The application of expanded forehead flap in reconstructing defects around nasal tip / 临床耳鼻咽喉头颈外科杂志

ABSTRACT

OBJECTIVE@#To discuss using expanded forehead flap to repair defects around nasal tip and to find a standard and rational repairing method.@*METHOD@#Three-staged operations were adopted. The first stage is to implant expander. The second stage is to reconstruct defects around nasal tip using the expanded forehead flap with the supra trochlear vessels as its pedicle. If necessary, the autogenous cartilage was harvested from ribs and used as a nasal framework, which reestablished the projection of the tip. The third stage is to conduct the pedicle resection and repairing.@*RESULT@#Seventeen patients who suffered from defects around nasal tip were cured using the expanded forehead flap. These flaps survived well. The appearance of nasal tips and ventilation function were very nice.@*CONCLUSION@#The expanded forehead flap is an ideal method to reconstruct defects around nasal tip. The advantages of this method are safety, good appearance, matched colour and luster, and covert scar of donor site.