A practical method for designing paramedian forehead flap: A preliminary report; [Paramedian alın flebi tasarımıs i̇çin pratik bir method: Önçalışma]
No Thumbnail Available
Date
2010
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Objective: The paramedian forehead flap (PFF) is an interpolated flap which provides excellent aesthetic and functional results in the reconstruction of extensive nasal defects. The key elements for a PFF is the blood supply (supratrochlear artery and vein) and wideness of the pedicle. Herein, we offer a practical and reliable method for the design of PFF and discuss the effectiveness of this surgical method. Material and Methods: The harvestment of PFF was started by the identification of the potential area of the supratrochlear artery and vein. The medial canthal vertical line (MCVL) and transverse axis of the superior orbital rim (SOR) were marked as "primary lines", which were used as reference. Thereafter, the lateral borders of the potential area were metered 7 mm medial and lateral to MSVL and marked as the "secondary lines". The pedicle of the PFF was formed by using "secondary lines" and SOR. Finally, PFF was harvested and anchored to the defect area. Results: Six cases who had large nasal defects due to skin cancer were included into the study. All the PFFs were designed and successfully harvested according to this surgical method. None of the cases had flap failure or major complications. Conclusion: The surgical method for the design of PFF is easy, reliable and anatomically based, and it facilitates a relatively narrow pedicle without jeopardizing the blood supply. © 2010 by Türkiye Klinikleri.
Description
Keywords
aged , artery , article , basal cell carcinoma , clinical article , clinical effectiveness , cost effectiveness analysis , female , follow up , forehead flap , human , male , nose malformation , nose reconstruction , paramedian forehead flap , squamous cell carcinoma , supratrochlear artery , supratrochlear vein , surgical technique