Esthetic refinements in forehead flap nasal reconstruction

Archives of Otolaryngology--head & Neck Surgery
V C QuatelaM F Rounds

Abstract

To identify refinements in forehead flap nasal reconstruction that consistently provide better esthetic and functional results. Case series of patients undergoing forehead flap nasal reconstruction from July 1, 1987, to May 31, 1994. University hospital ambulatory surgery department. Thirty-two patients with various nasal defects. Modifications of currently accepted techniques of paramedian forehead flap nasal reconstruction, namely, flap harvest and contouring, W-plasty closure of the superior forehead donor site, and creation of soft-tissue triangles. The principles of open-structure rhinoplasty are incorporated into cartilaginous reconstruction of the nasal tip and columella. The alar rim is reconstructed with cartilage grafts placed at the nasal rim. Esthetic and functional results of nasal reconstruction were subjectively graded by three otolaryngologists (V.C.Q., D.A.S., and M.F.R.) and the patients. Improved esthetic and functional nasal reconstruction. The most common nasal subunits reconstructed were as follows: ala, 27 patients (84%); side-wall, 22 patients (69%); dorsum, 18 patients (56%), and tip, 15 patients (47%). The esthetic results ranged from average to excellent (3 to 5 on a scale of 5), the functional result...Continue Reading

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