Reuse of the paramedian forehead flap pedicle: A case report

• Type of Material: Article
• Authors: Supriya Immaneni, Emory University; David Harvey, Emory University; Francisco Delgado, Emory University
• Language: English
• Date: 2023-01-01
• Publisher: SAGE Publications Ltd
• Publication Version: Final Published Version
• Copyright Statement: © The Author(s) 2023
• License: Creative Commons Attribution-NonCommercial 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1177/2050313X231160913
• Title of Journal or Parent Work: SAGE Open Medical Case Reports
• Volume: 11
• Start Page: 2050313X231160913
• End Page: 2050313X231160913
• Grant/Funding Information: The author(s) received no financial support for the research, authorship, and/or publication of this article.
• Keywords: Paramedian forehead flap; Mohs micrographic surgery; basal cell carcinoma
• Research Categories: Health Sciences, Medicine and Surgery

Abstract

The paramedian forehead flap is an axial flap which utilizes vascular support from the supratrochlear artery to repair extensive nasal defects. Adverse outcomes including flap necrosis, infection, alar rim pull, and poor cosmesis can be seen with this flap. We report an 85-year-old woman with chronic obstructive pulmonary disease who underwent a staged paramedian forehead flap repair with a cartilage inlay complicated by moderate left alar rim necrosis and pedicle notching. In this patient, we were able to salvage the original pedicle and reposition it to achieve a satisfactory functional and cosmetic outcome.