164 results match your criteria Nasal Reconstruction Paramedian Forehead Flap


Composite Cartilage-osseous-mucosal Nasoseptal Flap for Reconstruction after Near Total Rhinectomy.

Ann Otol Rhinol Laryngol 2020 Jun 24:3489420935481. Epub 2020 Jun 24.

Division of Otolaryngology / Head and Neck Surgery, Department of Surgery, Albany Medical Center, Albany, NY, USA.

Background: Reconstruction of full thickness nasal defects usually requires different donor sites for the external skin envelope, structural elements, and internal nasal lining. In this paper we present a novel single site method for dual inner lining and skeleton repair for full thickness nasal defects with a composite nasoseptal flap and extended pedicle dissection.

Methods: A 72-year-old male presented with a T4b melanoma involving the nasal dorsum and left upper lateral cartilage. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0003489420935481DOI Listing

Paramedian forehead flap pedicle division after 7 days using laser-assisted indocyanine green angiography.

J Plast Reconstr Aesthet Surg 2020 May 29. Epub 2020 May 29.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Stanford University, School of Medicine, Stanford, CA, United States.

The paramedian forehead flap is a major workhorse for reconstruction of medium- to large-sized nasal defects. The tissue bridge that results from the vascular pedicle results in significant cosmetic deformity, with associated social and occupational costs to the patient. This prospective cross-sectional study sought to assess efficacy and safety of takedown of the flap pedicle at 1 week using indocyanine green (ICG) angiography to assist in determining neovascularization of the flap. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bjps.2020.05.079DOI Listing

Superior Extended Nasal Myocutaneous Island Flap: An Alternative to Forehead Flap Reconstruction of the Nose.

Facial Plast Surg Aesthet Med 2020 Apr 1. Epub 2020 Apr 1.

Skin Cancer and Reconstructive Surgery Center (SCARS Center), Newport Beach, California.

Medium and large nasal defects are mostly addressed with paramedian forehead flap reconstruction. The superior extended nasal myocutaneous island (SENMI) flap offers an alternative that can be single stage and can avoid a gross deformity. To describe a new flap for nasal reconstruction of medium and large nasal defects and to define the flap's limitations and indications. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/fpsam.2020.0066DOI Listing

Sparing the Paramedian Forehead Flap for Reconstruction of Large Nasal and Cheek Defects.

Dermatol Surg 2020 Mar 24. Epub 2020 Mar 24.

Both authors are affiliated with the Lahey Hospital and Medical Center Burlington, Plastic and Reconstructive Surgery, Tufts University School of Medicine, Surgery, Burlington, Massachusetts.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/DSS.0000000000002392DOI Listing

Flap reconstruction of soft tissue defect after resecting a huge hemangioma of the nose.

Arch Craniofac Surg 2020 Feb 20;21(1):69-72. Epub 2020 Feb 20.

Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

Hemangioma is a benign vascular tumor that grows by endothelial cell hyperplasia. It occurs most frequently in the head and neck region. Nose reconstruction is tricky because of its unique threedimensional structure and different tissue components. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7181/acfs.2019.00668DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054197PMC
February 2020

Nasal tip rotation flap to avoid paramedian forehead flap for large nasal tip and alar defects.

J Am Acad Dermatol 2020 Feb 14. Epub 2020 Feb 14.

Epiphany Dermatology, Dallas, Texas. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jaad.2020.02.023DOI Listing
February 2020

Paramedian Forehead Flap.

Atlas Oral Maxillofac Surg Clin North Am 2020 Mar 25;28(1):23-28. Epub 2019 Dec 25.

Division of Maxillofacial Oncology and Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, John Peter Smith Hospital, 1500 South Main Street, Fort Worth, TX 76104, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.cxom.2019.11.003DOI Listing

Laser hair removal following forehead flap for nasal reconstruction.

Lasers Med Sci 2020 Feb 1. Epub 2020 Feb 1.

Department of Plastic and Reconstructive Surgery, Chang Gung Aesthetic Medical Center, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taipei, Taiwan.

The forehead flap is a dependable option for nasal reconstruction owing to its reliability and anatomic likeness to nasal skin. For patients with low hairlines, the vertical design of the paramedian forehead flap can intrude into the scalp, thus incorporating hair into the nasal reconstruction. The inadequate length of the forehead flap or shift to an oblique design may result in eyebrow elevation and asymmetry. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10103-020-02965-9DOI Listing
February 2020

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

J Cosmet Dermatol 2019 Dec 27. Epub 2019 Dec 27.

