scholarly journals Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft

2021 ◽  
Vol 31 (2) ◽  
pp. 51-58
Author(s):  
Pauline Yap ◽  
Nurul Shah ◽  
Arman Saad ◽  
Wan Sulaiman ◽  
Siti Johar
Keyword(s):  
Tissue Expander ◽  
Nasal Reconstruction ◽  
Cartilage Graft ◽  
Forehead Flap ◽  
Paramedian Forehead Flap

scholarly journals Eyebrow Position After Paramedian Forehead Flap Nasal Reconstruction

2019 ◽  
Vol 21 (1) ◽  
pp. 79-81
Author(s):  
Sreeya Yalamanchali ◽  
Sameer A. Alvi ◽  
Chelsea S. Hamill ◽  
Clinton Humphrey ◽  
J. David Kriet
Keyword(s):  
Nasal Reconstruction ◽  
Forehead Flap ◽  
Paramedian Forehead Flap

Prelaminated paramedian forehead flap for subtotal nasal reconstruction using three-dimensional printing

2021 ◽  
Vol 14 (1) ◽  
pp. e238146
Author(s):  
John P Ziegler ◽  
Samuel L Oyer
Keyword(s):  
Three Dimensional ◽  
Free Tissue Transfer ◽  
Patient Specific ◽  
Nasal Reconstruction ◽  
Subtotal Resection ◽  
Forehead Flap ◽  
Three Dimensional Printing ◽  
Paramedian Forehead Flap ◽  
Internal Lining ◽  
3D Printed

Nasal reconstruction following a total or subtotal resection presents a challenging clinical scenario. Ample external skin coverage is readily available using the paramedian forehead flap (PMFF), but restoring adequate internal lining of sufficient size and pliability is a major limitation. Intranasal mucosal flaps or free tissue transfer is often employed for this purpose, each with their own sets of limitations. Prelamination of the PMFF with a skin graft prior to transfer is a method to create a composite flap with both internal and external lining. Another challenge in subtotal nasal reconstruction centres around restoring adequate dimensions to the nose without an existing template to work from. Three-dimensional (3D) printing has become an increasingly popular tool in reconstructive surgery as it captures precise patient-specific dimensions to guide reconstruction. Herein, we describe a case of subtotal nasal reconstruction using a prelaminated PMFF using a patient-specific 3D printed model as a template for reconstruction.

scholarly journals Two or Three? Approaches to Staging of the Paramedian Forehead Flap for Nasal Reconstruction

2021 ◽  
Vol 9 (5) ◽  
pp. e3591
Author(s):  
Nicholas C. Oleck ◽  
J. Andres Hernandez ◽  
Roger W. Cason ◽  
Adam D. Glener ◽  
Ronnie L. Shammas ◽  
...  
Keyword(s):  
Nasal Reconstruction ◽  
Forehead Flap ◽  
Paramedian Forehead Flap

scholarly journals The use of folded melolabial interpolation flaps to repair full thickness distal nasal defects: A review of technique and results

2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Eamonn Maher ◽  
Scott Walen ◽  
Ian Maher
Keyword(s):  
Cartilage Graft ◽  
Full Thickness ◽  
Forehead Flap ◽  
Common Site ◽  
Paramedian Forehead Flap ◽  
Surgical Teaching ◽  
Mucosal Lining ◽  
Cutaneous Flap ◽  
Surgical Options ◽  
Nasal Defects

<p>The nose is a common site for skin cancer and there are several surgical options available for reconstruction after excision. Traditional surgical teaching suggests that in the case of a partial full thickness defect involving the distal nose or ala, a paramedian forehead flap (PMFF) or an intranasal lining flap with free cartilage graft and additional cutaneous flap should be performed. However, each of these options comes with unique disadvantages. The incision and pedicle required for the PMFF can be unsightly and functionally limiting, while the intranasal lining flap is technically challenging and can obstruct the nostril. Herein, we review our experience with a two-stage folded-over melolabial interpolation flap (MLIF) to repair partial full thickness defects of the distal nose and ala in order to recreate the cutaneous covering, nasal rim, and inner mucosal lining.</p>

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