Nasal reconstruction with composite axial paramedian forehead flap – case report

Background. Post-traumatic, acute or secondary nasal reconstruction or after tumor ablation involves various techniques that use local, loco-regional or distant flaps, transpozitioned or freely transferred. The reconstruction can be performed at the same time in the case of acute trauma of the nasal...

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Main Author: Eugen Gabriel Turcu
Format: Article
Language:English
Published: Amaltea Medical Publishing House 2023-12-01
Series:Romanian Journal of Medical Practice
Subjects:
Online Access:https://rjmp.com.ro/articles/2023.4/RJMP_2023_4_Art-03.pdf
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author Eugen Gabriel Turcu
author_facet Eugen Gabriel Turcu
author_sort Eugen Gabriel Turcu
collection DOAJ
description Background. Post-traumatic, acute or secondary nasal reconstruction or after tumor ablation involves various techniques that use local, loco-regional or distant flaps, transpozitioned or freely transferred. The reconstruction can be performed at the same time in the case of acute trauma of the nasal pyramid or secondary, at a later time if the local and general situation of the patient requires this. The median frontal flap, simple or composite, ensures a good quality reconstruction of all the aesthetic subunits of the nasal pyramid. The versatility of the flap and the aesthetic quality of the reconstruction result make the median frontal flap a choice solution for nasal pyramid reconstructions where local flaps are not indicated. The reconstruction can be done in two steps or in one step if the pedicle flap is subcutaneous. Case report. The article presents a case of total reconstruction of the nasal lobe after a complex dog bite trauma in which a composite median frontal flap, doubled with auricular cartilage, was used to restore the alar and columella cartilages. Conclusion. The axial paramedian forehead flap is a valuable technique in nasal reconstruction, offering favorable aesthetic outcomes when performed by skilled surgeons.
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spelling doaj.art-751d198bc79d41219d9228f7b556c0b82024-03-19T12:49:21ZengAmaltea Medical Publishing HouseRomanian Journal of Medical Practice1842-82582069-61082023-12-0118418919110.37897/RJMP.2023.4.3Nasal reconstruction with composite axial paramedian forehead flap – case reportEugen Gabriel Turcu0Clinic of Plastic-Aesthetic Surgery and Reconstructive Microsurgery, “Bagdasar Arseni“ Clinical Emergency Hospital, Bucharest, RomaniaBackground. Post-traumatic, acute or secondary nasal reconstruction or after tumor ablation involves various techniques that use local, loco-regional or distant flaps, transpozitioned or freely transferred. The reconstruction can be performed at the same time in the case of acute trauma of the nasal pyramid or secondary, at a later time if the local and general situation of the patient requires this. The median frontal flap, simple or composite, ensures a good quality reconstruction of all the aesthetic subunits of the nasal pyramid. The versatility of the flap and the aesthetic quality of the reconstruction result make the median frontal flap a choice solution for nasal pyramid reconstructions where local flaps are not indicated. The reconstruction can be done in two steps or in one step if the pedicle flap is subcutaneous. Case report. The article presents a case of total reconstruction of the nasal lobe after a complex dog bite trauma in which a composite median frontal flap, doubled with auricular cartilage, was used to restore the alar and columella cartilages. Conclusion. The axial paramedian forehead flap is a valuable technique in nasal reconstruction, offering favorable aesthetic outcomes when performed by skilled surgeons.https://rjmp.com.ro/articles/2023.4/RJMP_2023_4_Art-03.pdfnasal reconstructionaxial paramedian forehead flapcomposite forehead flap
spellingShingle Eugen Gabriel Turcu
Nasal reconstruction with composite axial paramedian forehead flap – case report
Romanian Journal of Medical Practice
nasal reconstruction
axial paramedian forehead flap
composite forehead flap
title Nasal reconstruction with composite axial paramedian forehead flap – case report
title_full Nasal reconstruction with composite axial paramedian forehead flap – case report
title_fullStr Nasal reconstruction with composite axial paramedian forehead flap – case report
title_full_unstemmed Nasal reconstruction with composite axial paramedian forehead flap – case report
title_short Nasal reconstruction with composite axial paramedian forehead flap – case report
title_sort nasal reconstruction with composite axial paramedian forehead flap case report
topic nasal reconstruction
axial paramedian forehead flap
composite forehead flap
url https://rjmp.com.ro/articles/2023.4/RJMP_2023_4_Art-03.pdf
work_keys_str_mv AT eugengabrielturcu nasalreconstructionwithcompositeaxialparamedianforeheadflapcasereport