Department of Plastic Surgery, Peking Union Medical College Hospital, Beijing, China.

Background: Due to the relatively higher tendency of postsurgery scars, insufficient cartilage support, and low surgical acceptability, nasal defect repair with forehead flap in Asian patients needs further study.

Objective: We aim to determine the necessity of tissue expansion, timing of pedicle division, and the importance of cartilage scaffold reinforcement and scar prevention at the donor site during nasal reconstruction in Asian patients with paramedian forehead flap.

Methods: A retrospective analysis was performed on patients who underwent nasal reconstruction with forehead flap at our hospital from January 2013 to January 2018. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/jocd.13273DOI Listing
December 2019

Medial femoral condyle free flap in combination with paramedian forehead flap for total/subtotal nasal reconstruction: Level of evidence: IV (therapeutic studies): Level of evidence: IV (therapeutic studies).

Microsurgery 2020 Mar 9;40(3):343-352. Epub 2019 Nov 9.

Division of Plastic and Reconstructive Surgery, Department of Biotechnology and Life Sciences, University of Insubria, Varese, Italy.

Background: The nose is a functionally complex organ with also a critical role in aesthetics. For reconstruction of full thickness nasal defects, multiple stages are needed and there is risk for resorption resulting in residual deformity. The aim of this report was to develop and evaluate a new method for full thickness total/subtotal nose reconstruction using the medial femoral condyle free flap (MFCFF) in combination with a paramedian forehead flap. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/micr.30532DOI Listing

Reconstruction of Large Transmural Nasal Defects With a Nasolabial Turnover Interpolation Flap.

Dermatol Surg 2020 Jul;46(7):899-903

Department of Dermatology, University of North Carolina, Chapel Hill, North Carolina.

Background: Reconstruction of large nasal surgical defects often warrant the use of mucosal flaps to repair the inner lining. This often presents a challenge for surgical reconstruction.

Objective: To describe a unique reconstructive option for the repair of large surgical wounds that necessitate mucosal nasal lining. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/DSS.0000000000002151DOI Listing
July 2020
1 Read

Total nasal reconstruction: a review of the past and present, with a peak into the future.

Authors:
Tim J Phillips

Curr Opin Otolaryngol Head Neck Surg 2019 Oct;27(5):420-425

Division of Head and Neck Surgery, Queen's University, Kingston, Ontario, Canada.

Purpose Of Review: The goal of this article is to review the complex topic of total nasal reconstruction and present a wide range of options for completing this difficult surgical procedure.

Recent Findings: Nasal reconstruction has a long history dating back thousands of years. Some historical techniques still exist today, including the paramedian forehead flap. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MOO.0000000000000573DOI Listing
October 2019
4 Reads

Outcome Study after Nasal Alar/Peri-alar Subunit Reconstruction: Comparing Paramedian Forehead Flap to Nasolabial Flap.

Plast Reconstr Surg Glob Open 2019 May 16;7(5):e2209. Epub 2019 May 16.

Plastic Surgery, Department of Surgery, Beaumont Health, Royal Oak, Mich.

Objective: Contours of the lower nasal third are unique and present challenges in surgical reconstruction. The nasal alar intricate curved anatomy makes the area easily compromised after Mohs surgery. Managing patient and surgeon expectations with regard to aesthetics and functionality remains the reconstructive goal. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/GOX.0000000000002209DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6571296PMC
May 2019
7 Reads

Extended Paramedian Forehead Flap for Total Upper Lip: A Case Report.

Ear Nose Throat J 2019 Sep 9;98(8):475-477. Epub 2019 Apr 9.

Division of Plastic and Reconstructive Surgery, Mayo Clinic, Phoenix, AZ, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0145561319840973DOI Listing
September 2019

Reconstruction of a subtotal septorhinectomy defect with a chimeric paramedian-pericranial forehead flap.

Am J Otolaryngol 2019 May - Jun;40(3):445-447. Epub 2019 Feb 19.

Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, TX, United States of America.

