Complex Nasal Reconstruction Using Extended Paramedian Forehead Flap: A Case Report


Post oncosurgical nasal defect reconstruction is very challenging procedure. Small nasal defects may be covered by skin grafts or small local flaps and large complex nasal defects require technique of microsurgery (free flaps), tissue expansion and prefabricated flaps.

Material and Methods

We are discussing a case report of one patient admitted in our department, who represented with ulceroproliferative growth on nose. Wide local excision was done and nasal reconstruction was done using an extended paramedian forehead axial flap. Patient underwent 2 stage nasal reconstructions, which led to a very satisfying nose both for the patient and for the surgeon.


In order to achieve a good functional and aesthetic outcome, we used a flap based on the right supratrochlear artery, which gave us the possibility to rotate the flap without compression of the pedicle. In such complex nasal defects, the best option, aesthetically and functionally, for the patient still remains the paramedian forehead flap, modified from the original version, and adapted to every case. This article provides a comprehensive approach for the reconstruction of complex nasal defects following tumor resection.

Author(s): Verma Mukta* and Mishra Brijesh

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