Nasal Reconstruction: Experience Using Tissue Expansion and Forehead Flap

Kheradmand, Ali Arab; Garajei, Ata; Motamedi, Mohammad Hosein Kalantar

doi:10.1016/j.joms.2010.07.031

Cited by 27 publications

(14 citation statements)

References 5 publications

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“…In addition, the recovery time of the patients was reduced by 1.5‐2 months without expander implantation, which also reduced the potential risk of infection. Therefore, we propose that there is no need for an expander implantation, except for total nasal reconstruction Transplantation of the cartilage at stage one and reinforcement of the cartilage support structure at stage two.The skin of Caucasian is thinner, and the cartilage support fore is stronger than Asians.…”

Section: Discussionmentioning

confidence: 99%

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Refinements of the application of paramedian forehead flap in nasal defects repair in Asian patients

Zhang

Liu

Wang

et al. 2019

J of Cosmetic Dermatology

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Background Due to the relatively higher tendency of postsurgery scars, insufficient cartilage support, and low surgical acceptability, nasal defect repair with forehead flap in Asian patients needs further study. Objective We aim to determine the necessity of tissue expansion, timing of pedicle division, and the importance of cartilage scaffold reinforcement and scar prevention at the donor site during nasal reconstruction in Asian patients with paramedian forehead flap. Methods A retrospective analysis was performed on patients who underwent nasal reconstruction with forehead flap at our hospital from January 2013 to January 2018. The demographical information, surgery details, and postoperative complications of all patients were recorded. The reconstructed nose, scars, and eyebrow deformities were evaluated by digital photographs, and the overall satisfaction of the patients was documented. Results The study included 15 patients (7 males and 8 females). All nasal defects involved at least two aesthetic units and included seven full‐thickness defects. Only one patient underwent two revision operations. Complications like hematoma, infection, and necrosis were not detected, except in one patient with partial necrosis of the flap. All patients were satisfied with the reconstructed nose and did not report any respiratory dysfunction. No obvious scars or eyebrow deformities were observed. Conclusion Three‐stage full‐thickness forehead flap should be used to repair nasal defects in Asian patients, with immediate cartilage scaffold reconstruction at stage one and reinforcement at stage two. Botox injection into the forehead can refine the scar.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Refinements of the application of paramedian forehead flap in nasal defects repair in Asian patients

Zhang

Liu

Wang

et al. 2019

J of Cosmetic Dermatology

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“…Our study was designed to assess the safety, feasibility, predictability, and aesthetic consequences of technical refinements for Asian nasal reconstruction. Although excellent results have been reported when tissue expansion preceded forehead flap nasal reconstruction, [35][36][37] we excluded preexpanded patients to eliminate the potentially confounding influence of tissue expansion on scar contraction and aesthetic outcome.…”

Section: We Overbuilt Structural and Contour-defining Cartilagesmentioning

confidence: 99%

Aesthetic Refinements in Forehead Flap Reconstruction of the Asian Nose

2017

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“…The expanded tissue is more vascular and has the surface texture similar to the nasal skin [14]. This also provides an additional advantage in children who tend to have a low hair line which may restrict the length of the flap being harvested.…”

Section: Skin Covermentioning

confidence: 99%

Reconstruction of Nasal Cleft Deformities Using Expanded Forehead Flaps: A Case Series

Ramanathan

Pendem

Parameswaran

et al. 2013

J. Maxillofac. Oral Surg.

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Introduction Reconstruction of the nasal clefts is a challenging task considering the nasal anatomic complexity and their possible association with craniofacial defects. The reconstruction of these defects needs extensive amounts of soft tissue that warrant the use of forehead flaps. Often presence of cranial defects and low hairline compromise the amount of tissue available for reconstruction warrenting tissue expansion. Aim To evaluate the efficacy of tissue expansion in reconstruction of congenital nasal clefts. Subjects and Methods 9 patients with congenital nasal clefts involving multiple sub units were taken up for nasal reconstruction with expanded forehead flaps. The average amount of expansion needed was 200 ml. The reconstruction was performed in 3 stages. Results Expanded forehead flaps proved to be best modality for reconstruction providing the skin cover needed for ala, columella and dorsum with minimal scarring at the donor site. Conclusion Expansion of the forehead flap is a viable option for multiple sub unit reconstruction in congenital nasal cleft deformities.

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Nasal Reconstruction: Experience Using Tissue Expansion and Forehead Flap

Cited by 27 publications

References 5 publications

Refinements of the application of paramedian forehead flap in nasal defects repair in Asian patients

Refinements of the application of paramedian forehead flap in nasal defects repair in Asian patients

Aesthetic Refinements in Forehead Flap Reconstruction of the Asian Nose

Reconstruction of Nasal Cleft Deformities Using Expanded Forehead Flaps: A Case Series

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