[Nasal reconstruction with forehead skin flap and muscle flap].
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.
Li
Qing-feng
QF
Shanghai 9th Hospital, Shanghai 2nd Medical University, Shanghai 200011, China.
Lei
Hua
H
Gu
Bin
B
Liu
Kai
K
Shen
Guo-xiong
GX
Zheng
Dan-ning
DN
Zheng
Shheng-wu
SW
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