure. Read More

View Article and Full-Text PDF
October 2021

Complete division of the pedicle of the forehead flap is possible after 1 week of engraftment in selected patients.

JAAD Int 2021 Mar 30;2:5-11. Epub 2020 Nov 30.

Department of Dermatology, Dermatosurgery and Allergy, Asklepios Medical Center, Weissenfels, Germany.

Background: Recent studies have demonstrated that early division of the forehead flap (FHF) is possible if angiography is performed or a remnant of the pedicle is left behind. Whether or not careful selection of patients allows for complete division of the pedicle has not been studied.

Objective: To assess if careful selection of patients allows for early complete division of the FHF. Read More

View Article and Full-Text PDF

Three-Stage Paramedian Forehead Flap Reconstruction of the Nose Using the Combination of Composite Septal Pivot Flap with The Turbinate Flap and L-Septal Cartilaginous Graft - a Case Report.

Acta Chir Plast 2021 ;63(1):6-13

Nasal basal cell carcinomas are the most common malignant tumors of the facial skin, which predilectively affect areas exposed to sunlight, including the nasal area. After their radical removal, there is a variable complex defect of the affected area (defect of all 3 layers of the nose) or even a composite defect (it also occupies the adjacent soft tissues around the nose), which are usually used to reconstruct this area. A 73-year-old female patient with recurrent infiltrative basal cell carcinoma of the left nasal ala underwent four re-excisions before histologically verified free margins without the presence of the tumor. Read More

View Article and Full-Text PDF

Reconstruction of Cutaneous Nasal Alar Defects Following Melanocytic Nevus Resection.

J Craniofac Surg 2021 Nov-Dec 01;32(8):e719-e724

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

View Article and Full-Text PDF
November 2021

Application of FACE-Q and NOSE in Nasal Reconstruction with Paramedian Frontal Flap after Skin Cancer Resection.

Plast Reconstr Surg Glob Open 2021 Apr 8;9(4):e3533. Epub 2021 Apr 8.

Division of Plastic Surgery, Medical School, Universidade de São Paulo (HCFMUSP), São Paulo, Brazil.

Introduction: Nonmelanoma skin cancer (NMSC) is responsible for high morbidity and mortality, resulting in a high cost to the health system. The nose is the leading region affected by this type of tumor and may need reconstruction by tissue transfer. The paramedian forehead flap (PFF) is one of the main options used, and the factors that influence the result should be studied. Read More

View Article and Full-Text PDF

[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

View Article and Full-Text PDF

The role of near-infrared fluorescence imaging with indocyanine green dye in pedicle division with the paramedian forehead flap.

Int Wound J 2021 Dec 24;18(6):881-888. Epub 2021 Mar 24.

Department of Plastic and Aesthetic Reconstructive and Hand Surgery, AGAPLESION Markus Hospital, Frankfurt am Main, Germany.

The paramedian forehead flap is considered the gold standard for nasal reconstruction following oncologic surgery. During the 21-day delay in two-stage surgery protocols, many patients report considerably reduced quality of life because of the pedicle. This prospective case series study examined the usefulness of near-infrared (NIR) fluorescence with indocyanine green (ICG) for flap perfusion assessment and identified variables associated with time to flap perfusion. Read More

View Article and Full-Text PDF
December 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

View Article and Full-Text PDF

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

View Article and Full-Text PDF
January 2021

Reconstruction of a Hemirhinectomy Defect Using a Three-Dimensional Printed Custom Soft Tissue Cutting Guide.

J Craniofac Surg 2021 Jan-Feb 01;32(1):e51-e52

The Department of Plastic Surgery, Rhode Island Hospital and The Warren Alpert Medical School of Brown University, Providence, RI.

Abstract: The 3-stage paramedian forehead flap is the gold standard for subtotal and complete nasal defects, but significant surgeon artistry and experience are required to achieve good, consistent results. The authors describe the use of virtual surgical planning and three-dimensional printing to create a patient-specific soft tissue cutting guide for the design of a forehead flap in the reconstruction of a hemirhinectomy defect. Application of this technology to these challenging reconstructive scenarios promises to improve accessibility and consistency of results. Read More

View Article and Full-Text PDF

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

J Plast Reconstr Aesthet Surg 2021 Aug 14;74(8):1824-1831. 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

View Article and Full-Text PDF

Paramedian Forehead Flap Reconstruction for a Case of Nasal Vestibular Squamous Cell Carcinoma.

Indian J Surg Oncol 2020 Sep 24;11(Suppl 2):265-268. Epub 2020 Jul 24.

Department of ENT and Head & neck surgery, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, India.

View Article and Full-Text PDF
September 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

View Article and Full-Text PDF

Use of Islanded Supratrochlear Artery Component Paramedian Forehead Flap and Cranial Bone Graft for Composite Nasal Defect Reconstruction.

J Craniofac Surg 2021 Jun;32(4):1436-1439

Department of Plastic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Abstract: The authors present a case series of patients with composite loss of nasal skin cover and lining following road accidents. The nasal skeletal framework in all these cases was also severely communited. The reconstruction of all the these was achieved in 1 operation. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF
October 2020

Morbidity Associated With Structural Graft Use in Paramedian Forehead Flap.

J Craniofac Surg 2021 May;32(3):888-891

Division of Plastic and Reconstructive Surgery, University of New Mexico Health Sciences Center.

Introduction: Paramedian forehead flap for nasal reconstruction may involve the use of a structural graft. The authors hypothesized that the use of structural grafts with paramedian forehead flap is associated with an increased risk of 30-day complications.

Methods: This is a retrospective study of the American College of Surgeon (ACS) National Surgical Quality Improvement Program (NSQIP). Read More

View Article and Full-Text PDF

Diced Cartilage in Fibrin Glue for Dorsal Reconstruction as Part of Staged Paramedian Forehead Flap Reconstruction.

J Craniofac Surg 2021 May;32(3):1140-1142

Department of Otolaryngology - Head and Neck Surgery Mayo Clinic Arizona, Phoenix, AZ.

Abstract: The use of diced cartilage grafting is a powerful tool during rhinoplasty for dorsal augmentation; however, its application to nasal structural reconstruction has rarely been reported. Here we present a unique technique for Mohs defect reconstruction combining diced cartilage graft for dorsal augmentation and a folded paramedian forehead flap for soft tissue. A 54-year-old female presented with recurrent basal cell carcinoma of the nose that had been previously resected 3 times in the past. Read More

View Article and Full-Text PDF

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

View Article and Full-Text PDF

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

View Article and Full-Text PDF

The Laterally Extended Paramedian Forehead Flap for Nasal Reconstruction: The Delay Technique Revisited.

Plast Reconstr Surg Glob Open 2020 Jun 15;8(6):e2871. Epub 2020 Jun 15.

Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Kindai University, Osakasayama, Japan.

Background: Problems with poor circulation often occur when a large defect or a distant region, such as the apex of the nose, is covered with a paramedian forehead flap. Delay technique increases the safety of reconstruction procedures, but it has been used less frequently because a 2-stage surgery is necessary, and various other flaps and techniques have been developed.

Method: We performed the delay technique of paramedian forehead flap at the same time as tumor resection. Read More

View Article and Full-Text PDF

Paramedian Forehead Flap for Reconstruction of Nasal Tip Defect.

Plast Reconstr Surg Glob Open 2020 Apr 24;8(4):e2713. Epub 2020 Apr 24.

Division of Plastic Surgery, Veterans Affairs Medical Center, Washington, D.C.

View Article and Full-Text PDF