Smart Ryan J, Yeoh Melvyn S, Kim D David
Department of Oral and Maxillofacial Surgery/Head and Neck Surgery, Louisiana State University Health Sciences Center, Shreveport, LA, USA.
Department of Oral and Maxillofacial Surgery/Head and Neck Surgery, Louisiana State University Health Sciences Center, Shreveport, LA, USA.
Oral Maxillofac Surg Clin North Am. 2014 Aug;26(3):401-10. doi: 10.1016/j.coms.2014.05.008. Epub 2014 Jun 25.
The paramedian forehead flap (PMFF) is a versatile flap with a robust vascular supply that is well suited for reconstruction of complex or large nasal defects. Although a 2-stage technique is most common, a single-stage procedure involving tunneling the proximal pedicle and 3-stage procedures involving tissue expansion, vascular delay, and flap tailoring after inset before pedicle division have also been described. This article describes a traditional 2-stage technique and presents the case of a patient with a posttraumatic nasal deformity reconstructed with a PMFF.
正中旁前额皮瓣（PMFF）是一种用途广泛的皮瓣，其血供丰富，非常适合用于复杂或大面积鼻缺损的修复。虽然两阶段技术最为常见，但也有文献描述了单阶段手术，即通过隧道转移近端蒂，以及三阶段手术，包括组织扩张、血管延迟和在皮瓣植入后、蒂切断前进行皮瓣修整。本文描述了一种传统的两阶段技术，并介绍了一例采用PMFF修复创伤后鼻畸形患者的病例。
