Case Report
BibTex RIS Cite
Year 2021, Volume: 31 Issue: 2, 51 - 58, 07.09.2021
https://doi.org/10.26650/Tr-ENT.2021.18480

Abstract

References

  • 1. Menick FJ - Nasal Reconstruction Art and Practice. New York: Mosby/Elsevier, 2009. google scholar
  • 2. Menick FJ. Aesthetic refinements in use of forehead for nasal reconstruction: the paramedian forehead flap. Clin Plast Surg 1990;17(4):607-22. google scholar
  • 3. Correa BJ, Weathers WM, Wolfswinkel EM, Thornton JF. The forehead flap: the gold standard of nasal soft tissue reconstruction. Semin Plast Surg 2013;27(2):96-103. google scholar
  • 4. Boyd CM, Baker SR, Fader DJ, Wang TS, Johnson TM. The forehead flap for nasal reconstruction. Arch Dermatol 2000;136(11):1365-70. google scholar
  • 5. Pochat VD, Oliveira FC, Mata FS, Cunha MS, Alonso N, Meneses JV. Preliminary stages before nasal reconstruction using forehead flap: restoring perinasal subunits and nostril patency. Plast Aesthet Res 2015;2:34-7. google scholar
  • 6. Weng R, Li Q, Gu B, Liu K, Shen G, Xie F. Extended forehead skin expansion and single-stage nasal subunit plasty for nasal reconstruction. Plast Reconstr Surg 2010;125:1119-28. google scholar

Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft

Year 2021, Volume: 31 Issue: 2, 51 - 58, 07.09.2021
https://doi.org/10.26650/Tr-ENT.2021.18480

Abstract

This is an interesting case of a male patient with traumatic nasal injury with partial nasal amputation who was referred to our centre 3 months after the initial trauma. The wound was complicated with necrosis, the amputated nose had fallen off and a scar had formed at the wound bed. The nasal defect was greater than 2.5cm in length. More than 50% of the nose had fallen off including the bilateral alar lobule, the tip and the dorsal part of the nose. We utilized a tissue expander to create more tissue on the forehead in view of the patient’s short forehead, for donor site closure and to lengthen our flap. We performed a modified paramedian forehead flap with a widened distal portion of flap, in a two-staged nasal reconstruction surgery supported by L-strut cartilage graft harvested from the 7th rib. In this report we provide an illustrative description of the procedure, its cosmetic and functional outcome and we also share the challenges we faced.

References

  • 1. Menick FJ - Nasal Reconstruction Art and Practice. New York: Mosby/Elsevier, 2009. google scholar
  • 2. Menick FJ. Aesthetic refinements in use of forehead for nasal reconstruction: the paramedian forehead flap. Clin Plast Surg 1990;17(4):607-22. google scholar
  • 3. Correa BJ, Weathers WM, Wolfswinkel EM, Thornton JF. The forehead flap: the gold standard of nasal soft tissue reconstruction. Semin Plast Surg 2013;27(2):96-103. google scholar
  • 4. Boyd CM, Baker SR, Fader DJ, Wang TS, Johnson TM. The forehead flap for nasal reconstruction. Arch Dermatol 2000;136(11):1365-70. google scholar
  • 5. Pochat VD, Oliveira FC, Mata FS, Cunha MS, Alonso N, Meneses JV. Preliminary stages before nasal reconstruction using forehead flap: restoring perinasal subunits and nostril patency. Plast Aesthet Res 2015;2:34-7. google scholar
  • 6. Weng R, Li Q, Gu B, Liu K, Shen G, Xie F. Extended forehead skin expansion and single-stage nasal subunit plasty for nasal reconstruction. Plast Reconstr Surg 2010;125:1119-28. google scholar
There are 6 citations in total.

Details

Primary Language English
Subjects Otorhinolaryngology
Journal Section Case Report
Authors

Pauline Yap This is me 0000-0002-2228-3473

Nurul Syazana Mohamad Shah This is me 0000-0001-6731-9962

Arman Zaharil Mat Saad This is me 0000-0002-4003-6783

Wan Azman Wan Sulaiman This is me 0000-0002-0600-9765

Siti Fatimah Noor Mat Johar This is me

Publication Date September 7, 2021
Submission Date May 16, 2021
Published in Issue Year 2021 Volume: 31 Issue: 2

Cite

APA Yap, P., Shah, N. S. M., Mat Saad, A. Z., Sulaiman, W. A. W., et al. (2021). Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft. The Turkish Journal of Ear Nose and Throat, 31(2), 51-58. https://doi.org/10.26650/Tr-ENT.2021.18480
AMA Yap P, Shah NSM, Mat Saad AZ, Sulaiman WAW, Mat Johar SFN. Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft. Tr-ENT. September 2021;31(2):51-58. doi:10.26650/Tr-ENT.2021.18480
Chicago Yap, Pauline, Nurul Syazana Mohamad Shah, Arman Zaharil Mat Saad, Wan Azman Wan Sulaiman, and Siti Fatimah Noor Mat Johar. “Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft”. The Turkish Journal of Ear Nose and Throat 31, no. 2 (September 2021): 51-58. https://doi.org/10.26650/Tr-ENT.2021.18480.
EndNote Yap P, Shah NSM, Mat Saad AZ, Sulaiman WAW, Mat Johar SFN (September 1, 2021) Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft. The Turkish Journal of Ear Nose and Throat 31 2 51–58.
IEEE P. Yap, N. S. M. Shah, A. Z. Mat Saad, W. A. W. Sulaiman, and S. F. N. Mat Johar, “Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft”, Tr-ENT, vol. 31, no. 2, pp. 51–58, 2021, doi: 10.26650/Tr-ENT.2021.18480.
ISNAD Yap, Pauline et al. “Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft”. The Turkish Journal of Ear Nose and Throat 31/2 (September 2021), 51-58. https://doi.org/10.26650/Tr-ENT.2021.18480.
JAMA Yap P, Shah NSM, Mat Saad AZ, Sulaiman WAW, Mat Johar SFN. Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft. Tr-ENT. 2021;31:51–58.
MLA Yap, Pauline et al. “Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft”. The Turkish Journal of Ear Nose and Throat, vol. 31, no. 2, 2021, pp. 51-58, doi:10.26650/Tr-ENT.2021.18480.
Vancouver Yap P, Shah NSM, Mat Saad AZ, Sulaiman WAW, Mat Johar SFN. Nasal Reconstruction Using Tissue Expander and Modified Paramedian Forehead Flap Supported by Cartilage Graft. Tr-ENT. 2021;31(2):51-8.