See also:
Cases provided by: Dr. Douglas K Henstrom, Director of University of Iowa Facial Plastics and Reconstructive Surgery, Department of Otolaryngology
Case #1
Intraoperative Paramedian Forehead Flap
Completed case from preop eval to 5 months postop. Patient had previous attempted ipsilateral paramedian forehead flap done elsewhere, which had failed. Forehead allowed to granulate and heal secondarily to completion.
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| Lateral nasal wall defect | Defect Template | Superior view of defect | Forehead Flap incised and raised |
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| Flap Placement planning (Lateral view) | Flap Inset (Superior view) | Forehead donor site closed | Completed Lateral View (xeroform guaze wrapped around pedicle) |
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| Completed Basal View |
Case #2
Nasal Reconstruction using septal hinge flap for internal lining, conchal cartilage graft for support, and paramedian forehead flap for external covering
- Reconstruction following MOH's surgery for superficial nasal/ala cancer
- Completed case from preop eval to 5 months postop. Patient had previous attempted ipsilateral paramedian forehead flap done elsewhere, which had failed. Forehead allowed to granulate and heal secondarily to completion.
Case #2-Nasal Reconstruction using septal hinge flap for internal lining, conchal cartilage graft for support, and paramedian forehead flap for external covering | |||
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| Preop Anterior view | Preop Close up lateral view | Preop Basal view | 1st Stage Intraop-Septal Hinge Flap for internal lining |
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| 1st Stage Intraop-Septal Hinge flap sutured in place | 1st Stage Intraop-Basal view of Septal Hinge Flap | 1st Stage Intraop-Conchal Cartilage graft-Lateral view | 1st Stage Intraop-Conchal Cartilage graft-Basal view |
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| 1st Stage Intraop-Conchal Cartilage graft-Superior view | 1st Stage Intraop-Forehead flap template | 1st Stage Intraop-Contralateral forehead flap designed (previous failed forehead flap visualized) | 1st Stage Intraop-Forehead flap elevated and thinned distally |
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| 1st Stage Intraop-Forehead flap inset-Superior view | 1st Stage Intraop-Forehead flap inset-Lateral view | 1st Stage Intraop-Forehead flap inset-Basal view | 3 weeks post 1st stage-Anterior view |
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| 3 weeks post 1st stage--L Oblique view | 3 weeks post 1st stage-R Oblique view | 3 weeks post 1st stage-Basal view | Intraop 2nd stage-Flap inset into nose-Superior view |
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| Intraop 2nd stage-Flap inset into nose-Lateral view | Intraop 2nd stage-Flap inset into nose-Anterior view | Intraop 2nd stage-Flap inset into nose-Basal view | 5 month postop-Anterior view |
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| 5 month postop-Lateral view | 5 month postop--Basal view | ||
