Ebrahimi A, Kalantar Motamedi M H, Nejadsarvari N, Shams Koushki E
Department of Plastic Surgery, Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Iran Red Crescent Med J. 2012 May;14(5):271-5. Epub 2012 May 30.
Reconstruction of nasal skin after tumor resection is imperative for full patient rehabilitation; and use of similar skin is necessary to achieve best esthetic and functional results.
This clinical series study represent management of patients with large nasal defects (up to 4x7 cm) using subcutaneous pedicle island paramedian forehead flap, during a period of 2007-2009, 8 patients with large nasal defects were repaired with this flap, among them 5 patients were male and 3 patients were female with mean age of 53 years, all cases were reconstructed with island pedicle flap in a single stage.
Good and satisfying results were achieved in all cases except for one case that was operated again for debulking of flap.
Island paramedian forehead flap provides esthetic and functional results in a single stage reconstruction of defects with various sizes and locations. This variation of forehead flap is a good choice especially for those patients that have problems with cost or problem with multistage reconstruction of nasal defects.
肿瘤切除术后鼻皮肤的重建对于患者的全面康复至关重要；使用相似的皮肤对于获得最佳的美学和功能效果是必要的。
本临床系列研究介绍了2007年至2009年期间使用皮下蒂岛状正中旁前额皮瓣治疗大面积鼻缺损（最大4×7厘米）患者的情况。8例大面积鼻缺损患者用该皮瓣修复，其中男性5例，女性3例，平均年龄53岁，所有病例均采用岛状蒂皮瓣一期重建。
除1例因皮瓣臃肿再次手术外，所有病例均取得了良好且令人满意的效果。
岛状正中旁前额皮瓣在一期重建各种大小和位置的缺损时可提供美学和功能效果。这种前额皮瓣变体是一个很好的选择，特别是对于那些有成本问题或鼻缺损多阶段重建问题的患者。
