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Prelaminated free radial forearm flap for a total nasal reconstruction



Prelaminated free radial forearm flap for a total nasal reconstruction



Journal of Plastic Reconstructive and Aesthetic Surgery 61(8): 953-957



A prelaminated osteocutaneous radial forearm flap has previously been described for total nasal reconstruction, but achieving good aesthetics at the dorsum and tip tends to be difficult with a flap that can be too bulky. We present a case of total nasal reconstruction in a burns patient where a tight adherent scar at the forehead precluded the use of a forehead flap, ideal for such reconstructions. We successfully used a prelaminated free radial forearm flap, with a non-vascularised bone graft. The existing scarred skin at the dorsum was turned down as pedicled flaps for the lining. We were able to achieve a successful total nasal reconstruction which was aesthetically pleasing and made a tremendous impact on the quality of life of the patient.

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Accession: 055120980

Download citation: RISBibTeXText

PMID: 18455974

DOI: 10.1016/j.bjps.2007.10.068


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