Original Article
Paramedian Forehead Flap for the Reconstruction of Extensive Nasal Defects
Colgajo fronto-nasal paramedial en la reconstrucción de defectos nasales extensos
P. Belmar
, E. de Eusebio, C. Sánchez, A. Vergara, A. Martín, A. Juanes, E. Jiménez, E. Diez, M.A. Pastor, M. Olivares
Corresponding author
Servicio de Dermatología, Hospital Universitario de Guadalajara, Universidad de Alcalá de Henares, Guadalajara, Spain
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"apellidos" => "Puig" ] 9 => array:1 [ "colaborador" => "Psoriasis Group of the Spanish Academy of Dermatology and Venereology" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157821901170782X?idApp=UINPBA000044" "url" => "/15782190/0000010200000003/v1_201304241541/S157821901170782X/v1_201304241541/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>" "titulo" => "Paramedian Forehead Flap for the Reconstruction of Extensive Nasal Defects" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "187" "paginaFinal" => "192" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "P. Belmar, E. de Eusebio, C. Sánchez, A. Vergara, A. Martín, A. Juanes, E. Jiménez, E. Diez, M.A. Pastor, M. Olivares" "autores" => array:10 [ 0 => array:4 [ "nombre" => "P." "apellidos" => "Belmar" "email" => array:1 [ 0 => "pbelmarf@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "E." "apellidos" => "de Eusebio" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Sánchez" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Vergara" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Martín" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Juanes" ] 6 => array:2 [ "nombre" => "E." "apellidos" => "Jiménez" ] 7 => array:2 [ "nombre" => "E." "apellidos" => "Diez" ] 8 => array:2 [ "nombre" => "M.A." "apellidos" => "Pastor" ] 9 => array:2 [ "nombre" => "M." "apellidos" => "Olivares" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Dermatología, Hospital Universitario de Guadalajara, Universidad de Alcalá de Henares, Guadalajara, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Colgajo fronto-nasal paramedial en la reconstrucción de defectos nasales extensos" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-07-26" "fechaAceptado" => "2010-10-01" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec84861" "palabras" => array:3 [ 0 => "Nose" 1 => "Nasal reconstruction" 2 => "Paramedian forehead flap" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84860" "palabras" => array:3 [ 0 => "Nariz" 1 => "Reconstrucción nasal" 2 => "Colgajo fronto-nasal paramedial" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The Department of Dermatology at Hospital Universitario de Guadalajara in Spain is a referral center for Mohs micrographic surgery. Consequently, we are regularly faced with the problem of repairing large surgical defects on the nose. The paramedian forehead flap is currently one of the techniques of choice for the repair of such defects.</p> <span class="elsevierStyleSectionTitle">Materials and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We review our experience in the repair of nasal defects using the paramedian forehead flap over the period from 2004 to 2008. We describe the surgical technique, complications, and final results.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Ten patients (mean age, 75.1 years) were treated using this flap. Two patients also required cartilage grafts and reconstruction of the internal nasal lining. The most common complications were bleeding (60%) and partial necrosis (10%). The final cosmetic and functional results were considered good or excellent in 90% of cases.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The forehead flap continues to be one of the best options for the closure of surgical defects of the nasal pyramid larger than 2<span class="elsevierStyleHsp" style=""></span>cm. Adequate knowledge and careful application of the technique allows excellent results to be obtained with few complications.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El Servicio de Dermatología del Hospital Universitario de Guadalajara es un centro de referencia en cirugía de Mohs, por lo que con cierta frecuencia nos vemos enfrentados al problema de la reconstrucción de defectos quirúrgicos nasales de gran tamaño. El colgajo frontonasal paramedial está considerado en la actualidad como una de las técnicas de elección en la reconstrucción de defectos nasales extensos.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Revisamos nuestra experiencia en la reconstrucción nasal mediante el colgajo fronto-nasal paramediano entre los años 2004 y 2008. Describimos la técnica quirúrgica, las complicaciones y los resultados finales.