Nasal Reconstruction with the Paramedian Forehead Flap—Details for Success

Fischer, Helmut

doi:10.1055/s-0034-1376918

Cited by 11 publications

(22 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…20 Therefore, the forehead flap is used extensively in nasal repair for the reconstruction of the distal subunits of the ala, tip, columella, and dorsum. 21 The forehead flap is also used in the reconstruction of full-thickness defects, as folding the distal portion of the flap recreates the mucosal lining and provides a site for the placement of cartilage grafts. 22 Following the operation, forehead closure does not provide a significant aesthetic concern, as primary closure, fixed tension bridging sutures, and secondary healing all provide an appropriate outcome.…”

Section: Relevant Anatomymentioning

confidence: 99%

See 1 more Smart Citation

Approach to Reconstruction of Nasal Defects

Başağaoğlu

Ali

Hollier

et al. 2018

Seminars in Plastic Surgery

View full text Add to dashboard Cite

The nose is the most central and anterior projecting facial feature. Therefore, the presence of a defect is easily noticeable to the untrained eye. Return of the defect to the original form is an achievable end goal of reconstruction, necessitating appropriate reformation of three-dimensional geometry, proper establishment of symmetry, and excellent color and texture match to the adjacent structures. Regarding its physiological importance, disruption of the normal function may cause respiratory obstruction and contribute to patient distress. To achieve successful repair, preoperative preparation must consider the location, the layers involved, and the size of the defect. Prompt and well-organized repair minimizes the occurrence of progressive necrosis and severe late-stage deformity. Here the authors provide a framework to approach various nasal defects and provide a review of the novel ideologies and techniques. The workhorse of nasal repair, the forehead flap, is discussed independently due to the breadth of innovation.

show abstract

Section: Relevant Anatomymentioning

confidence: 99%

“…22 Following the operation, forehead closure does not provide a significant aesthetic concern, as primary closure, fixed tension bridging sutures, and secondary healing all provide an appropriate outcome. 21,23 Flap Location…”

Section: Relevant Anatomymentioning

confidence: 99%

Approach to Reconstruction of Nasal Defects

Başağaoğlu

Ali

Hollier

et al. 2018

Seminars in Plastic Surgery

View full text Add to dashboard Cite

show abstract

“…Similarly, Woodard CR and Park SS review 213 small nasal defects (1.5 cm or less) to demonstrate a variety of flap or graft design by subsites [39]. Fischer presents detailed surgical techniques for the use of the paramedian forehead flap applied to different nasal defects [40*]. …”

Section: Contemporary Concepts In Nasal Reconstructionmentioning

confidence: 99%

Reconstruction of nasal defects: contemporary approaches

Austin

Shockley

2016

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

View full text Add to dashboard Cite

Purpose of review There are many well-established principles and surgical techniques for nasal reconstruction. The purpose of this paper is to describe contemporary reconstruction of nasal defects. The unique anatomic features of the nose make this a challenging task. While obtaining an optimal aesthetic result is always the goal of reconstruction, maintenance and restoration of nasal function are of equal importance. Recent findings The first step of nasal reconstruction is a thoughtful analysis of the defect. The best surgical option will provide the patient with an excellent aesthetic result and nasal function. Depending upon the extent of the defect as well as the anatomic site, a local flap, full-thickness skin graft, composite graft, or interpolated flap will provide the optimal result. The decision will depend on surgeon's experience and expertise, as well as expectations and desires of the patient. Many cutaneous defects will require not only reconstruction of the defect, but also cartilage grafts to provide nasal contour and support. Most large or complex defects will require a paramedian forehead flap for reconstruction along with cartilaginous and/or bony support, as well as a lining flap. Summary This article will highlight recent advances in nasal reconstruction and novel modifications of well-accepted traditional techniques.

show abstract

“…Two months later, reconstruction of the cartilaginous framework using rib cartilage [4] from the right 8th rib and subsequent reconstruction of the nasal skin envelope using a right paramedian forehead flap [5] were carried out ( Figure 7A and 7B). In June 2014, the skin pedicle of the well perfused forehead flap was divided early, as skin from the pedicle was used for over-grafting a superficial necrosis on the left alar rim (Figure 8).…”

Section: Open Access Case Reportmentioning

confidence: 99%

Total Nasal Reconstruction after Nasectomy in a Case of Massive Squamous Cell Carcinoma of the Inferior Nose

Hoehne¹,

Fischer²

2016

Anaplastology

Self Cite

View full text Add to dashboard Cite

Total nasal reconstruction after radical nasectomy remains one of the most challenging tasks plastic surgeons face. In our study, the case of a 55-yearold-man who underwent radical nasectomy and subsequent total nasal reconstruction using autologous tissues is described. The question whether to continue the use of a nasal prosthesis or whether to reconstruct the nose should be carefully addressed in each individual case, and depends on patient as well as surgeon factors. If the patient is willing and fit to undergo major reconstructive surgery of the nose, autologous reconstruction can be successfully carried out by an experienced team, and a result superior to a prosthetic solution can be expected.

show abstract

Nasal Reconstruction with the Paramedian Forehead Flap—Details for Success

Cited by 11 publications

References 0 publications

Approach to Reconstruction of Nasal Defects

Approach to Reconstruction of Nasal Defects

Reconstruction of nasal defects: contemporary approaches

Total Nasal Reconstruction after Nasectomy in a Case of Massive Squamous Cell Carcinoma of the Inferior Nose

Contact Info

Product

Resources

About