Reconstruction of a Nasal Defect With a Radial Forearm Flap Following Trauma of a Paramedian Forehead Flap | |
Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas | |
Correspondence: nicholas.haddock@utsouthwestern.edu |
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Keywords: paramedian forehead flap, radial forearm arm free flap, microsurgery, nasal reconstruction, Mohs surgery |
DESCRIPTION
A 49-year-old woman presented with a 3-cm nasal wound after Mohs surgery for basal cell carcinoma of the right ala (Fig 1). She underwent reconstruction with a cervicofacial advancement flap closure, left paramedian forehead flap with turn in for lining, and left mucosal soft tissue advancement, as well as a right ear conchal cartilage graft for the right ala. On postoperative day 7, she presented after the flap was unintentionally divided by the home care nursing staff during a dressing change (Fig 2). The reconstructed portion was nonviable. She successfully underwent a radial forearm free flap reconstruction to repair this defect (Figs 3 and 4).
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Figure 1. 3-cm nasal wound after Mohs surgery for basal cell carcinoma of the right ala. |