See: Paramedian Forehead Flap and 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 |
Defect Template |
Superior view of defect |
Forehead Flap incised and raised |
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Flap Placement planning (Lateral view) |
Flap Inset (Superior view) |
Forehead donor site closed |
Completed Lateral View (xeroform guaze wrapped around pedicle) |
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Completed Basal View |
- 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 |
Preop Close up lateral view |
Preop Basal view |
1st Stage Intraop-Septal Hinge Flap for internal lining |
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1st Stage Intraop-Septal Hinge flap sutured in place |
1st Stage Intraop-Basal view of Septal Hinge Flap |
1st Stage Intraop-Conchal Cartilage graft-Lateral view |
1st Stage Intraop-Conchal Cartilage graft-Basal view |
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1st Stage Intraop-Conchal Cartilage graft-Superior view |
1st Stage Intraop-Forehead flap template |
1st Stage Intraop-Contralateral forehead flap designed (previous failed forehead flap visualized) |
1st Stage Intraop-Forehead flap elevated and thinned distally |
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1st Stage Intraop-Forehead flap inset-Superior view |
1st Stage Intraop-Forehead flap inset-Lateral view |
1st Stage Intraop-Forehead flap inset-Basal view |
3 weeks post 1st stage-Anterior view |
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3 weeks post 1st stage--L Oblique view |
3 weeks post 1st stage-R Oblique view |
3 weeks post 1st stage-Basal view |
Intraop 2nd stage-Flap inset into nose-Superior view |
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Intraop 2nd stage-Flap inset into nose-Lateral view |
Intraop 2nd stage-Flap inset into nose-Anterior view |
Intraop 2nd stage-Flap inset into nose-Basal view |
5 month postop-Anterior view |
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5 month postop-Lateral view |
5 month postop--Basal view |
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