Department of Otolaryngology - Head and Neck Surgery, University of Virginia, PO Box 800713, Charlottesville, VA 22908, USA.
Department of Otolaryngology - Head and Neck Surgery, University of Virginia, PO Box 800713, Charlottesville, VA 22908, USA.
Facial Plast Surg Clin North Am. 2024 May;32(2):271-279. doi: 10.1016/j.fsc.2023.11.002. Epub 2023 Dec 23.
The forehead flap is a time-tested and robust resurfacing flap used for nasal reconstruction. Owing to its excellent color and texture match, acceptable donor site morbidity, and robust and independent blood supply that can support both structural and internal lining grafts, this flap remains the workhorse flap for resurfacing large nasal defects. Various nuances of this technique relating to defect and template preparation, flap design, flap elevation, flap inset, donor site closure, and pedicle division are discussed in this article. These nuances are the guiding principles for improved outcomes using a forehead flap for the reconstruction of large nasal defects.
额部皮瓣是一种经过时间考验且可靠的修复皮瓣，用于鼻重建。由于其出色的颜色和质地匹配、可接受的供区并发症、以及强大且独立的血液供应，可支持结构和内衬移植物，该皮瓣仍然是修复大型鼻缺损的主力皮瓣。本文讨论了与缺损和模板准备、皮瓣设计、皮瓣掀起、皮瓣插入、供区关闭和蒂部分离相关的该技术的各种细微差别。这些细微差别是使用额部皮瓣重建大型鼻缺损以获得更好效果的指导原则。
