Our experience and surgical technique using the forehead flap are described. Pdf the forehead flap is one of the oldest recorded surgical techniques for nasal reconstruction. Pdf one stage forehead flap for nasal reconstruction. Use of forehead flap for nasal tip reconstruction after traumatic. Postoperative instructions following forehead flap nasal. An island flap based on the anterior branch of the superficial. Foil patterns were outlined to measure the required lining deficit. Forehead flap method for total nasal reconstruction. This video is intended to help others who may be going through similar procedures. Forehead flap reconstruction if you have a wound on your nose, for instance after the surgical removal of skin cancer, we may use forehead flap reconstruction to repair your wound. Now customize the name of a clipboard to store your clips. Results the forehead flap was used to repair 147 nasal defects after mohs excision of nonmelanoma skin cancer. Rf mazzola, s marcushistory of total nasal reconstruction with particular emphasis on the folded forehead flap technique.
This means that we will replace the forehead flap onto your forehead and suture it back into place. Usefulness of the paramedian forehead flap in nasal. The forehead flap for nasal reconstruction dermatology jama. On occasion, we will elevate a forehead flap and will notice during the process of attaching it to your nose, or possibly before, that it has poor blood supply. The forehead flap is one of the oldest recorded surgical techniques for nasal reconstruction. This is the final of three live surgical videos to demonstrate the forehead flap used to repair a distal nasal tip defect.
Reconstruction of orofacial soft tissue defect is often challenging and this is more difficult. The fricke flap is a temporally based monopedicle forehead transposition flap, first described by jochim fricke in 1829. Conclusions the forehead flap represents one of the best methods for repair of. Regional plastic and jaw surgery unit are described. As the gold standard for nasal soft tissue reconstruction, the forehead flap provides a reconstructive surgeon with a robust pedicle and large amount of tissue to reconstruct almost any defect. The forehead flap for nasal reconstruction dermatology. Fullthickness skin was lost in all cases, structural skeletal support in 68 cases 46%, and internal mucosal.
Reconstruction of the medial canthus using an ipsilateral paramedian forehead flap. The forehead flap remains a reliable option in orofacial soft tissue defect reconstruction. This pdf is available for free download from a site hosted. However, use of free flaps is technique sensitive, involves prolong procedure, require extensive postoperative monitoring, may be relatively. They were positioned as extensions of the covering flap. A fullthickness forehead flap was designed to resurface the nose as a subunit. Pdf forehead flap method for total nasal reconstruction. If there is a dressing in place, leave this on until your first post operative visit. The wound and stitches are usually not bandaged, just covered with a layer of antibiotic ointment. Under those circumstances, we will perform a delay. Surgical reconstruction of the external nose, a common site for nonmelanoma skin cancer, is difficult. The modified folded forehead flap technique, utilizing a fullthickness forehead flap, allows repair of difficult fullthickness. Their shape was fixed both by their natural configuration and by the scar that surrounded them as they sat in the forehead awaiting transfer to the nose.
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