150 results match your criteria Nasal Reconstruction Paramedian Forehead Flap


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

Am J Otolaryngol 2019 Feb 19. 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

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http://dx.doi.org/10.1016/j.amjoto.2019.02.014DOI Listing
February 2019
2 Reads

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

J Plast Reconstr Aesthet Surg 2018 Dec 25. 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

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http://dx.doi.org/10.1016/j.bjps.2018.12.001DOI Listing
December 2018
2 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 Jan 31. Epub 2019 Jan 31.

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

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http://dx.doi.org/10.1001/jamafacial.2018.1829DOI Listing
January 2019

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

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

A Novel Approach for Total Nasal Reconstruction.

J Oral Maxillofac Surg 2018 Nov 22. 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

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http://dx.doi.org/10.1016/j.joms.2018.11.007DOI Listing
November 2018
1 Read

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

J Craniofac Surg 2018 Dec 10. Epub 2018 Dec 10.

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

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http://dx.doi.org/10.1097/SCS.0000000000004976DOI Listing
December 2018
2 Reads

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

J Craniofac Surg 2018 Nov 30. Epub 2018 Nov 30.

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

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http://dx.doi.org/10.1097/SCS.0000000000005003DOI Listing
November 2018
2 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

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

Brow Position After Paramedian Forehead Flap Nasal Reconstruction.

JAMA Facial Plast Surg 2018 Jul 26. Epub 2018 Jul 26.

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

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http://dx.doi.org/10.1001/jamafacial.2018.0814DOI Listing
July 2018
13 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

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http://link.springer.com/10.1007/s12262-018-1733-4
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http://dx.doi.org/10.1007/s12262-018-1733-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991029PMC
April 2018
22 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

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http://dx.doi.org/10.1097/IOP.0000000000001114DOI Listing
August 2018
7 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.

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

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

Ann Plast Surg 2018 Dec;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

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http://Insights.ovid.com/crossref?an=00000637-900000000-9744
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http://dx.doi.org/10.1097/SAP.0000000000001371DOI Listing
December 2018
12 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

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http://dx.doi.org/10.1097/SCS.0000000000004365DOI Listing
May 2018
6 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

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http://dx.doi.org/10.1097/DSS.0000000000001471DOI Listing
June 2018
18 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.

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https://linkinghub.elsevier.com/retrieve/pii/S02664356173073
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http://dx.doi.org/10.1016/j.bjoms.2017.10.018DOI Listing
January 2018
5 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

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5714983PMC
September 2017
1 Read

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

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http://dx.doi.org/10.1097/SCS.0000000000004023DOI Listing
January 2018
31 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:

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http://dx.doi.org/10.1016/j.jaad.2017.09.075DOI Listing
May 2018
4 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

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http://dx.doi.org/10.1177/2292550317694853DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5626181PMC
May 2017
3 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

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http://dx.doi.org/10.5137/1019-5149.JTN.20662-17.1DOI Listing
July 2017
27 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

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http://dx.doi.org/10.7181/acfs.2016.17.4.190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556835PMC
December 2016
9 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.

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http://dx.doi.org/10.1097/DSS.0000000000001307DOI Listing
May 2018
3 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.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5502215PMC
June 2017
6 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

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February 2019
11 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

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http://dx.doi.org/10.1016/j.fsc.2017.03.006DOI Listing
August 2017
7 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.

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

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

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http://dx.doi.org/10.1097/DSS.0000000000001221DOI Listing
October 2017
22 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

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http://dx.doi.org/10.1001/jamafacial.2017.0310DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5710623PMC
September 2017
49 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

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http://dx.doi.org/10.1097/DSS.0000000000001149DOI Listing
August 2017
8 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

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/abd1806-4841.20164583DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5325022PMC
July 2017
3 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

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http://dx.doi.org/10.1055/s-0036-1593747DOI Listing
February 2017
5 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

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http://dx.doi.org/10.1097/SCS.0000000000003119DOI Listing
November 2016
14 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

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http://Insights.ovid.com/crossref?an=01720096-201608000-0003
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http://dx.doi.org/10.1097/GOX.0000000000001003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5010348PMC
August 2016
5 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

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

Nasal Reconstruction: Extending the Limits.

Plast Reconstr Surg Glob Open 2016 Jul 15;4(7):e804. Epub 2016 Jul 15.

