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A Journal on Dermatology

Journal of Istituto Dermatologico San Gallicano
Official Journal of the Associazione Dermatologi Ospedalieri Italiani - A.D.O.I.
Indexed/Abstracted in: EMBASE, Scopus



Esperienze Dermatologiche 2011 December;13(4):187-92

language: English, Italian

Forehead median flap in the repair of nose defects following micrographic surgery for basal cell carcinoma: a series of six cases

Cecchi R., Bartoli L., Brunetti L., Pavesi M.

Unità Operativa di Dermatologia, Ospedale di Pistoia, Pistoia, Italia


The median (or paramedian) forehead flap is a transposition axial pattern flap, which is supplied by the supratroclear artery, that emerges from the orbit rim at the medial end of the eyebrow. The forehead donor defect may be closed by a direct suture of margins, by skin grafts or with second intention healing. The flap’s pedicle is divided 2-3 weeks postoperatively. This article presents a series of six patients with basal cell carcinomas on the dorsal aspect and tip of the nose, that have been managed with “fresh-frozen” micrographic surgery. The subsequent reconstruction has been performed by median or paramedian forehead flaps. The patient characteristics and results of micrographic surgery are reported. No local recurrence has been observed during a mean follow-up of 32.1 months (range: 68-5 months), and the functional and aesthetic results have been excellent. The median forehead flap is a versatile flap, that allows to repair large or complex defects of the nose, including its complete reconstruction, with minimal side effects and elegant aesthetic results.

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