A workhorse for nasal reconstruction: The forehead flap

A workhorse for nasal reconstruction: The forehead flap

Introduction: Nasal reconstruction has alvays been a challenge for the surgeons. in this study we retrospectively reviewed our patients with nasal defects in vhom the forehead flap was preferred for reconstruclion. Material and Method: Behveen 1997 and 2000, 10 patients with various nasal tissue defects were reconstructed with forehead flap. in all cases, surgical excision of a basal cell or squamous cell carcinoma was the cause of the defect. We used cranial bone or cartilage grafts, nasolabial ör buccal flaps as indicated. Results: in six patients, only the forehead flap was used. in addition, cranial bone graft, costal cartilage graft, nasolabial and buccal flap in three different patients, and ear cartilage grafts in three patients was used to reconstruct more complex defects. Two flaps showed minimal marginal necrosis and the rest healed uneventfuly. Conclusion: Despite some of its disadvantages sııch as scar tissue development and the necessity for multistage surgery, the forehead flap is still considered as a workhorse for nasal reconstruction, because of its excellent color match, appropriate texture, rich and dependable vascular supply and good cosmetic results.

___

Gazi Medical Journal-Cover
  • Yayın Aralığı: Yılda 4 Sayı
  • Yayıncı: Gazi Üniversitesi Tıp Fakültesi