Surgical Pearls
Jul/Aug 2014

Midline Forehead Flap for Reconstruction of Cutaneous Nasal Defects

Author Affiliations
  • 1Department of Otolaryngology–Head and Neck Surgery, University of Virginia, Charlottesville

Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Facial Plast Surg. 2014;16(4):296-297. doi:10.1001/jamafacial.2014.43

The forehead flap is a workhorse for reconstruction of large cutaneous nasal defects, including from ala to ala. It is characterized by its dependability, consistent anatomy, robust perfusion pressure at the pedicle base, and excellent texture match. The midline forehead flap design has the advantage of a donor site scar in the midline of the forehead rather than paramedian, which is often less conspicuous. The curved pedicle also gives a slightly longer reach.1

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