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The Single-Stage Forehead Flap in Nasal Reconstruction
An Alternative With Advantages
Stephen S. Park, MD
Arch Facial Plast Surg. 2002;4:32-36.
Objective To review the single-stage forehead flap for patient selection, technique,
and main outcome measures.
Methods Patients undergoing nasal reconstruction between January 1, 1995, and
June 30, 2000, were reviewed from medical records, photographs, and personal
communication. All work was performed in an academic medical center.
Results Fifty-one patients had a forehead flap for nasal reconstruction, of
which 10 (20%) were repaired in a single stage. All patients had no evidence
of small vessel disease, eg, hypertension, diabetes mellitus, or tobacco use.
Nasal defects were limited to the upper two thirds of the nose. The technique
is modified from the original description by creating a unilateral, subcutaneous
pedicle, wide undermining, and partial resection of the procerus muscle. One
patient had superficial epidermolysis at the distal tip of the flap. The remaining
9 patients maintained complete viability with satisfactory outcomes. One debulking
procedure was performed to the glabellar area for aesthetic reasons. The average
interval for returning to work was 6.6 days compared with the minimal 3 weeks
for conventional interpolated flaps.
Conclusion In select cases, a single-stage, island midline forehead flap can be
used safely as an advantageous alternative to the conventional interpolated
forehead flap.
From the Department of Otolaryngology–Head and Neck Surgery,
University of Virginia Medical Center, Charlottesville.
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Update on Major Reconstruction of the Head and Neck
Wax et al.
Arch Facial Plast Surg 2007;9:392-399.
ABSTRACT
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