Subcutaneous Forehead Island Flap for Nasal Reconstruction


A Ebrahimi 1 , * , MH Kalantar Motamedi 2 , N Nejadsarvari 3 , E Shams Koushki 3

1 Assistant Professor of Plastic Surgery, Trauma Research Center, Baqiyatallah University of Medical Sciences, PO Box: 1436614313, [email protected], Iran

2 Department of Oral and Maxillofacial Surgery, Trauma Research Center, Baqiyatallah University of Medical Science, Tehran

3 General Practitioner, Tehran University of Medical Sciences, Imam Khomeini Hospital, Iran

How to Cite: Ebrahimi A, Kalantar Motamedi M, Nejadsarvari N, Shams Koushki E. Subcutaneous Forehead Island Flap for Nasal Reconstruction, Iran Red Crescent Med J. Online ahead of Print ; 14(5):271-275.


Iranian Red Crescent Medical Journal: 14 (5); 271-275
Article Type: Research Article
Received: November 10, 2011
Accepted: January 30, 2012




Background: Reconstruction of nasal skin after tumor resection is imperative for full patient rehabilitation; and use of similar skin is necessary to achieve best esthetic and functional results.


Methods: This clinical series study represent management of patients with large nasal defects (up to 4x7 cm) using subcutaneous pedicle island paramedian forehead flap, during a period of 2007-2009, 8 patients with large nasal defects were repaired with this flap, among them 5 patients were male and 3 patients were female with mean age of 53 years, all cases were reconstructed with island pedicle flap in a single stage.


Results: Good and satisfying results were achieved in all cases except for one case that was operated again for debulking of flap.


Conclusion: Island paramedian forehead flap provides esthetic and functional results in a single stage reconstruction of defects with various sizes and locations. This variation of forehead flap is a good choice especially for those patients that have problems with cost or problem with multistage reconstruction of nasal defects.


Surgical flaps Esthetic Forehead Basal cell carcinoma Reconstruction

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