[Application of modified paramedian forehead flap in reconstruction of nasal defect].
OBJECTIVE
To investigate the feasibility and significance of modified paramedian forehead flap for nasal defect and reconstruction.


METHODS
Modified paramedian forehead flaps with forehead muscle in the pedicle were used in 2 patients with nasal reconstruction and 7 patients with nasal defects. The flaps were elevated subcutaneously with only forehead muscle in the pedicle at the supraorbital site. The degree of flap axis ranged from 90 degrees to 50 degrees. Inverted L-shape design was used for 3 cases with low hair line.


RESULTS
Skin branch of supratrochlear vessel was observed running at the subcutaneous layer during the operation. 8 flaps all survived successfully with good texture and color. Partial necrosis happened in the distal end of one flap with subcutaneous pedicle, which healed through dressing.


CONCLUSIONS
Modified paramedian forehead flap, which includes muscle just in the pedicle, is based on the skin branch of supratrochlear vessel. The flap is very flexible and has reliable blood supply, leaving less morbidity in donor site. It also has good texture and skin color.
Zhang
Hong-wei
HW
Department of Plastic and Burn Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Yao
Gang
G
Wen
Guo-hua
GH
Huang
Yan-xia
YX
Shi
Jing-ping
JP
Guo
Yun
Y
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005546:Forehead / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009666:Nose / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps; D055815:Young Adult