Reconstruction of a dorsal Nasal Defect with A Forehead Flap
This lady had a large squamous cell carcinoma removed, which resulted in loss of a significant amount of skin, cartilage and lining, particularly on the left side. Reconstruction was performed using a folded multi-stage forehead flap, cartilage grafting and internal lining local flaps. The forehead donor site was closed by advancing both sides of the forehead, with incisions placed just inside the hairline.
Pre-operative view showing extent of full-thickness defect following Moh's surgery removal of the SCC and planned forehead flap markings.
11 days following 1st of 3 stages of forehead flap - front view
3 months after second stage operation - awaiting final revision of flap inset and eyebrow region