Immaneni Supriya, Harvey David T, Delgado Francisco
Department of Dermatology, Emory University School of Medicine, Atlanta, GA, USA.
SAGE Open Med Case Rep. 2023 Mar 21;11:2050313X231160913. doi: 10.1177/2050313X231160913. eCollection 2023.
The paramedian forehead flap is an axial flap which utilizes vascular support from the supratrochlear artery to repair extensive nasal defects. Adverse outcomes including flap necrosis, infection, alar rim pull, and poor cosmesis can be seen with this flap. We report an 85-year-old woman with chronic obstructive pulmonary disease who underwent a staged paramedian forehead flap repair with a cartilage inlay complicated by moderate left alar rim necrosis and pedicle notching. In this patient, we were able to salvage the original pedicle and reposition it to achieve a satisfactory functional and cosmetic outcome.
正中旁前额皮瓣是一种轴型皮瓣，它利用滑车上动脉的血管支持来修复大面积鼻缺损。该皮瓣可能会出现包括皮瓣坏死、感染、鼻翼缘牵拉和美容效果差等不良后果。我们报告了一名85岁患有慢性阻塞性肺疾病的女性，她接受了分期正中旁前额皮瓣修复术，并植入软骨，术后出现中度左侧鼻翼缘坏死和蒂部切迹。在该患者中，我们成功挽救了原蒂部并重新定位，从而获得了满意的功能和美容效果。
