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dc.contributor.authorFudem, Gary M.
dc.contributor.authorMontilla, Richard D.
dc.contributor.authorVaughn, Carolyn J.
dc.date2022-08-11T08:10:55.000
dc.date.accessioned2022-08-23T17:24:30Z
dc.date.available2022-08-23T17:24:30Z
dc.date.issued2010-05-01
dc.date.submitted2012-11-13
dc.identifier.citationAnn Plast Surg. 2010 May;64(5):645-8. <a href="http://dx.doi.org/10.1097/SAP.0b013e3181c925fc">Link to article on publisher's site</a>
dc.identifier.issn0148-7043 (Linking)
dc.identifier.doi10.1097/SAP.0b013e3181c925fc
dc.identifier.pmid20395802
dc.identifier.urihttp://hdl.handle.net/20.500.14038/49204
dc.description.abstractThe paramedian forehead flap has become the standard of care for major nasal reconstruction. The classic procedure involves a second-stage operation to divide and inset the external pedicle. We present our experience in a clinical series using single-stage forehead flap reconstruction. Our indications include elderly patients, pediatric patients treated during mission trips, and any patient in whom an external pedicle or two-stage procedure is problematic. From 2008 to 2009, 9 patients underwent a single-stage forehead flap. The majority had defects after excision of skin cancer. Our modification involves removal of radix and proximal nasal skin and fat and deepithelialization of the proximal pedicle to allow inset without excess compression or kinking. This modification avoids the sequelae of an external pedicle, which include bleeding, dressings, the inability to wear eyeglasses, and the patient's reluctance to appear in public. It safely provides acceptable results and avoids a mandatory secondary procedure.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=20395802&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1097/SAP.0b013e3181c925fc
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectChild
dc.subjectEar Cartilage
dc.subjectFemale
dc.subjectForehead
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectNose Neoplasms
dc.subjectRetrospective Studies
dc.subjectRhinophyma
dc.subjectRhinoplasty
dc.subject*Surgical Flaps
dc.subjectTreatment Outcome
dc.subjectXeroderma Pigmentosum
dc.subjectLife Sciences
dc.subjectMedicine and Health Sciences
dc.titleSingle-stage forehead flap in nasal reconstruction
dc.typeJournal Article
dc.source.journaltitleAnnals of plastic surgery
dc.source.volume64
dc.source.issue5
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/ssp/142
dc.identifier.contextkey3463767
html.description.abstract<p>The paramedian forehead flap has become the standard of care for major nasal reconstruction. The classic procedure involves a second-stage operation to divide and inset the external pedicle. We present our experience in a clinical series using single-stage forehead flap reconstruction. Our indications include elderly patients, pediatric patients treated during mission trips, and any patient in whom an external pedicle or two-stage procedure is problematic. From 2008 to 2009, 9 patients underwent a single-stage forehead flap. The majority had defects after excision of skin cancer. Our modification involves removal of radix and proximal nasal skin and fat and deepithelialization of the proximal pedicle to allow inset without excess compression or kinking. This modification avoids the sequelae of an external pedicle, which include bleeding, dressings, the inability to wear eyeglasses, and the patient's reluctance to appear in public. It safely provides acceptable results and avoids a mandatory secondary procedure.</p>
dc.identifier.submissionpathssp/142
dc.contributor.departmentDepartment of Surgery, Division of Plastic Surgery
dc.source.pages645-8


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