Instead, a paramedian forehead flap was used for reconstruction of the internal nasal lining, with rib cartilage grafts used to reconstitute the nasal framework (figure 2).
Based on its excellent skin color match, ease of harvest, and acceptable donor site scarring, the paramedian forehead flap is a well-described and popular reconstructive option for large cutaneous and composite defects of the nose.
Optimal use of microvascular free flaps, cartilage grafts, and a paramedian forehead flap for aesthetic reconstruction of the nose and adjacent facial units.
The patient underwent two stage nasal reconstruction using a traditional left paramedian forehead flap
that went on to heal uneventfully.
This flap is similar to a radial forearm free flap; the difference is that with the reverse flap procedure, the radial artery pedicle is kept intact until a second stage is performed, analogous to a paramedian forehead flap
Bedside discussion with the patient and his family by the consulting facial plastic surgery service included a recommendation for nasal reconstruction with a paramedian forehead flap for coverage.
The paramedian forehead flap is commonly used to achieve reconstruction of large nasal defects.
The underlying cartilage and nasal mucosa remained viable, which made the paramedian forehead flap an appropriate recommendation for reconstruction.
5 cm in diameter) defects frequently involves the use of interpolated flaps, such as the paramedian forehead flap
Use of the paramedian forehead flap
is a versatile and reliable way of reconstructing large nasal defects.