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KMID : 1037220220280010040
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Archives of Aesthetic Plastic Surgery
2022 Volume.28 No. 1 p.40 ~ p.43
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Reconstruction of a large nasal defect using a folded forehead flap: a case report
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Jeong Min-Kyoung
Jun Dong-Keun
Kim Jee-Nam
Choi Hyun-Gon
Shin Dong-Hyeok
Cho Jae-Hoon
Lim Young-Chang
Lee Myung-Chul
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Abstract
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Forehead flaps are widely used to reconstruct nasal defects. The authors report a case wherein a folded forehead flap was used to reconstruct a large nasal defect after wide excision of squamous cell carcinoma. A 65-year-old man was diagnosed with squamous cell carcinoma by a punch biopsy conducted at the dermatology department, and the mass was located in the left nasal vestibule. A forehead flap was planned to cover the full-thickness defect that occurred after wide excision. A flap with an extended transverse skin paddle was designed; thereafter, the distant part of the flap was folded up to the nasal lining inside the nose. The interpolation flap was properly maintained for 3 weeks, and flap division was performed. The reconstructed nose exhibited symmetry during a 5-month observation period. A folded forehead flap is a surgical option when considerable nasal restoration, including soft tissue and the internal lining, is necessary.
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KEYWORD
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Nose, Reconstruction, Forehead, Flap, Case reports
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