The nose is a complex structure important for aesthetic appearance, social interaction, and respiration. Full thickness nasal defects with resection of the septum pose a significant challenge to the reconstructive surgeon due to the lack of local tissues to replace the nasal lining and significant risk of nasal collapse owing to the paucity of rigid infrastructure. The purpose of this paper is to present a unique case of nasal reconstruction utilizing a bilaminar paramedian forehead flap (combined pericranial flap and forehead flap) with embedded cantilever rib graft in a patient who underwent resection for an intranasal malignancy involving the septum and soft tissue envelope. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjoto.2019.02.014DOI Listing
October 2019
19 Reads

Broadening applications and insights into the cross-paramedian forehead flap over a 19-year period.

J Plast Reconstr Aesthet Surg 2019 May 25;72(5):763-770. Epub 2018 Dec 25.

Department of Plastic Surgery, Wake Forest Baptist Medical Center, 1 Medical Center Boulevard, Winston-Salem, NC 27157, United States.

Background: Forehead flap reconstruction of large nasal defects can be challenging. The senior author has used a paramedian forehead flap modification using the supratrochlear artery on the contralateral side of the defect.

Methods: A 9-year retrospective review (2008-2016) was performed for patients undergoing nasal reconstruction with the cross-paramedian forehead flap. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bjps.2018.12.001DOI Listing
May 2019
16 Reads

Utility of Indocyanine Green Angiography to Identify Clinical Factors Associated With Perfusion of Paramedian Forehead Flaps During Nasal Reconstruction Surgery.

JAMA Facial Plast Surg 2019 May;21(3):206-212

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California.

Importance: Identifying factors affecting forehead flap neovascularization during nasal reconstruction surgical procedures using quantitative dynamics of fluorescence from indocyanine green angiography may be associated with reduced vascular complications.

Objectives: To identify quantifiable forehead flap perfusion measures using indocyanine green angiography during nasal reconstruction procedures and to evaluate clinical factors associated with neovascularization.

Design, Setting, And Participants: Retrospective cohort study of 71 patients at a tertiary referral center of Stanford University, Stanford, California, between January 1, 2010, and March 31, 2018, undergoing forehead flap nasal reconstruction surgery with flap perfusion assessed by indocyanine green angiography. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1001/jamafacial.2018.1829DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6537837PMC
May 2019
126 Reads

A New Approach to an Old Flap: A Technique to Augment Venous Drainage from the Paramedian Forehead Flap.

Plast Reconstr Surg 2019 01;143(1):269-271

Sheffield and London, United Kingdom From the Department of Plastic Surgery, Sheffield Teaching Hospitals NHS Foundation Trust; the Departments of Radiology and Plastic Surgery, Guy's and St Thomas' NHS Foundation Trust; and the Department of Anatomy, King's College London.

The paramedian forehead flap is commonly used in nasal reconstruction, and survival of the distal part of the flap is usually essential for a good cosmetic outcome. Venous congestion leading to tissue necrosis is a recognized complication with this flap. The standard paramedian forehead flap is designed with a number of aims. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00006534-201901000-0005
Publisher Site
http://dx.doi.org/10.1097/PRS.0000000000005121DOI Listing
January 2019
30 Reads

A Novel Approach for Total Nasal Reconstruction.

J Oral Maxillofac Surg 2019 May 22;77(5):1073.e1-1073.e11. Epub 2018 Nov 22.

Assistant Clinical Professor, Department of Oral and Maxillofacial Surgery, Louisiana State University Health and Sciences Center, New Orleans, LA.

A 61-year-old woman who lost her nose, upper lip, and most of her midface bony structures because of cancer 20 years previously underwent advanced surgical reconstruction. This patient previously underwent multiple reconstructive surgeries that failed to satisfactorily restore her nose. Therefore, a multistage reconstruction was performed to recreate a complete nose and increase her upper lip length. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.joms.2018.11.007DOI Listing
May 2019
8 Reads

The Paramedian Forehead Flap for Nasal Reconstruction: From Antiquity to Present.

J Craniofac Surg 2019 Mar/Apr;30(2):330-333

Columbia Presbyterian Medical Center, New York City, NY.

