Paramedian Forehead Flap Nasal Reconstruction Surgical Technique

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dc.contributor.authorCervenka, Brian
dc.contributor.authorTollefson, Travis
dc.contributor.authorPipkorn, Patrik
dc.date.accessioned2026-07-20T08:18:50Z
dc.date.available2026-07-20T08:18:50Z
dc.date.issued2025-10-31
dc.description.abstractThe paramedian forehead flap is a versatile pedicled flap based on the supratrochlear artery and is commonly used for nasal reconstruction. First described in 700 BC in ancient Indian literature by Sushruta Samita to reconstruct nasal defects from punitive tip amputation, it has subsequently become a workhorse of nasal reconstruction requireing more than 2cm soft tissue replacement on the external and internal nose. The paramedian forehead flap is simple to harvest, causes minimal donor site deformity, provides a large amount of skin and subcutaneous tissue that can be used for coplete external and internal nasal defects, and has a robust vascular supply allowing successful flap inset even when perichondrium or periosteum of the recipient site has been removed or there is poor vascular supply. Drawbacks include that it is a 2-stage procedure, and transfer of hair bearing tissue in patients with a low-lying hairline to the external nose.
dc.identifier.apacitationCervenka, B., Tollefson, T., & Pipkorn, P. (2025). Paramedian Forehead Flap Nasal Reconstruction Surgical Technique [OER]. ,Faculty of Health Sciences ,Division of Otorhinolaryngology, Division of Otorhinolaryngology. Retrieved from http://hdl.handle.net/11427/43608en_ZA
dc.identifier.chicagocitationCervenka, Brian, Travis Tollefson, and Patrik Pipkorn. (2025). "Paramedian Forehead Flap Nasal Reconstruction Surgical Technique." Lecture presented at ,Faculty of Health Sciences ,Division of Otorhinolaryngology. http://hdl.handle.net/11427/43608en_ZA
dc.identifier.citationCervenka, B., Tollefson, T. & Pipkorn, P. 2025. <i>Paramedian Forehead Flap Nasal Reconstruction Surgical Technique</i> [OER]. ,Faculty of Health Sciences ,Division of Otorhinolaryngology, Division of Otorhinolaryngology. http://hdl.handle.net/11427/43608en_ZA
dc.identifier.ris TY - Open Education Resource AU - Cervenka, Brian AU - Tollefson, Travis AU - Pipkorn, Patrik AB - The paramedian forehead flap is a versatile pedicled flap based on the supratrochlear artery and is commonly used for nasal reconstruction. First described in 700 BC in ancient Indian literature by Sushruta Samita to reconstruct nasal defects from punitive tip amputation, it has subsequently become a workhorse of nasal reconstruction requireing more than 2cm soft tissue replacement on the external and internal nose. The paramedian forehead flap is simple to harvest, causes minimal donor site deformity, provides a large amount of skin and subcutaneous tissue that can be used for coplete external and internal nasal defects, and has a robust vascular supply allowing successful flap inset even when perichondrium or periosteum of the recipient site has been removed or there is poor vascular supply. Drawbacks include that it is a 2-stage procedure, and transfer of hair bearing tissue in patients with a low-lying hairline to the external nose. DA - 2025-10-31 DB - OpenUCT DP - University of Cape Town KW - Forehand Flap KW - Paramedian KW - Surgery Technique KW - Nasal Reconstruction KW - Head and Neck Cancer LK - https://open.uct.ac.za PY - 2025 T1 - Paramedian Forehead Flap Nasal Reconstruction Surgical Technique TI - Paramedian Forehead Flap Nasal Reconstruction Surgical Technique UR - http://hdl.handle.net/11427/43608 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/43608
dc.identifier.vancouvercitationCervenka B, Tollefson T, Pipkorn P. Paramedian Forehead Flap Nasal Reconstruction Surgical Technique [OER]. ,Faculty of Health Sciences ,Division of Otorhinolaryngology, Division of Otorhinolaryngology; provided on lecture given 2026-07-20T08:18:50Z [cited yyyy month dd]. Available from http://hdl.handle.net/11427/43608en_ZA
dc.language.isoen
dc.publisher.departmentDivision of Otorhinolaryngology
dc.publisher.facultyFaculty of Health Sciences
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectForehand Flap
dc.subjectParamedian
dc.subjectSurgery Technique
dc.subjectNasal Reconstruction
dc.subjectHead and Neck Cancer
dc.titleParamedian Forehead Flap Nasal Reconstruction Surgical Technique
dc.typeOpen Education Resource
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