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
Autor para correspondencia
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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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 19 | 17 | 36 |
| 2024 Octubre | 86 | 91 | 177 |
| 2024 Septiembre | 77 | 94 | 171 |
| 2024 Agosto | 97 | 93 | 190 |
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| 2024 Febrero | 64 | 50 | 114 |
| 2024 Enero | 52 | 67 | 119 |
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| 2023 Noviembre | 65 | 74 | 139 |
| 2023 Octubre | 68 | 39 | 107 |
| 2023 Septiembre | 61 | 56 | 117 |
| 2023 Agosto | 41 | 48 | 89 |
| 2023 Julio | 63 | 69 | 132 |
| 2023 Junio | 51 | 44 | 95 |
| 2023 Mayo | 42 | 73 | 115 |
| 2023 Abril | 42 | 73 | 115 |
| 2023 Marzo | 34 | 93 | 127 |
| 2023 Febrero | 29 | 71 | 100 |
| 2023 Enero | 30 | 63 | 93 |
| 2022 Diciembre | 35 | 71 | 106 |
| 2022 Noviembre | 22 | 82 | 104 |
| 2022 Octubre | 19 | 64 | 83 |
| 2022 Septiembre | 18 | 69 | 87 |
| 2022 Agosto | 27 | 67 | 94 |
| 2022 Julio | 31 | 72 | 103 |
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| 2022 Abril | 28 | 78 | 106 |
| 2022 Marzo | 33 | 70 | 103 |
| 2022 Febrero | 28 | 64 | 92 |
| 2022 Enero | 44 | 88 | 132 |
| 2021 Diciembre | 25 | 80 | 105 |
| 2021 Noviembre | 34 | 90 | 124 |
| 2021 Octubre | 30 | 89 | 119 |
| 2021 Septiembre | 29 | 74 | 103 |
| 2021 Agosto | 26 | 69 | 95 |
| 2021 Julio | 32 | 67 | 99 |
| 2021 Junio | 24 | 57 | 81 |
| 2021 Mayo | 29 | 70 | 99 |
| 2021 Abril | 75 | 101 | 176 |
| 2021 Marzo | 43 | 27 | 70 |
| 2021 Febrero | 55 | 52 | 107 |
| 2021 Enero | 30 | 10 | 40 |
| 2020 Diciembre | 32 | 21 | 53 |
| 2020 Noviembre | 25 | 18 | 43 |
| 2020 Octubre | 29 | 12 | 41 |
| 2020 Septiembre | 35 | 16 | 51 |
| 2020 Agosto | 28 | 13 | 41 |
| 2020 Julio | 15 | 15 | 30 |
| 2020 Junio | 22 | 39 | 61 |
| 2020 Mayo | 19 | 25 | 44 |
| 2020 Abril | 15 | 21 | 36 |
| 2020 Marzo | 24 | 15 | 39 |
| 2020 Febrero | 2 | 4 | 6 |
| 2020 Enero | 0 | 9 | 9 |
| 2019 Diciembre | 0 | 13 | 13 |
| 2019 Noviembre | 0 | 1 | 1 |
| 2019 Octubre | 0 | 4 | 4 |
| 2019 Septiembre | 0 | 5 | 5 |
| 2019 Agosto | 0 | 1 | 1 |
| 2019 Julio | 0 | 11 | 11 |
| 2019 Junio | 0 | 15 | 15 |
| 2019 Mayo | 0 | 58 | 58 |
| 2019 Abril | 0 | 8 | 8 |
| 2019 Marzo | 0 | 9 | 9 |
| 2019 Febrero | 0 | 4 | 4 |
| 2018 Diciembre | 0 | 6 | 6 |
| 2018 Marzo | 1 | 1 | 2 |
| 2018 Febrero | 11 | 10 | 21 |
| 2018 Enero | 19 | 10 | 29 |
| 2017 Diciembre | 21 | 15 | 36 |
| 2017 Noviembre | 22 | 13 | 35 |
| 2017 Octubre | 19 | 14 | 33 |
| 2017 Septiembre | 27 | 13 | 40 |
| 2017 Agosto | 42 | 26 | 68 |
| 2017 Julio | 29 | 24 | 53 |
| 2017 Junio | 13 | 25 | 38 |
| 2017 Mayo | 27 | 27 | 54 |
| 2017 Abril | 26 | 28 | 54 |
| 2017 Marzo | 20 | 52 | 72 |
| 2017 Febrero | 18 | 19 | 37 |
| 2017 Enero | 16 | 11 | 27 |
| 2016 Diciembre | 31 | 15 | 46 |
| 2016 Noviembre | 33 | 18 | 51 |
| 2016 Octubre | 35 | 26 | 61 |
| 2016 Septiembre | 44 | 14 | 58 |
| 2016 Agosto | 54 | 17 | 71 |
| 2016 Julio | 32 | 17 | 49 |
| 2016 Junio | 11 | 18 | 29 |
| 2016 Mayo | 12 | 21 | 33 |
| 2016 Abril | 5 | 4 | 9 |
| 2016 Marzo | 3 | 8 | 11 |
| 2016 Febrero | 10 | 2 | 12 |
| 2016 Enero | 7 | 2 | 9 |
| 2015 Diciembre | 12 | 4 | 16 |
| 2015 Noviembre | 7 | 4 | 11 |
| 2015 Octubre | 4 | 4 | 8 |
| 2015 Septiembre | 5 | 4 | 9 |
| 2015 Agosto | 7 | 1 | 8 |
| 2015 Julio | 29 | 23 | 52 |
| 2015 Junio | 31 | 7 | 38 |
| 2015 Mayo | 71 | 32 | 103 |
| 2015 Abril | 63 | 16 | 79 |
| 2015 Marzo | 38 | 12 | 50 |
| 2015 Febrero | 30 | 10 | 40 |
| 2015 Enero | 31 | 11 | 42 |
| 2014 Diciembre | 31 | 9 | 40 |
| 2014 Noviembre | 32 | 17 | 49 |
| 2014 Octubre | 39 | 14 | 53 |
| 2014 Septiembre | 32 | 23 | 55 |
| 2014 Agosto | 34 | 17 | 51 |
| 2014 Julio | 45 | 13 | 58 |
| 2014 Junio | 52 | 18 | 70 |
| 2014 Mayo | 53 | 12 | 65 |
| 2014 Abril | 35 | 13 | 48 |
| 2014 Marzo | 46 | 17 | 63 |
| 2014 Febrero | 31 | 21 | 52 |
| 2014 Enero | 31 | 23 | 54 |
| 2013 Diciembre | 38 | 8 | 46 |
| 2013 Noviembre | 29 | 17 | 46 |
| 2013 Octubre | 31 | 26 | 57 |
| 2013 Septiembre | 23 | 22 | 45 |
| 2013 Agosto | 22 | 22 | 44 |
| 2013 Julio | 58 | 28 | 86 |
| 2013 Junio | 33 | 42 | 75 |
| 2013 Mayo | 21 | 25 | 46 |
| 2013 Abril | 32 | 31 | 63 |
| 2013 Marzo | 8 | 20 | 28 |
| 2013 Febrero | 5 | 6 | 11 |
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