Background: The forehead flap is a useful technique to reconstruct deep and large nasal defects. Its disadvantages includes the fact that it is at least a two-stage procedure .The aim of this work is to describe our experience with the use of One stage forehead flap reconstruction to cover nasal defects. Patient: Fifteen patients with extensive nasal defects due to various causes. Full-thickness skin was lost in all cases, n=7 cases after excision due to rodent ulcer, n=5 cases after squamous cell carcinoma and n=3 cases after nasal trauma. Ulcer sizes and sites were demonstrated in table 1. All were repaired with a single stage forehead flap. The functional and aesthetic results were assessed. Results: High aesthetic and functional goals were achieved in all patients. There were no cases of significant flap necrosis. However, one patient developed mild superficial partial-thickness necrosis. Conclusions: The singe stage forehead flap represents one of the best methods for repair of extensive nasal defects, which may be a substitute for the traditional method (two stages) regard to time repair and cosmetic results.
| Published in | Journal of Surgery (Volume 3, Issue 6) |
| DOI | 10.11648/j.js.20150306.13 |
| Page(s) | 66-70 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2015. Published by Science Publishing Group |
Single Stage, Forehead Flap, Nasal Defects
| [1] | Menick FJ. Nasal reconstruction: forehead flap. Plast Reconstr Surg 2004; 113(6):100 -111. |
| [2] | Kleintjes WG. Forehead anatomy: arterial variations and venous link of the midline forehead flap. J Plast Reconstr Aesthet Surg. 2007; 60(6):593-606. Epub 2007 Feb 6. |
| [3] | Johnson TM Baker SR Swanson N .Concepts of sliding and lifting tissue movement in flap reconstruction. Dermatol Surg. 2000; 26274- 278. |
| [4] | Tollefson TT, Kriet JD. Comple nasal defects. In Park SS, ed. Facial Plastic Surgery Clinics of North America. Philadelphia, PA: Elsevier Inc; 2005. |
| [5] | Woodard CR, Park SS. Reconstruction of nasal defects 1.5 cm or smaller. Arch Facial Plast Surg. Mar-Apr 2011; 13(2):97-102. |
| [6] | Kheradm and Motamedi MH Nasal reconstruction: experience using tissue expansion and forehead flap. J Oral Maxillofac Surg 2011; 69:1478-84. |
| [7] | Reece EM, Schaverien M, Rohrich RJ. The paramedian forehead flap: a dynamic anatomical vascular study verifying safety and clinical implications. Plast Reconstr Surg 2008; 121:1956-63. |
| [8] | McGregor IA, Morgan G. Axial and random pattern flaps. Br J Plast Surg 1973; 26:202-13. |
| [9] | Zuker RM, Capek L, de Haas W. The expanded forehead scalping flap: a new method of total nasal reconstruction. Plast Reconstr Surg 1996; 98:155-9. |
| [10] | Okada E, Maruyama Y. A simple method for forehead unit reconstruction. Plast Reconstr Surg 2000; 106:111-4. |
| [11] | Kilinc H, Bilen BT. Supraorbital artery island flap for periorbital defects. J Craniofac Surg 2007; 18: 1114-9. |
| [12] | Shumrick KASmith TL The anatomic basis for the design of forehead flaps in nasal reconstruction. Arch Otolaryngol Head Neck Surg. 1992; 118373- 379. |
| [13] | Quetz J, Ambrosch P. Total nasal reconstruction: a 6-year experience with the three-stage forehead flap combined with the septal pivot flap. Facial Plast Surg 2011; 27:266-75. |
APA Style
Adel Tolba, Wael Elsh., Yaser H., Mansor M., Hasan A. (2015). One Stage Forehead Flap for Nasal Reconstruction. Journal of Surgery, 3(6), 66-70. https://doi.org/10.11648/j.js.20150306.13
ACS Style
Adel Tolba; Wael Elsh.; Yaser H.; Mansor M.; Hasan A. One Stage Forehead Flap for Nasal Reconstruction. J. Surg. 2015, 3(6), 66-70. doi: 10.11648/j.js.20150306.13
AMA Style
Adel Tolba, Wael Elsh., Yaser H., Mansor M., Hasan A. One Stage Forehead Flap for Nasal Reconstruction. J Surg. 2015;3(6):66-70. doi: 10.11648/j.js.20150306.13
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Download@article{10.11648/j.js.20150306.13,
author = {Adel Tolba and Wael Elsh. and Yaser H. and Mansor M. and Hasan A},
title = {One Stage Forehead Flap for Nasal Reconstruction},
journal = {Journal of Surgery},
volume = {3},
number = {6},
pages = {66-70},
doi = {10.11648/j.js.20150306.13},
url = {https://doi.org/10.11648/j.js.20150306.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20150306.13},
abstract = {Background: The forehead flap is a useful technique to reconstruct deep and large nasal defects. Its disadvantages includes the fact that it is at least a two-stage procedure .The aim of this work is to describe our experience with the use of One stage forehead flap reconstruction to cover nasal defects. Patient: Fifteen patients with extensive nasal defects due to various causes. Full-thickness skin was lost in all cases, n=7 cases after excision due to rodent ulcer, n=5 cases after squamous cell carcinoma and n=3 cases after nasal trauma. Ulcer sizes and sites were demonstrated in table 1. All were repaired with a single stage forehead flap. The functional and aesthetic results were assessed. Results: High aesthetic and functional goals were achieved in all patients. There were no cases of significant flap necrosis. However, one patient developed mild superficial partial-thickness necrosis. Conclusions: The singe stage forehead flap represents one of the best methods for repair of extensive nasal defects, which may be a substitute for the traditional method (two stages) regard to time repair and cosmetic results.},
year = {2015}
}
TY - JOUR T1 - One Stage Forehead Flap for Nasal Reconstruction AU - Adel Tolba AU - Wael Elsh. AU - Yaser H. AU - Mansor M. AU - Hasan A Y1 - 2015/12/08 PY - 2015 N1 - https://doi.org/10.11648/j.js.20150306.13 DO - 10.11648/j.js.20150306.13 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 66 EP - 70 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20150306.13 AB - Background: The forehead flap is a useful technique to reconstruct deep and large nasal defects. Its disadvantages includes the fact that it is at least a two-stage procedure .The aim of this work is to describe our experience with the use of One stage forehead flap reconstruction to cover nasal defects. Patient: Fifteen patients with extensive nasal defects due to various causes. Full-thickness skin was lost in all cases, n=7 cases after excision due to rodent ulcer, n=5 cases after squamous cell carcinoma and n=3 cases after nasal trauma. Ulcer sizes and sites were demonstrated in table 1. All were repaired with a single stage forehead flap. The functional and aesthetic results were assessed. Results: High aesthetic and functional goals were achieved in all patients. There were no cases of significant flap necrosis. However, one patient developed mild superficial partial-thickness necrosis. Conclusions: The singe stage forehead flap represents one of the best methods for repair of extensive nasal defects, which may be a substitute for the traditional method (two stages) regard to time repair and cosmetic results. VL - 3 IS - 6 ER -
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