title: [Nasal reconstruction with forehead skin flap and muscle flap].
abstract: OBJECTIVE
  To improve the paramedian forehead flap for nasal reconstruction.
  
  
  METHODS
  Based on the findings of the Cutaneous branch of supratrochlear artery, the forehead musculo-cutaneous flap was divided into the musculo-flap and the skin-flap in 3 patients. The musculo-flap were used to reconstruct the septi-bone structure, and envelop silicon nasal-frame, while the skin-flap were used to reconstruct the nose. In 6 patients, the forehead flap was used as a skin-flap just with the muscle pedicle to reconstruct a nose with good appearance of nasal subunits, without the secondary operation.
  
  
  RESULTS
  In all of 9 cases, the cutaneous-branch of supratrochlear artery was found 1.7-2.0 cm above the orbital-rim. Eight patients got good results, only 1 patient had to do the secondary operation to coverage the exposed nasal frame.
  
  
  CONCLUSIONS
  The cutaneous-branch of supratrochlear artery could be an anatomical finding to form the forehead skin-flap and it is a good choice to be used to reconstruct a nose, even in complicated cases.
authors.affiliation: Shanghai 9th Hospital, Shanghai 2nd Medical University, Shanghai 200011, China.
authors.forename: Qing-feng
authors.initials: QF
authors.lastname: Li
authors.forename: Hua
authors.initials: H
authors.lastname: Lei
authors.forename: Bin
authors.initials: B
authors.lastname: Gu
authors.forename: Kai
authors.initials: K
authors.lastname: Liu
authors.forename: Guo-xiong
authors.initials: GX
authors.lastname: Shen
authors.forename: Dan-ning
authors.initials: DN
authors.lastname: Zheng
authors.forename: Shheng-wu
authors.initials: SW
authors.lastname: Zheng
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005546:Forehead; D006801:Humans; D008297:Male; D009132:Muscles / Q000637:transplantation; D009666:Nose / Q000601:surgery*; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods* / Q000592:standards; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps; D016896:Treatment Outcome