Nasal reconstruction is considered the historic foundation of facial plastic surgery, and the forehead flap remains the workhorse of repair. To recreate both the aesthetic contour and function of the nose, all anatomic layers must be addressed-covering, lining, and structural support. This article reviews the noteworthy history underlying the development of the paramedian forehead flap as the primary tool in reconstruction of large nasal defects while highlighting its implications on modern nasal repair. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000004976DOI Listing
August 2019
8 Reads

Use of Modified Islanded Paramedian Forehead Flap for Complex Periocular Facial Reconstruction.

J Craniofac Surg 2019 Mar/Apr;30(2):e117-e119

Department of Plastic Surgery, PGIMER, Chandigarh, India.

The paramedian forehead flap is a workhorse flap for reconstructing the nose and periorbital regions. Many variants are described including an islanded flap. However, eyebrow reconstruction is not usually performed with these flaps. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000005003DOI Listing
August 2019
15 Reads

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

Dermatology 2018 31;234(3-4):99-104. Epub 2018 Jul 31.

Department of Dermatology, Venereology and Allergology, University Hospital Würzburg, Würzburg, Germany.

Background: Skin cancer removal surgery involving the tip or dorsum of the nose often results in large-sized defects with exposure of cartilage. In such cases, the paramedian forehead flap is a frequently used reconstruction technique; however, this method is complex and can result in a cosmetically unsatisfying outcome.

Objective: To describe the folded transposition flap as an aesthetically pleasing alternative to the paramedian forehead flap for large nasal defects with exposed cartilage. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/490907
Publisher Site
http://dx.doi.org/10.1159/000490907DOI Listing
December 2018
26 Reads

Eyebrow Position After Paramedian Forehead Flap Nasal Reconstruction.

JAMA Facial Plast Surg 2019 Jan;21(1):79-81

Department of Otolaryngology, University of Kansas Medical Center, Kansas City.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1001/jamafacial.2018.0814DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440237PMC
January 2019
31 Reads

The Use of a Combined Local Flap for Reconstructing a Complex Nasal Defect.

Indian J Surg 2018 Apr 1;80(2):194-196. Epub 2018 Feb 1.

Surgical Oncology, Cancer Institute (WIA), 38, Sardar Patel Rd, Adyar, Chennai, 600036 India.

The main goals of reconstruction of nasal defects are to restore the topographic subunit outline, thereby maintaining the aesthetic three-dimensional facial contours and more importantly ensuring a patent airway. Wide excision of tumours of the external nose can at times result in complex defects causing significant facial disfigurement and this poses a significant reconstructive challenge. Nasal reconstruction with only micro-vascular free flaps can at times produce poor aesthetic outcomes as distant skin often appears as a mismatched patch within the surrounding normal facial skin. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s12262-018-1733-4
Publisher Site
http://dx.doi.org/10.1007/s12262-018-1733-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991029PMC
April 2018
32 Reads

Hatchet Flap With Transposed Nasal Inset for Midfacial Reconstruction.

Ophthalmic Plast Reconstr Surg 2018 Jul/Aug;34(4):393-395

Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, U.S.A.

Purpose: The purpose of this study is to report the surgical technique and functional outcomes of the hatchet flap with transposed nasal inset for midfacial defect repairs.

Methods: An Institutional Review Board-approved, retrospective review was performed to identify patients treated using the hatchet flap with transposed nasal inset. Patient demographics, disease etiology, defect characteristics, and postoperative complications were collected from preoperative and follow-up visits. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/IOP.0000000000001114DOI Listing
August 2018
10 Reads

Comparison of Ipsilateral and Contralateral Paramedian Forehead Flaps to Reconstruct Lateral Nasal Subunits.

Dermatol Surg 2018 12;44(12):1639-1641

Department of Dermatology, University of Minnesota Medical School, Minneapolis, Minnesota St. Louis University School of Medicine, St. Louis, Missouri Center for Health Outcomes Research, St. Louis University, St. Louis, Missouri Department of Dermatology, Mohs Surgery and Cutaneous Oncology St. Louis University School of Medicine, St. Louis, Missouri.

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00042728-201812000-0002
Publisher Site
http://dx.doi.org/10.1097/DSS.0000000000001504DOI Listing
December 2018
12 Reads

Expanded Paramedian Forehead Flaps for Nasal Defects: Beyond Aesthetic Subunits.

