See also: Facial Plastics
Cases provided by: Dr. Douglas K Henstrom, Director of University of Iowa Facial Plastics and Reconstructive Surgery, Department of Otolaryngology
Case #1-Intraop Paramedian Forehead Flap
Case #2 Nasal Reconstruction using septal hinge flap for internal lining, conchal cartilage graft for support, and paramedian forehead flap for external covering
- Reconstruction following MOH's surgery for superficial nasal/ala cancer
- Completed case from preop eval to 5 months postop. Patient had previous attempted ipsilateral paramedian forehead flap done elsewhere, which had failed. Forehead allowed to granulate and heal secondarily to completion.
Case #1-Intraop Paramedian Forehead Flap
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Lateral nasal wall defect
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Defect Template
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Superior view of defect
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Forehead Flap incised and raised
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Flap Placement planning (Lateral view)
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Flap Inset (Superior view)
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Forehead donor site closed
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Completed Lateral View (xeroform guaze wrapped around pedicle)
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Completed Basal View
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- Completed case from preop eval to 5 months postop. Patient had previous attempted ipsilateral paramedian forehead flap done elsewhere, which had failed. Forehead allowed to granulate and heal secondarily to completion.
Case #2 Nasal Reconstruction using septal hinge flap for internal lining, conchal cartilage graft for support, and paramedian forehead flap for external covering |
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Preop Anterior view
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Preop Close up lateral view
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Preop Basal view
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1st Stage Intraop-Septal Hinge Flap for internal lining
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1st Stage Intraop-Septal Hinge flap sutured in place
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1st Stage Intraop-Basal view of Septal Hinge Flap
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1st Stage Intraop-Conchal Cartilage graft-Lateral view
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1st Stage Intraop-Conchal Cartilage graft-Basal view
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1st Stage Intraop-Conchal Cartilage graft-Superior view
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1st Stage Intraop-Forehead flap template
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1st Stage Intraop-Contralateral forehead flap designed (previous failed forehead flap visualized)
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1st Stage Intraop-Forehead flap elevated and thinned distally
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1st Stage Intraop-Forehead flap inset-Superior view
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1st Stage Intraop-Forehead flap inset-Lateral view
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1st Stage Intraop-Forehead flap inset-Basal view
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3 weeks post 1st stage-Anterior view
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3 weeks post 1st stage--L Oblique view
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3 weeks post 1st stage-R Oblique view
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3 weeks post 1st stage-Basal view
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Intraop 2nd stage-Flap inset into nose-Superior view
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Intraop 2nd stage-Flap inset into nose-Lateral view
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Intraop 2nd stage-Flap inset into nose-Anterior view
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Intraop 2nd stage-Flap inset into nose-Basal view
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5 month postop-Anterior view
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5 month postop-Lateral view
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5 month postop--Basal view
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