The Paramedian Forehead Flap for Nasal Reconstruction: From Antiquity to Present

Shokri, Tom; Kadakia, Sameep; Saman, Masoud; Habal, Mutaz B.; Kohlert, Scott; Sokoya, Mofiyinfolu; Ducic, Yadranko; Wood‐Smith, Donald

doi:10.1097/scs.0000000000004976

Cited by 37 publications

(43 citation statements)

References 10 publications

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“…According to the International Society for the Study of Vascular Anomalies, vascular anomalies are split into two main entities: vascular tumors and vascular malformations [1,2]. Hemangioma is a benign vascular tumor that grows by endothelial cell hyperplasia.…”

Section: Discussionmentioning

confidence: 99%

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Flap reconstruction of soft tissue defect after resecting a huge hemangioma of the nose

Lim¹,

Oh²,

Eun³

2020

Arch Craniofac Surg

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Section: Discussionmentioning

confidence: 99%

“…Historically, nose reconstruction has been a foundation of reconstructive plastic surgery [1]. The optimal method of nose reconstruction remains controversial regardless of the extensive literature.…”

Section: Introductionmentioning

confidence: 99%

Flap reconstruction of soft tissue defect after resecting a huge hemangioma of the nose

Lim¹,

Oh²,

Eun³

2020

Arch Craniofac Surg

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“…8 The flap generally starts at medial canthus and extends vertically as a narrow (1-1.5 cm) vertical strip following the paramedian line of the supratrochlear artery until it reaches the forehead where it extends into a superior paddle that can be widened depending on the defect to be repaired. 9 Preoperative tissue expansion can be used where necessary 10,11 but is not required 12 and prone to contraction.…”

Section: Discussionmentioning

confidence: 99%

Extended Paramedian Forehead Flap for Total Upper Lip: A Case Report

2019

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A 64-year-old man was diagnosed with squamous cell carcinoma of the palate. His original resection of the palate, maxilla, and total lip was reconstructed with a temporal parietal fascial rotation flap followed by a maxillary reconstruction utilizing a fibula-free bone transfer. He underwent a right neck dissection as well as postoperative radiation.One year later on follow-up, he was found to have upper lip retraction and collapse of the maxilla and underwent bone graft as well as a split thickness skin graft to the upper lip. On further follow-up, his lip continued to retract and he had breakdown at the leftmost aspect of the former flap and part of his plate was exposed (Figure 1). Further reconstruction was then planned with an extended paramedian forehead flap (PMFF; Figures 2-4). He had close follow-up over the years showing success of this flap. Although recommendations for further reconstruction to continue to improve the cosmesis of the flap were suggested, the patient was satisfied with his appearance. His most recent follow-up was 4 years after surgery (Figure 5). He has had dental implants into his neomaxilla (fibula-free flap). He remains cancer free.

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“…The interpolated paramedian forehead flap is one of the most dependable flaps for midface reconstruction. [ 1 ] The forehead provides a source of skin that is an excellent color and texture match to the nasal skin. The forehead skin is also extremely versatile, as removal of muscle and subcutaneous fat from the distal portion of the flap renders it thin and pliable.…”

Section: Introductionmentioning

confidence: 99%