Improvement in nasal reconstruction with an expanded forehead flap from an aesthetical point of view
- VernacularTitle:从美学角度对额部扩张皮瓣行外鼻重建术的改进
- Author:
Aijun ZHANG
;
Peisheng JIN
;
Changbo TAO
;
Xueyang LI
;
Xiyuan GONG
- Publication Type:Journal Article
- Keywords:
Nose reconstruction;
Forehead flap;
Expander
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2008;14(3):167-170
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the operative methods and merits of nasal reconstruction in terms of the aesthetics. Methods The noses of 12 patients were reconstructed with an expanded triangle-shaped forehead flap with unilateral supratrochlear artery, a skin expander was placed obliquely under galea aponeurotica of forehead. Liquid was injected with conventional expansion method. Using the skin and the scars on nasal dorsum and tip as lining, based on intercanthal distance and aesthetic standard, a triangle-shaped forehead myocutaneous flap was designed over the expanded forehead skin tissue and used for a nasal reconstruction. The triangle-shaped flap was trimmed to different layer and reshaped based on aesthetic subunit.Results In twelve post-operative patients with nasal defect, no flap necrosis was found and the appearance of reconstructed noses were almost normal and satisfactory after follow-up for 6 months to 2 years. Conclusion The modified forehead myocutaneous flap according to aesthetic standard is safe and ideal for major nasal reconstruction. Meticulous moulding of triangle-shaped flap, nose interior with good blood supply, and primary insertion of nose stretcher are the key to a satisfactory appearance.
