Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Forehead Island Flap For Nasal Reconstruction

이마 섬피판을 이용한 코재건술

  • Lee, Keun-Cheol (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Kwon, Yong-Seok (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Jung, Ki-Hwan (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Han, Jae-Jung (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Park, Jung-Min (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University) ;
  • Kim, Seok-Kwun (Department of Plastic & Reconstructive Surgery, College of Medicine, Dong-A University)
  • 이근철 (동아대학교 의과대학 성형외과학교실) ;
  • 권용석 (동아대학교 의과대학 성형외과학교실) ;
  • 정기환 (동아대학교 의과대학 성형외과학교실) ;
  • 한재정 (동아대학교 의과대학 성형외과학교실) ;
  • 박정민 (동아대학교 의과대학 성형외과학교실) ;
  • 김석권 (동아대학교 의과대학 성형외과학교실)
  • Received : 2004.08.23
  • Published : 2005.03.10
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Abstract

The nose is the most prominent area of the face, therefore susceptible to trauma and skin cancer. When small sized defect is in nasal tip, it results in disturbance of the facial harmony even if replantation, composite graft, skin graft or median forehead flap has been used for the reconstruction. So it is needed that the best method reconstruction is performed according to the degree of defect or deformity. And at the same time the physiology and anatomy of nose were clarified and its aesthetic subunits were employed. How can we cover the about 3 cm sized nasal defect in nasal tip with cartilage exposure? At first, we can think forehead island flap is most appropriate. We performed 7 cases of the forehead island flap for reconstruction of the defect in nasal tip(4 cases: cancer, 3 cases: trauma) from March, 2001 to August, 2004. This result was satisfactory in the point of texture, color, donor scar, and there were no complication such as wound disruption, infection, flap atrophy, and hematoma. The advantages of forehead island flap are: 1) No injury of deep vessel and nerve, 2) control of shape and volume, 3) Short operation time, 4) primary closure of donor site, 5) one stage operation. Also, forehead island flap can cover the defect in nose where skin graft and local flap can not cover. But, operator always must take care for flap congestion and donor site scar. We thought forehead island flap is one of the best option of reconstruction of nasal tip defect.

Keywords

References

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