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Diez pacientes con una media de edad de 75,1 años fueron reconstruidos mediante este colgajo. Un 20% requirió además injertos cartilaginosos y reconstrucción de la cobertura nasal interna. Las complicaciones más frecuentes fueron el sangrado (60%) y la necrosis parcial (10%). Los resultados finales, tanto estéticos como funcionales, fueron considerados buenos o excelentes en el 90% de los pacientes.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El colgajo fronto-nasal sigue siendo una de las mejores alternativas para el cierre de defectos quirúrgicos mayores de 2<span class="elsevierStyleHsp" style=""></span>cm localizados en la pirámide nasal. El conocimiento de su técnica y su realización cuidadosa permite obtener excelentes resultados con pocas complicaciones.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 17 | 17 | 34 |
| 2024 October | 86 | 91 | 177 |
| 2024 September | 77 | 94 | 171 |
| 2024 August | 97 | 93 | 190 |
| 2024 July | 77 | 58 | 135 |
| 2024 June | 87 | 55 | 142 |
| 2024 May | 74 | 62 | 136 |
| 2024 April | 57 | 59 | 116 |
| 2024 March | 72 | 58 | 130 |
| 2024 February | 64 | 50 | 114 |
| 2024 January | 52 | 67 | 119 |
| 2023 December | 49 | 64 | 113 |
| 2023 November | 65 | 74 | 139 |
| 2023 October | 68 | 39 | 107 |
| 2023 September | 61 | 56 | 117 |
| 2023 August | 41 | 48 | 89 |
| 2023 July | 63 | 69 | 132 |
| 2023 June | 51 | 44 | 95 |
| 2023 May | 42 | 73 | 115 |
| 2023 April | 42 | 73 | 115 |
| 2023 March | 34 | 93 | 127 |
| 2023 February | 29 | 71 | 100 |
| 2023 January | 30 | 63 | 93 |
| 2022 December | 35 | 71 | 106 |
| 2022 November | 22 | 82 | 104 |
| 2022 October | 19 | 64 | 83 |
| 2022 September | 18 | 69 | 87 |
| 2022 August | 27 | 67 | 94 |
| 2022 July | 31 | 72 | 103 |
| 2022 June | 15 | 73 | 88 |
| 2022 May | 26 | 89 | 115 |
| 2022 April | 28 | 78 | 106 |
| 2022 March | 33 | 70 | 103 |
| 2022 February | 28 | 64 | 92 |
| 2022 January | 44 | 88 | 132 |
| 2021 December | 25 | 80 | 105 |
| 2021 November | 34 | 90 | 124 |
| 2021 October | 30 | 89 | 119 |
| 2021 September | 29 | 74 | 103 |
| 2021 August | 26 | 69 | 95 |
| 2021 July | 32 | 67 | 99 |
| 2021 June | 24 | 57 | 81 |
| 2021 May | 29 | 70 | 99 |
| 2021 April | 75 | 101 | 176 |
| 2021 March | 43 | 27 | 70 |
| 2021 February | 55 | 52 | 107 |
| 2021 January | 30 | 10 | 40 |
| 2020 December | 32 | 21 | 53 |
| 2020 November | 25 | 18 | 43 |
| 2020 October | 29 | 12 | 41 |
| 2020 September | 35 | 16 | 51 |
| 2020 August | 28 | 13 | 41 |
| 2020 July | 15 | 15 | 30 |
| 2020 June | 22 | 39 | 61 |
| 2020 May | 19 | 25 | 44 |
| 2020 April | 15 | 21 | 36 |
| 2020 March | 24 | 15 | 39 |
| 2020 February | 2 | 4 | 6 |
| 2020 January | 0 | 9 | 9 |
| 2019 December | 0 | 13 | 13 |
| 2019 November | 0 | 1 | 1 |
| 2019 October | 0 | 4 | 4 |
| 2019 September | 0 | 5 | 5 |
| 2019 August | 0 | 1 | 1 |
| 2019 July | 0 | 11 | 11 |
| 2019 June | 0 | 15 | 15 |
| 2019 May | 0 | 58 | 58 |
| 2019 April | 0 | 8 | 8 |
| 2019 March | 0 | 9 | 9 |
| 2019 February | 0 | 4 | 4 |
| 2018 December | 0 | 6 | 6 |
| 2018 March | 1 | 1 | 2 |
| 2018 February | 11 | 10 | 21 |
| 2018 January | 19 | 10 | 29 |
| 2017 December | 21 | 15 | 36 |
| 2017 November | 22 | 13 | 35 |
| 2017 October | 19 | 14 | 33 |
| 2017 September | 27 | 13 | 40 |
| 2017 August | 42 | 26 | 68 |
| 2017 July | 29 | 24 | 53 |
| 2017 June | 13 | 25 | 38 |
| 2017 May | 27 | 27 | 54 |
| 2017 April | 26 | 28 | 54 |
| 2017 March | 20 | 52 | 72 |
| 2017 February | 18 | 19 | 37 |
| 2017 January | 16 | 11 | 27 |
| 2016 December | 31 | 15 | 46 |
| 2016 November | 33 | 18 | 51 |
| 2016 October | 35 | 26 | 61 |
| 2016 September | 44 | 14 | 58 |
| 2016 August | 54 | 17 | 71 |
| 2016 July | 32 | 17 | 49 |
| 2016 June | 11 | 18 | 29 |
| 2016 May | 12 | 21 | 33 |
| 2016 April | 5 | 4 | 9 |
| 2016 March | 3 | 8 | 11 |
| 2016 February | 10 | 2 | 12 |
| 2016 January | 7 | 2 | 9 |
| 2015 December | 12 | 4 | 16 |
| 2015 November | 7 | 4 | 11 |
| 2015 October | 4 | 4 | 8 |
| 2015 September | 5 | 4 | 9 |
| 2015 August | 7 | 1 | 8 |
| 2015 July | 29 | 23 | 52 |
| 2015 June | 31 | 7 | 38 |
| 2015 May | 71 | 32 | 103 |
| 2015 April | 63 | 16 | 79 |
| 2015 March | 38 | 12 | 50 |
| 2015 February | 30 | 10 | 40 |
| 2015 January | 31 | 11 | 42 |
| 2014 December | 31 | 9 | 40 |
| 2014 November | 32 | 17 | 49 |
| 2014 October | 39 | 14 | 53 |
| 2014 September | 32 | 23 | 55 |
| 2014 August | 34 | 17 | 51 |
| 2014 July | 45 | 13 | 58 |
| 2014 June | 52 | 18 | 70 |
| 2014 May | 53 | 12 | 65 |
| 2014 April | 35 | 13 | 48 |
| 2014 March | 46 | 17 | 63 |
| 2014 February | 31 | 21 | 52 |
| 2014 January | 31 | 23 | 54 |
| 2013 December | 38 | 8 | 46 |
| 2013 November | 29 | 17 | 46 |
| 2013 October | 31 | 26 | 57 |
| 2013 September | 23 | 22 | 45 |
| 2013 August | 22 | 22 | 44 |
| 2013 July | 58 | 28 | 86 |
| 2013 June | 33 | 42 | 75 |
| 2013 May | 21 | 25 | 46 |
| 2013 April | 32 | 31 | 63 |
| 2013 March | 8 | 20 | 28 |
| 2013 February | 5 | 6 | 11 |
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