Customizing the Paramedian Forehead Flap for Total Nasal Reconstruction

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Secondary squamous cell carcinoma eroding the entire nasal architecture is rare. Wide local excision leaves a debilitating central defect over the face. Total reconstruction of the nose is best performed in stages. The forehead flap is a workhorse flap in nasal reconstruction. We describe a few technical modifications of this flap in a patient who underwent this treatment with acceptable cosmetic result and minimal donor-site morbidity.

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