Prefabricated scalping forehead flap with skeletal support.
It is difficult to reconstruct a nose with adequate shape, color, and texture in patients who have full-thickness nasal defects with extensive loss of skeletal support. The scalping forehead flap is a reliable technique for nasal reconstruction. To our knowledge, however, there have been no reports about a prefabricated scalping forehead flap with a bone graft as skeletal support. In the case reported here, a prefabricated scalping forehead flap combined with an iliac bone graft as skeletal support was used to successfully reconstruct a full-thickness defect of the nose associated with partial frontal bone loss and complete loss of the nasal bones. Acceptable functional and aesthetic results were achieved. This method may be a good alternative for reconstruction of full-thickness nasal defects with extensive loss of skeletal support.
Fujiwara
Masao
M
Department of Plastic and Reconstructive Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan. masaofuj@mth.biglobe.ne.jp
Suzuki
Ayano
A
Mizukami
Takahide
T
Terai
Tsutomu
T
Fukamizu
Hidekazu
H
D000368:Aged; D005354:Fibrosarcoma / Q000601:surgery*; D005546:Forehead / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000637:transplantation*; D008297:Male; D009669:Nose Neoplasms / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D012535:Scalp / Q000601:surgery*; D013524:Surgical Flaps