Ann Plast Surg 2018 12;81(6S Suppl 1):S54-S58

Department of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Background: Reconstruction of nasal tip defects presents a significant challenge for plastic surgeons. The form, function, and aesthetic appeal of all nasal subunits must be addressed. The expanded paramedian forehead flap is a good choice for nasal reconstruction, providing similar texture, structure, and skin color, and high reliability. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00000637-900000000-9744
Publisher Site
http://dx.doi.org/10.1097/SAP.0000000000001371DOI Listing
December 2018
30 Reads

Neurofibroma of the Nasal Ala: Pediatric Nasal Reconstruction.

J Craniofac Surg 2018 May;29(3):e314-e315

Plastic Surgery Unit, National University of Colombia, Bogotá, Colombia.

Benign tumors of the nasal cavity originating from a peripheral nerve sheath are rare. The authors present a case of a 3-month-old boy with a mass in the left nasal vestibule. The surgical resection was complicated by full-thickness necrosis of more than 50% of the nasal ala. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000004365DOI Listing
May 2018
17 Reads

Combination of Melolabial Interpolation Flap and Nasal Sidewall and Cheek Advancement Flaps Allows for Repair of Complex Compound Defects.

Dermatol Surg 2018 Jun;44(6):785-795

Department of Dermatology, St. Louis University School of Medicine, St. Louis, Missouri.

Background: The paramedian forehead flap (PMFF) is the repair of choice for large nasal defects involving multiple cosmetic subunits. However, the PMFF may not be optimal for all patients. The combination of a melolabial interpolation flap (MLIF) and a nasal sidewall flap may serve as an alternative. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/DSS.0000000000001471DOI Listing
June 2018
23 Reads

New technique to contour the paramedian forehead flap in nasal reconstruction.

Br J Oral Maxillofac Surg 2018 01 13;56(1):78-79. Epub 2017 Dec 13.

Royal Blackburn Hospital, Haslingden Rd, Blackburn BB2 3HH.

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S02664356173073
Publisher Site
http://dx.doi.org/10.1016/j.bjoms.2017.10.018DOI Listing
January 2018
8 Reads

Use of Forehead Flap for Nasal Tip Reconstruction after Traumatic Nasal Amputation.

World J Plast Surg 2017 Sep;6(3):361-364

Department of Plastic and Reconstructive Surgery, Day Hospital, Tehran, Iran.

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. Read More

View Article

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5714983PMC
September 2017
3 Reads

Hemodynamic Changes in Paramedian Forehead Flap.

J Craniofac Surg 2018 Jan;29(1):159-162

Department of Public Health, Celal Bayar University, Manisa, Turkey.

Paramedian forehead flap is a workhorse for nasal reconstruction. However, vascular complications may lead to flap failure. The purpose of this study was to evaluate the blood flow objectively and determine the hemodynamic changes in paramedian forehead flap with respect to influential factors of age, gender, and smoking. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000004023DOI Listing
January 2018
57 Reads

"Arrow" mark for orientation in paramedian forehead flap.

J Am Acad Dermatol 2018 05 12;78(5):e105-e106. Epub 2017 Oct 12.

Department of Dermatology, School of Medicine, Kyungpook National University, Daegu, South Korea. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jaad.2017.09.075DOI Listing
May 2018
9 Reads

Aesthetic Refinements in Forehead Flap Reconstruction of the Asian Nose.

Plast Surg (Oakv) 2017 May 30;25(2):71-77. Epub 2017 May 30.

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taipei, Taiwan.

Background: Traditional paramedian forehead flap reconstruction exploits the aesthetic subunit principle. Refinements and outcomes of forehead flap nasal reconstruction largely reflect Western experience. Differences in ethnic Asian anatomy and wound healing may foster suboptimal outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2292550317694853DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5626181PMC
May 2017
7 Reads

Paramedian Forehead Flap for Repair of Refractory High-Flow Anterior Skull Base CSF Leak.

Turk Neurosurg 2017 Jul 11. Epub 2017 Jul 11.

West Virginia University.

Aim: The paramedian forehead flap (PMFF) has been well described for nasal reconstruction. However, it has never been reported for use in the repair of high flow anterior skull base cerebral spinal fluid (CSF) leaks.

Material And Methods: The patient is a 55 yo African American male cocaine abuser who initially presented with a high flow anterior skull base CSF leak, extensive pneumocephalus, and intra-cerebral and intra-ventricular abscesses with an oro-nasal-cerebral fistula. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5137/1019-5149.JTN.20662-17.1DOI Listing
July 2017
51 Reads

The Versatility of Cheek Rotation Flaps.

