Reuse of the paramedian forehead flap pedicle: A case report

Autor: Supriya Immaneni, David T Harvey, Francisco Delgado
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: SAGE Open Medical Case Reports, Vol 11 (2023)
Druh dokumentu: article
ISSN: 2050-313X
2050313X
DOI: 10.1177/2050313X231160913
Popis: The paramedian forehead flap is an axial flap which utilizes vascular support from the supratrochlear artery to repair extensive nasal defects. Adverse outcomes including flap necrosis, infection, alar rim pull, and poor cosmesis can be seen with this flap. We report an 85-year-old woman with chronic obstructive pulmonary disease who underwent a staged paramedian forehead flap repair with a cartilage inlay complicated by moderate left alar rim necrosis and pedicle notching. In this patient, we were able to salvage the original pedicle and reposition it to achieve a satisfactory functional and cosmetic outcome.
Databáze: Directory of Open Access Journals