The Naso-labial and lateral forehead flaps as a single stage: A case report and review of literature

ABSTRACT

We present here the case of a patient with a major traumatic nasal loses who had a near-total nasal reconstruction as a single-stage procedure. A 35 year-old civil servant who was involved in a road traffic injury about two years before presentation. He sustained extensive and multiple facial injuries with complete loss of nasal cover and lining. Reconstruction was performed by using superiorly based, bilateral, nasolabial flaps to line the floor and the nasal septum, and a paramedian forehead flap for skin cover. The patient did well postoperatively and was discharged home on the 7 ^th postoperative day. If the principles concerning cover, support, and lining are adhered to, excellent functional and aesthetic results can be achieved as we have obtained in our patient.

KEY WORDS

Lateral forehead flaps - nasal reconstruction - single stage

• 1 Antia NH. Daver BM. Reconstructive Surgery for nasal defects. Clin Plast Surg 1981; 8: 535
• 2 Mazzola RF. Marcus S. History of total nasal reconstruction with particular emphasis on the folded forehead flap technique. Plast Reconstr Surg 1983; 72: 408
• 3 Nichter LS. Morgan RF. Nichter MA. The impact of Indian methods for total nasal reconstruction. Clin Past Surg 1983; 10: 635
• 4 Blair VP. Total and subtotal restoration of the nose. JAMA. 1925 1931 85.
• 5 Cottle MH. Corrective surgery of the nasal septum and the external pyramid-study notes and laboratory manual. Chicago: Am Rhinolangyol Soc; 1960
• 6 Gillies H.. The Colunella. Br J Plast Surg 1950; 2: 192
• 7 Millard Jr DR. Reconstructive rhinoplasty for the lower two thirds of the nose. Plast Reconstr Surg 1976; 57: 722
• 8 Ivy RH. Repair of acquired defects of the face. JAMA 1925; 84: 181
• 9 Burget GC. Menick FC. Nasal support and lining: the marriage of beauty and blood supply. Plast Reconstr Surg 1989; 84: 189
• 10 Menick F.. Nasal reconstruction, Daramedian forehead flap. e-Medicine June 2006; 1-7