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Nasal reconstruction using a paramedian forehead flap
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Nasal reconstruction using a paramedian forehead flap : ウィキペディア英語版
Nasal reconstruction using a paramedian forehead flap

Nasal reconstruction using a paramedian forehead flap is a surgical technique to reconstruct different kinds of nasal defects.〔Menick FJ. Nasal reconstruction with a forehead flap. Clin Plast Surg. 2009 Jul;36(3):443-59.〕 In this operation a reconstructive surgeon uses skin from the forehead above the eyebrow and pivots it vertically to replace missing nasal tissue. Throughout history the technique has been modified and adjusted by many different surgeons and it has evolved to become a popular way of repairing nasal defects.
==History==
Probably the first nasal reconstructions using a forehead flap were performed by Sushruta in India during 600 to 700 BC.〔Menick FJ. Nasal reconstruction: forehead flap. Plast Reconstr Surg. 2004 May;113(6):100E-11E.〕 The method was introduced in Europe in the 15th century. The first English description of the Indian midline forehead rhinoplasty was published in the Madras Gazette in 1793 〔 and later Carpue, an English surgeon, published his experience with two successful median forehead flaps in 1816. The classic median forehead flap supplied by paired supratrochlear vessels was popularized in the United States by Kazanjian in 1947, however, this flap was not optimal because it was not long enough. To solve the problem of the short median forehead flap, its design was modified so that central forehead tissue could be transferred on a unilateral paramedian blood supply.〔

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