title: [Nasal reconstruction with the modified expanded forehead skin flap].
abstract: OBJECTIVE
  To investigate the effect of the modified expanded forehead skin flap in nasal reconstruction.
  
  
  METHODS
  According to flap design, the frontal arteries that were not selected as the pedicle were ligated in order to enhance expansion and delay effects. Besides the middle forehead skin flap for nasal reconstruction, the expanded transversal forehead flap was employed with its donor site sutured directly, resulting in inconspicuous scar. This method was used for 11 cases of nasal reconstruction.
  
  
  RESULTS
  All the flaps survived. Postoperative follow up for 6 months to 8 years and 4 months showed satisfactory results with good appearance and function.
  
  
  CONCLUSIONS
  The method of modulating the blood supply to the flap and selecting the upper area of the forehead for the flap is an effective modification for nasal reconstruction.
authors.affiliation: Department of Plastic Surgery, the Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
authors.forename: Xiao-jing
authors.initials: XJ
authors.lastname: Li
authors.forename: Ji-long
authors.initials: JL
authors.lastname: Ning
authors.forename: Xue-hong
authors.initials: XH
authors.lastname: Gao
authors.forename: Lin
authors.initials: L
authors.lastname: Zhang
authors.forename: Fei
authors.initials: F
authors.lastname: Zhu
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005546:Forehead / Q000601:surgery*; D006801:Humans; D008297:Male; D012225:Rhinoplasty / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps; D015626:Tissue Expansion; D055815:Young Adult