The Paramedian Forehead Flap for Nasal Reconstruction: From Antiquity to Present. Issue 2 (March 2019)

• Record Type: Journal Article
• Authors: Shokri, Tom; Kadakia, Sameep; Saman, Masoud; Habal, Mutaz B.; Kohlert, Scott; Sokoya, Mofiyinfolu; Ducic, Yadranko; Wood-Smith, Donald
• Is Part Of: Journal of craniofacial surgery. Volume 30:Issue 2(2019)
• Publication Date: 2019-03
• Subjects: History -- nasal reconstruction -- paramedian forehead flap -- rhinoplasty; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000004976
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Abstract: Nasal reconstruction is considered the historic foundation of facial plastic surgery, and the forehead flap remains the workhorse of repair. To recreate both the aesthetic contour and function of the nose, all anatomic layers must be addressed—covering, lining, and structural support. This article reviews the noteworthy history underlying the development of the paramedian forehead flap as the primary tool in reconstruction of large nasal defects while highlighting its implications on modern nasal repair. Current developments in the use of 2-staged paramedian forehead flap reconstruction are examined and a modern technique is presented.