Nasal reconstruction using a paramedian forehead flap is a surgical procedure used to reconstruct or repair the nose, typically when it has been damaged or lost due to traumatic injury, tumor removal, or congenital deformity. This procedure involves the use of a paramedian forehead flap, a technique where skin, tissue, and blood vessels from the upper forehead are transferred and reshaped to reconstruct the nasal structure.
During the procedure, the surgeon carefully removes a segment of tissue from the forehead, usually in the shape of an elongated, triangular flap. This flap contains a rich blood supply, ensuring its viability when transferred to the nose. Next, a pocket is created in the area of the missing or damaged nasal structure. The flap is then rotated and moved down into this pocket, where it is meticulously stitched and secured in place.
The paramedian forehead flap provides an excellent source of well-matched tissue due to its proximity to the nose, ensuring a more natural-looking reconstruction. Additionally, the flap may also incorporate cartilage from the forehead to rebuild the nasal framework and maintain shape and support.
Post-surgery, the forehead flap is allowed to heal and establish a blood supply in the new location. Once it has healed sufficiently, further surgical refinements may be performed to enhance both aesthetic and functional outcomes, such as refining the nasal tip, smoothing any irregularities, or improving nasal breathing.
Nasal reconstruction using a paramedian forehead flap is considered a highly specialized and advanced surgical technique, typically performed by a plastic surgeon or an ear, nose, and throat (ENT) specialist. It requires precise planning, skill, and expertise to achieve optimal functional and cosmetic results.
