title: The expanded forehead scalping flap: a new method of total nasal reconstruction.
abstract: The challenge of total nasal reconstruction is particularly formidable in the pediatric patient. Forehead skin is taut, and conventional methods of reconstruction, such as the midline forehead flap, provide a paucity of tissue in this age group. Tissue expansion is well-suited modification to overcome this limitation, but as applied to the midline forehead flap, it does not address the resulting vertical forehead scar. We present a new technique for total nasal reconstruction using an expanded, transversely oriented forehead scalping flap in a pediatric patient. This approach not only provides a generous amount of forehead skin but also limits donor-site morbidity and scarring by orienting incisions transversely at the hairline and within the scalp.
authors.affiliation: Division of Plastic Surgery, Hospital for Sick Children, Toronto, Ontario, Canada.
authors.forename: R M
authors.initials: RM
authors.lastname: Zuker
authors.forename: L
authors.initials: L
authors.lastname: Capek
authors.forename: W
authors.initials: W
authors.lastname: de Haas
mesh_terms: D002648:Child; D005260:Female; D005546:Forehead; D006801:Humans; D008046:Lip / Q000601:surgery; D012225:Rhinoplasty / Q000379:methods*; D018461:Soft Tissue Infections / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods*; D015626:Tissue Expansion