Department of Facial Plastic Surgery, Marienhospital Stuttgart, Stuttgart, Germany; and Department of Plastic Surgery and Hand Surgery, University Hospital of Zurich, Zurich, Switzerland.

Reconstructing the 3-dimensional structure of the nose requires the maintenance of its aesthetic form and function. Restoration of the correct dimension, projection, skin quality, symmetrical contour, and function remains problematic. Consequently, modern approaches of nasal reconstruction aim at rebuilding the units rather than just covering the defect. Read More

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http://dx.doi.org/10.1097/GOX.0000000000000801DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4977132PMC
July 2016
7 Reads

Reconstruction of nasal defects: contemporary approaches.

Curr Opin Otolaryngol Head Neck Surg 2016 Oct;24(5):453-60

Department of Otolaryngology/Head and Neck Surgery, University of North Carolina Hospitals, Chapel Hill, North Carolina, USA.

Purpose Of Review: There are many well-established principles and surgical techniques for nasal reconstruction. The purpose of this study is to describe contemporary reconstruction of nasal defects. The unique anatomic features of the nose make this a challenging task. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5077171PMC
http://dx.doi.org/10.1097/MOO.0000000000000295DOI Listing
October 2016
4 Reads

The Paramidline Forehead Flap: A Clinical and Microanatomic Study.

Dermatol Surg 2016 Jun;42(6):764-71

*Zitelli & Brodland PC, Pittsburgh, Pennsylvania; †Departments of Dermatology, Otolaryngology, and Plastic Surgery at the University of Pittsburgh Medical Center in Pittsburgh, Pennsylvania.

Background: The traditional paramedian forehead flap (FHF) is an axial flap based on the supratrochlear artery (STA). Doppler examination is often used to ensure inclusion of the STA within the flap. The authors hypothesized that a FHF pedicle design could be simplified to extend from the midline of the glabella to 1. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/DSS.0000000000000722DOI Listing
June 2016
6 Reads

Modification to facilitate the wearing of spectacles by patient after reconstruction with a paramedian forehead pedicled flap.

Br J Oral Maxillofac Surg 2016 11 28;54(9):1036-1037. Epub 2016 Jan 28.

3 Forest Cottages, Boreland, Lockerbie, DG11 2LJ, Scotland.

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http://dx.doi.org/10.1016/j.bjoms.2015.12.011DOI Listing
November 2016
2 Reads

Forehead flap in maxillofacial surgery: Our experiences.

Natl J Maxillofac Surg 2015 Jan-Jun;6(1):72-5

Department of Oral and Maxillofacial Surgery, Dr. Ziauddin Ahmad Dental College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.

The forehead flap is a commonly used technique to reconstruct the deep and large nasal defects. It can be conveniently performed under local or general anesthesia and provides a very good color and texture matching to the nasal skin, which makes it a suitable graft harvesting site for nasal reconstruction. It has only single disadvantage disadvantagethat it is a two-stage procedure and "finishing" surgeries are needed occasionally for best surgical and cosmetic outcome. Read More

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http://dx.doi.org/10.4103/0975-5950.168228DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4668737PMC
December 2015
2 Reads

Usefulness of the Paramedian Forehead Flap in Nasal Reconstructive Surgery: A Retrospective Series of 41 Patients.

Actas Dermosifiliogr 2016 Mar 10;107(2):133-41. Epub 2015 Nov 10.

Servicio de Dermatología, Hospital Costa del Sol, Marbella, Málaga, España.

Introduction: Surgical reconstruction of the external nose, a common site for nonmelanoma skin cancer, is difficult. Oncologic surgery often leaves large skin defects, occasionally involving the underlying cartilage and nasal mucosa. We describe our experience with the paramedian forehead flap for reconstruction of nasal defects. Read More

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http://dx.doi.org/10.1016/j.ad.2015.09.004DOI Listing
March 2016
2 Reads

Aesthetic and Functional Outcomes of 2-Stage Versus 3-Stage Paramedian Forehead Flap Techniques: A 9-Year Comparative Study With Prospectively Collected Data.

Dermatol Surg 2015 Oct;41(10):1137-48

*Department for Plastic Surgery, Marienhospital Stuttgart, Stuttgart, Germany; †Institute for Clinical Epidemiology and Applied Biometry, Eberhard-Karl University of Tübingen, Silcherstr, Tübingen, Germany; ‡Department of Plastic, Hand and Reconstructive Surgery and Burn Center of the BG-Trauma Center, Eberhard-Karl University, Schnarrenbergst, Tübingen, Germany.

