Frontal Flaps for Reconstruction of Nasal Defects

Abstract

Nasal reconstruction is no longer just about filling in a nasal defect, it aims for an aesthetic and functional results. It is a three-dimensional reconstruction, restoring the mucosal plane, the osteo-cartilaginous architecture and the skin coverage to which Burget added a fourth dimension, the aesthetic result. Frontal flaps have been used for a very long time to repair nasal defects. Their popularity is mainly linked to their proximity to the recipient site, their good vascularization and especially the color and texture of the frontal skin which are significantly similar to those of the nasal skin. The frontal flap is the technique of choice in the reconstruction of full-thickness nasal tissue defects. We adopted the reconstruction by frontal flaps for the repair of multiple nasal defects, concerning multiple patients all treated at the plastic and aesthetic surgery department of the Mohammed VI University Hospital of Tangier over a period of 2 years going from March 2021 to March 2023. The goal of this study is to evaluate its contribution and answer the following question; What are the indications of using frontal flaps, its advantages and limitations in rhinopoiesis? and to draw practical recommendations regarding its use.