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Surgical Pearls |

Midline Forehead Flap for Reconstruction of Cutaneous Nasal Defects

Dennis Y. Chua, MBBS1; Stephen S. Park, MD1
[+] Author Affiliations
1Department of Otolaryngology–Head and Neck Surgery, University of Virginia, Charlottesville
JAMA Facial Plast Surg. 2014;16(4):296-297. doi:10.1001/jamafacial.2014.43.
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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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Patient With a Cutaneous Nasal Defect

A, Defect marked out on the forehead taking to ensure crisp corners. The skin paddle is in the midline, and the blood supply is centered over the supratrochlear arteries and its collaterals. B, Status post–forehead flap inset. The forehead defect is closed primarily, and care is taken to ensure eyebrow symmetry.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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Midline forehead flap in reconstruction of cutaneous nasal defect

Steps of a midline forehead flap used in reconstruction of a cutaneous nasal defect.

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