Paramedian Forehead Flap Salvage Through Pedicle Full-Thickness Skin Graft

Hohenberger, Megan; Conn, Zachary; Lagrew, James; Leach, Brian C.

doi:10.1097/dss.0000000000001307

Cited by 2 publications

(2 citation statements)

References 4 publications

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“… 3 Delayed FTSGs have excellent rates of graft vascularization, 4 and recently, dermatologic surgeons have converted remaining pedicle tissue into a Burow's FTSG for nasal tip necrosis. 5 In our case, the patient already required a second stage in his repair, the pedicle takedown; repurposing the pedicle flap stalk as a FTSG in repairing the superior forehead secondary defect was a reasonable option and did not introduce an additional procedure. This graft had a higher chance of survival when placed at takedown versus during the initial repair because of the nicely vascularized bed of granulation tissue that developed over a 3-week period.…”

Section: Discussionmentioning

confidence: 78%

Utilization of the paramedian forehead flap pedicle as a delayed full-thickness skin graft to optimize forehead cosmesis

et al. 2023

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Section: Discussionmentioning

confidence: 78%

Utilization of the paramedian forehead flap pedicle as a delayed full-thickness skin graft to optimize forehead cosmesis

et al. 2023

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“…This was repaired with an extensively thinned full-thickness graft from the ipsilateral pedicle to stabilize the alar rim. 5 The pedicle of the left forehead flap was divided as proximally as possible, lifted and thinned extensively. The pedicle was left connected to the vascularized distal flap and used to cover as much of the nasal dorsum and bridge as possible.…”

Section: Surgical Techniquementioning

confidence: 99%

Repair of a Combined Nose, Cheek, and Glabellar Defect

Bordeaux

2021

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A 71-year-old man with a history of rheumatoid arthritis and remitted lymphoma presented with a recurrent squamous cell carcinoma. He had previously been treated with Mohs micrographic surgery by another physician who chose to repair the defect with a paramedian forehead flap. The patient reported that a few months after surgery he noted a scaly plaque extending from the flap. This area rapidly expanded to encompass the entire nasal dorsum, nasal root, glabella, and bilateral nasofacial sulci (Figure 1A). After 4 stages of Mohs micrographic surgery, the final defect measured 9.8 3 7.0 cm extending from the mid forehead to the nasal tip with bone exposed from the glabella to the nasal bridge (Figure 1B). How would you reconstruct this defect? Figure 1. Defect after achieving clear margins with Mohs micrographic surgery.

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Paramedian Forehead Flap Salvage Through Pedicle Full-Thickness Skin Graft

Cited by 2 publications

References 4 publications

Utilization of the paramedian forehead flap pedicle as a delayed full-thickness skin graft to optimize forehead cosmesis

Utilization of the paramedian forehead flap pedicle as a delayed full-thickness skin graft to optimize forehead cosmesis

Repair of a Combined Nose, Cheek, and Glabellar Defect

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