Arch Craniofac Surg 2016 Dec 23;17(4):190-197. Epub 2016 Dec 23.

Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea.

Background: The cheek rotation flap has sufficient blood flow and large flap size and it is also flexible and easy to manipulate. It has been used for reconstruction of defects on cheek, lower eyelid, or medial and lateral canthus. For the large defects on central nose, paramedian forehead flap has been used, but patients were reluctant despite the remaining same skin tone on damaged area because of remaining scars on forehead. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7181/acfs.2016.17.4.190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556835PMC
December 2016
20 Reads

Paramedian Forehead Flap Salvage Through Pedicle Full-Thickness Skin Graft.

Dermatol Surg 2018 May;44(5):745-749

Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/DSS.0000000000001307DOI Listing
May 2018
6 Reads

Reconstruction of a Nasal Defect With a Radial Forearm Flap Following Trauma of a Paramedian Forehead Flap.

Eplasty 2017 29;17:ic18. Epub 2017 Jun 29.

Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas.

View Article

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5502215PMC
June 2017
11 Reads

Nasal reconstruction: our experience.

J Biol Regul Homeost Agents 2017 Apr-Jun;31(2 Suppl 1):169-174

Maxillofacial and Dental Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy.

The nose is a critically important aesthetic and functional portion of the face. We can explore nasal defects following trauma or tumor resections. Reconstructive techniques based on primary closure, skin graft, local flap, regional flap and microvascular free tissue transfer provides an algorithmic framework applicable to any reconstructive problem. Read More

View Article

Download full-text PDF

Source
February 2019
14 Reads

Flap Basics III: Interpolated Flaps.

Facial Plast Surg Clin North Am 2017 Aug;25(3):337-346

Uniformed Services University of the Health Sciences, Bethesda, MD, USA; Otolaryngology-Head and Neck Surgery, Department of Surgery, Womack Army Medical Center, Fort Bragg, NC, USA.

Paramedian forehead and melolabial flaps are the most common examples of interpolated flaps used by facial plastic surgeons and are excellent options for reconstruction of the midface after Mohs surgery. They provide superior tissue match in terms of thickness, texture, and color, while leaving minimal defects at the tissue donor sites. The main advantage of interpolated flaps is the robust blood supply, which can be either axial of randomly based, and the maintenance of the integrity of facial landmarks. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.fsc.2017.03.006DOI Listing
August 2017
11 Reads

The Single-Stage Paramedian Forehead Flap.

Actas Dermosifiliogr 2017 11 1;108(9):867-868. Epub 2017 Jul 1.

Unidad de Gestión Clínica de Dermatología, Complejo Hospitalario Universitario de Granada, Granada, España.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ad.2017.04.012DOI Listing
November 2017
2 Reads

Use of Turn-in Skin Flaps for Nasal Lining Reconstruction.

Dermatol Surg 2017 Oct;43(10):1208-1212

*Plastic, Reconstructive and Aesthetic Surgery Clinic, Sisli Etfal Training and Research Hospital, Istanbul, Turkey; †Plastic, Reconstructive and Aesthetic Surgery Clinic, Istanbul Training and Research Hospital, Istanbul, Turkey; ‡Plastic, Reconstructive and Aesthetic Surgery Clinic, Istanbul Medicine Faculty, Istanbul University, Istanbul, Turkey; §Plastic, Reconstructive and Aesthetic Surgery Clinic, Istanbul Aydın University Medicine Faculty, Istanbul, Turkey; ‖Plastic, Reconstructive and Aesthetic Surgery Clinic, Sisli Etfal Training and Research Hospital, Istanbul, Turkey.

Background: Reconstruction of the nasal lining is the most difficult part of complex nasal reconstruction because the mucosa has a unique texture and fineness. Many techniques, ranging from skin grafts to local flaps, have been applied for the reconstruction of the mucosa. In some cases, even free flaps have been used. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/DSS.0000000000001221DOI Listing
October 2017
47 Reads

Cost-effectiveness of Early Division of the Forehead Flap Pedicle.

JAMA Facial Plast Surg 2017 Sep;19(5):418-420

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California.