Background: The 3-stage forehead flap technique has been described as an aesthetic improvement after nasal reconstruction compared with the 2-stage technique. A standardized evaluation of aesthetic and functional outcomes of the 2-stage versus 3-stage paramedian forehead flap after nasal reconstruction was performed.

Methods: Between July 2003 and December 2012, 102 patients underwent either 2-stage or 3-stage paramedian forehead flap techniques. Read More

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http://dx.doi.org/10.1097/DSS.0000000000000468DOI Listing
October 2015
8 Reads

Prelaminated and Prefolded Paramedian Forehead Flap for Loss of the Nasal Tip.

Dermatol Surg 2015 Sep;41(9):1071-3

Department of Plastic Surgery, Zitelli & Brodland Skin Cancer Center, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania Departments of Dermatology, Otolaryngology, and Plastic Surgery, Zitelli & Brodland Skin Cancer Center, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/DSS.0000000000000441DOI Listing
September 2015
26 Reads

Complex nasal reconstruction after paracoccidioidomycosis infection--Case report.

An Bras Dermatol 2015 May-Jun;90(3 Suppl 1):203-5

Universidade Federal da Bahia, Salvador, BA, BR.

Paracoccidioidomycosis is an infectious disease whose etiological agent belongs to the Paracoccidioides genus. Although it affects primarily the lungs, it can spread to other tissues, including the skin and mucous membranes. Despite the clinical treatment for this disease, scarring can produce sequelae, manifesting as anatomical and functional deformities of the face. Read More

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http://www.scielo.br/pdf/abd/v90n3s1/0365-0596-abd-90-03-s1-
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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/abd1806-4841.20153527DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540551PMC
January 2016
4 Reads

Scar hinge flap for inner lining reconstruction of full-thickness defects on the ala of the nose.

Rhinology 2015 Jun;53(2):167-70

Background: Reconstruction of inner lining of the nose often requires complex surgical procedures.

Methodology: To evaluate the scar hinge flap as an alternative reconstruction technique, 21 patients with full-thickness defects of the ala who received a scar hinge flap were retrospectively analysed.

Results: Twenty-one patients were included. Read More

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http://dx.doi.org/10.4193/Rhin14.164DOI Listing
June 2015
3 Reads

Use of laser-assisted indocyanine green angiography for early division of the forehead flap pedicle.

JAMA Facial Plast Surg 2015 May-Jun;17(3):209-14

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

Importance: The paramedian forehead flap is used to reconstruct medium to large nasal defects. The staged nature, with its vascular pedicle bridging the medial eyebrow to the nose, results in significant facial deformity. Earlier division lessens this morbidity. Read More

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http://dx.doi.org/10.1001/jamafacial.2015.0171DOI Listing
March 2016
3 Reads

The paramedian forehead flap for nasal lining reconstruction.

Ear Nose Throat J 2015 Mar;94(3):103-4

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

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http://dx.doi.org/10.1177/014556131509400302DOI Listing
March 2015
4 Reads

Propeller facial artery perforator flap as first reconstructive option for nasolabial and perinasal complex defects.

J Plast Reconstr Aesthet Surg 2015 Apr 19;68(4):457-63. Epub 2014 Dec 19.

Department of Maxillofacial and Oral Surgery, Virgen del Rocío University Hospital, Seville, Spain.

Unlabelled: Facial cutaneous oncological pathology often involves more than one esthetic unit due to their close boundaries. The reconstruction of both the nasolabial and perinasal regions may be especially complex and challenging for the surgeon. Traditionally, these defects have been reconstructed with local random flaps based on the vascularization provided by the superficial musculoaponeurotic system. Read More

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http://dx.doi.org/10.1016/j.bjps.2014.12.003DOI Listing
April 2015
2 Reads

[Reconstruction of the medial nasal canthus using a single-stage paramedian forehead flap].

Authors:
O Cogrel J Ofaiche

Ann Dermatol Venereol 2015 Mar 14;142(3):220-1. Epub 2015 Feb 14.

Service de dermatologie, hôpital du Haut-Levêque, CHU de Bordeaux, avenue de Magellan, 33604 Pessac cedex, France.

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http://dx.doi.org/10.1016/j.annder.2015.01.023DOI Listing
March 2015
7 Reads