title: Subcutaneous forehead island flap for nasal reconstruction.
abstract: BACKGROUND
  Reconstruction of nasal skin after tumor resection is imperative for full patient rehabilitation; and use of similar skin is necessary to achieve best esthetic and functional results.
  
  
  METHODS
  This clinical series study represent management of patients with large nasal defects (up to 4x7 cm) using subcutaneous pedicle island paramedian forehead flap, during a period of 2007-2009, 8 patients with large nasal defects were repaired with this flap, among them 5 patients were male and 3 patients were female with mean age of 53 years, all cases were reconstructed with island pedicle flap in a single stage.
  
  
  RESULTS
  Good and satisfying results were achieved in all cases except for one case that was operated again for debulking of flap.
  
  
  CONCLUSIONS
  Island paramedian forehead flap provides esthetic and functional results in a single stage reconstruction of defects with various sizes and locations. This variation of forehead flap is a good choice especially for those patients that have problems with cost or problem with multistage reconstruction of nasal defects.
authors: Department of Plastic Surgery, Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
authors: A
authors: A
authors: Ebrahimi
authors: M H
authors: MH
authors: Kalantar Motamedi
authors: N
authors: N
authors: Nejadsarvari
authors: E
authors: E
authors: Shams Koushki