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Reconstruction of a Subtotal Septorhinectomy Defect with a Chimeric Paramedian-pericranial Forehead Flap
Lucas Harrison, BS, Michelle Sieffert, MD, Sameep Kadakia, MD, R. Michael Johnson, MD
Wright State University
2019-01-25
Presenter: Lucas Harrison
Affidavit:
I certify that the material proposed for presentation in this abstract has not been published in any scientific journal or previously presented at a major meeting.
Director Name: R. Michael Johnson
Author Category: Medical Student
Presentation Category: Clinical
Abstract Category: Craniomaxillofacial
The nose is a complex structure important for aesthetic appearance, social interaction, and respiration. Full thickness nasal defects with resection of the septum pose a significant challenge to the reconstructive surgeon due to the lack of local tissues to replace the nasal lining and significant risk of nasal collapse owing to the paucity of rigid infrastructure. The purpose of this paper is to present a unique case of nasal reconstruction utilizing a bilaminar paramedian forehead flap (combined pericranial flap and forehead flap) with embedded cantilever rib graft in a patient who underwent resection for an intranasal malignancy involving the septum and soft tissue envelope. This case serves to demonstrate the great utility in using chimeric flaps based on a single pedicle given the low patient morbidity, predictable results, and rapid recovery period.
