Forehead Flap in Nasal Tip Reconstruction

Abstract

The forehead flap is a long-standing surgical technique used for nasal restoration. The forehead flap is considered the most reliable method for reconstructing nasal soft tissue. It offers a reconstructive surgeon a strong pedicle and a significant volume of tissue, making it suitable for repairing nearly any lesion. The modifications made by experts such as Burget and Menick have significantly enhanced the functionality of this outstanding flap. The guiding principles for reconstructing the nose with a forehead flap involve maintaining a straight line along the axis, using the pedicle on the same side as the defect, expanding the flap at a right angle when additional length is required, employing a small pedicle, and performing early subperiosteal dissection. Furthermore, the issue of lining abnormalities can be effectively and dependably resolved through the utilization of a folded forehead flap.