Importance: The paramedian forehead flap is considered the gold standard procedure to optimally reconstruct major defects of the nose, but this procedure generally requires 2 stages, where the flap pedicle is divided 3 weeks following the initial surgery to ensure adequate revascularization of the flap from the surrounding recipient tissue bed, which can cost a patient time out of work or away from normal social habits. It has previously been shown that the pedicle may be safely divided after 2 weeks in select patients where revascularization from the recipient bed was confirmed using intraoperative laser fluorescence angiography to potentially save the patient time and money.

Objective: To demonstrate the cost-effectiveness of takedown of the paramedian forehead flap pedicle after 2 weeks using angiography with indocyanine green (ICG). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1001/jamafacial.2017.0310DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5710623PMC
September 2017
86 Reads

Elongated Dorsal Nasal Flap to Reconstruct Large Defects of the Nose.

Dermatol Surg 2017 Aug;43(8):1036-1041

*All authors are affiliated with the Department of Dermatology, University Clinic of Navarra, Pamplona, Spain.

Background: The typical reconstructive option for closing large-sized defects of the distal half of the nose is the paramedian forehead flap. Other alternatives are a melolabial interpolation flap and bilobed or trilobed flaps. The dorsal nasal (Rieger) flap is suitable for closing small-sized defects at this location, especially when they are medially located. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/DSS.0000000000001149DOI Listing
August 2017
16 Reads

Paramedian forehead flap combined with hinge flap for nasal tip reconstruction.

An Bras Dermatol 2016 Sep-Oct;91(5 suppl 1):140-143

Hospital Santa Casa de Curitiba - Curitiba (PR), Brazil.

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. Read More

View Article

Download full-text PDF

Source
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
Publisher Site
http://dx.doi.org/10.1590/abd1806-4841.20164583DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5325022PMC
July 2017
7 Reads

Titanium Mesh Nasal Repair without Nasal Lining.

Facial Plast Surg 2017 Feb 22;33(1):52-57. Epub 2017 Feb 22.

Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, Saint Louis, Missouri.

The objective of this study was to describe outcomes for patients who underwent titanium mesh reconstruction of full-thickness nasal defects without internal lining repair. This is a retrospective cohort study. Patients with through-and-through nasal defects were identified at a single academic institution between 2008 and 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0036-1593747DOI Listing
February 2017
10 Reads

Microcystic Adnexal Carcinoma of the Nasal Tip Treated With Surgical Excision and Rotational Forehead Skin Flap.

J Craniofac Surg 2016 Nov;27(8):e756-e758

*Department of Otorhinolaryngology†Department of Pathology‡Department of Plastic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea.

Microcystic adnexal carcinoma (MAC) is a rare malignant cutaneous adenocarcinoma that typically occurs in the head and neck, particularly at the central face. There are only slightly more than 300 patients reported worldwide, and most patients occur in Caucasians. A 72-year-old man was referred to our hospital for definitive treatment of known MAC from previous biopsy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000003119DOI Listing
November 2016
48 Reads

Spectacles under Pedicles: Eyewear Modification with the Paramedian Forehead Flap.

Plast Reconstr Surg Glob Open 2016 Aug 29;4(8):e1003. Epub 2016 Aug 29.

Michigan State University College of Human Medicine, Grand Rapids, Mich.; Grand Rapids Medical Education Partners, Michigan State University College of Human Medicine, Grand Rapids, Mich.; and Advanced Plastic Surgery, Grand Rapids, Mich.

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. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=01720096-201608000-0003
Publisher Site
http://dx.doi.org/10.1097/GOX.0000000000001003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5010348PMC
August 2016
10 Reads

An alternative single-stage application of the paramedian forehead flap in reconstruction of the face.

J Craniomaxillofac Surg 2016 Oct 29;44(10):1678-1681. Epub 2016 Jul 29.

Department of Plastic and Reconstructive Surgery, CTO Azienda Ospedaliero Universitaria Careggi, Florence, Italy.

Background: Paramedian forehead flap represents a workhorse in facial soft tissue reconstruction but always requires a second step in order to interrupt the skin bridge. Direct visualization and dissection of vascular pedicle may avoid this drawback.

Methods: Twenty one patients were treated between January 2012 and January 2014: 6 underwent nasal reconstruction and 15 full thickness defect of medial canthus of an orbital region. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcms.2016.07.019DOI Listing
October 2016
8 Reads