Nasal reconstruction with forehead skin flap and muscle flap.
- Author:
Qing-feng LI
1
;
Hua LEI
;
Bin GU
;
Kai LIU
;
Guo-xiong SHEN
;
Dan-ning ZHENG
;
Shheng-wu ZHENG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Female; Forehead; Humans; Male; Muscles; transplantation; Nose; surgery; Patient Satisfaction; Reconstructive Surgical Procedures; methods; standards; Skin Transplantation; methods; Surgical Flaps; Treatment Outcome
- From: Chinese Journal of Plastic Surgery 2004;20(5):351-353
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo improve the paramedian forehead flap for nasal reconstruction.
METHODSBased on the findings of the Cutaneous branch of supratrochlear artery, the forehead musculo-cutaneous flap was divided into the musculo-flap and the skin-flap in 3 patients. The musculo-flap were used to reconstruct the septi-bone structure, and envelop silicon nasal-frame, while the skin-flap were used to reconstruct the nose. In 6 patients, the forehead flap was used as a skin-flap just with the muscle pedicle to reconstruct a nose with good appearance of nasal subunits, without the secondary operation.
RESULTSIn all of 9 cases, the cutaneous-branch of supratrochlear artery was found 1.7-2.0 cm above the orbital-rim. Eight patients got good results, only 1 patient had to do the secondary operation to coverage the exposed nasal frame.
CONCLUSIONSThe cutaneous-branch of supratrochlear artery could be an anatomical finding to form the forehead skin-flap and it is a good choice to be used to reconstruct a nose, even in complicated cases.
