Modified Paramedian Forehead Flap for Nasal Tip Reconstruction
Archives of Craniofacial Surgery
;
: 143-146, 2012.
Article
in Korean
| WPRIM
| ID: wpr-12350
ABSTRACT
PURPOSE:
The typical reconstructive option for the nasal tip is paramedian forehead flap. However, the forehead flap is too bulky for nasal tip reconstruction and does not look natural, and therefore, secondary operations for debulking are required.METHODS:
We treated a 46-year-old woman who suffered from a nose tip soft tissue defect using a modified paramedian forehead flap. The flap was elevated from the hair line of the forehead and had 3-layered structure. The distal part included skin and subcutaneous tissue, the middle part included frontalis muscle, and the proximal part had periosteum.RESULTS:
The nasal tip was not bulky and looked natural in terms of height, shape, and had 3-dimensional structure without debulking procedure. The patient was satisfied with the outcome.CONCLUSION:
The authors' modified paramedian forehead flap may be a useful option for the treatment of nasal tip, columella, and alar defects. With these modifications, the paramedian forehead flap can provide an aesthetically acceptable nasal tip appearance without debulking.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Skin
/
Succinates
/
Surgical Flaps
/
Nose
/
Plastic Surgery Procedures
/
Subcutaneous Tissue
/
Forehead
/
Hair
/
Muscles
Limits:
Female
/
Humans
Language:
Korean
Journal:
Archives of Craniofacial Surgery
Year:
2012
Type:
Article
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