CASE REPORT   

European Journal of Oral and Maxillofacial Surgery 2017 August;1(2):73-5

DOI: 10.23736/S2532-3466.17.00119-9

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Total reconstruction of columella, nasal tip, and upper lip with a front flap and a cartilage graft

Massimiliano MANFREDI ¹ ✉, Marco STACCHINI ², Cristopher FABBRI ³

¹ Unit of Maxillo-Facial Surgery, Department of Neuroscience and Head and Neck Surgery, Maurizio Bufalini Hospital, Cesena, Italy; ² Unit of Otorhinolaryngology, Department of Neuroscience and Head and Neck Surgery, Maurizio Bufalini Hospital, Cesena, Italy; ³ Department of Ear Nose and Throat, University of Ferrara, Ferrara, Italy

Currently, forehead flap is still a gold standard in nasal amputation and it remains a good choice in facial reconstruction. Paramedian forehead rotation flap is characterized by a tight pedicle based on the epitrochlear vessels flowing between the nasal root and the median section of the eyebrow arch. Using a forehead flap in nasal defects offers clear advantages: skin color affinity, low morbidity of the donor site, and good aesthetic results. Many surgical techniques are described for this kind of aesthetic restoration. The front flap, a cartilaginous graft taken from the nasal septum, is one of the most common options indicated in the functional and aesthetic restoration of columella region and the nasal tip.

KEY WORDS: Surgical flaps - Cartilage - Reconstructive surgical procedures - Nasal surgical procedures - Rhinoplasty