The full-thickness forehead flap for complex nasal defects

A preliminary study

Jack D. Sedwick, Vicki Graham, Christopher J. Tolan, Jonathan M Sykes, Raj P. Terkonda

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

OBJECTIVE: To report a new technique using a bivalved, full-thickness paramedian forehead flap. The unique vascular anatomy of the supratrochlear artery allows the skin and subcutaneous tissue to be separated from the frontalis muscle and pericranium. The deep layers serve as a pliable, vascularized intranasal lining. Bone and cartilage grafts can be placed as "sandwich" grafts between the deep and superficial layers of the flap. STUDY DESIGN: A retrospective review of 5 cases. All flaps survived. Four minor complications occurred in 3 patients. These resolved with minimal treatment. CONCLUSIONS: The full-thickness forehead flap is a viable option for large defects or for the difficult situation in which intranasal local flaps are not an option. SIGNIFICANCE: The gold standard for replacement of the intranasal lining is a septal mucosal or vestibular local flap. The full-thickness forehead flap is an option in patients for whom other lining flaps are not available. EBM rating: C-3.

Original languageEnglish (US)
Pages (from-to)381-386
Number of pages6
JournalOtolaryngology - Head and Neck Surgery
Volume132
Issue number3
DOIs
StatePublished - Mar 2005

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Forehead
Nose
Transplants
Subcutaneous Tissue
Cartilage
Blood Vessels
Anatomy
Arteries
Bone and Bones
Muscles
Skin
Therapeutics

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

The full-thickness forehead flap for complex nasal defects : A preliminary study. / Sedwick, Jack D.; Graham, Vicki; Tolan, Christopher J.; Sykes, Jonathan M; Terkonda, Raj P.

In: Otolaryngology - Head and Neck Surgery, Vol. 132, No. 3, 03.2005, p. 381-386.

Research output: Contribution to journalArticle

Sedwick, Jack D. ; Graham, Vicki ; Tolan, Christopher J. ; Sykes, Jonathan M ; Terkonda, Raj P. / The full-thickness forehead flap for complex nasal defects : A preliminary study. In: Otolaryngology - Head and Neck Surgery. 2005 ; Vol. 132, No. 3. pp. 381-386.
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