The forehead flap: The gold standard of nasal soft tissue reconstruction

Bryan J. Correa, William M. Weathers, Erik M. Wolfswinkel, James F. Thornton

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

The forehead flap is one of the oldest recorded surgical techniques for nasal reconstruction. As the gold standard for nasal soft tissue reconstruction, the forehead flap provides a reconstructive surgeon with a robust pedicle and large amount of tissue to reconstruct almost any defect. Modifications provided by masters like Burget and Menick have only increased the utility of this exceptional flap. Maintaining an axial pattern, utilizing the pedicle ipsilateral to the defect, extending the flap at right angles with caution when extra length is needed, using a narrow pedicle, and early subperiosteal dissection are the guiding principles for forehead flap reconstruction of the nose. In addition, lining defects can be addressed simply and reliably with a folded forehead flap.

Original languageEnglish (US)
Pages (from-to)96-103
Number of pages8
JournalSeminars in Plastic Surgery
Volume27
Issue number2
DOIs
StatePublished - Aug 28 2013

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Keywords

  • Mohs surgery
  • forehead flap
  • nasal lining
  • nasal reconstruction

ASJC Scopus subject areas

  • Surgery

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