Anatomical Study of Forehead Flap With Its Pedicle Based on Cutaneous Branch of Supratrochlear Artery and Its Application in Nasal Reconstruction

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, People's Republic of China.
Annals of plastic surgery (Impact Factor: 1.49). 08/2010; 65(2):183-7. DOI: 10.1097/SAP.0b013e3181c1fee3
Source: PubMed


This study was conducted to investigate whether there is a consistent cutaneous branch by anatomic research of the supratrochlear artery. Ten fresh adult cadavers were selected. Anastomosis between the supratrochlear artery and supraorbital artery was observed. The mean distance from the supraorbital rim to the supratrochlear artery was 1.18 +/- 0.36 cm. A consistent cutaneous branch of the supratrochlear artery increased in a position 1.35 +/- 0.34 cm lateral to the midline that anastomosed abundantly with the cutaneous branch, the muscular branch of the opposite side, the ipsilateral muscular branch, and bilateral supraorbital arteries. An ultrathin forehead skin flap with the cutaneous branch as the blood vessel was designed and used for nasal reconstruction in 15 cases. Postoperatively, all flaps survived successfully with satisfactory surgical results. The advantages of the flap are its thin feature and preservation of the entirety of the frontalis muscle.

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    ABSTRACT: Recent advances in nasal reconstruction are provided within the framework of traditional reconstructive principles. Recent advances build upon and challenge the established tenets and principles of nasal reconstruction. Advances focus on achieving perfection in restoration of form and function with the absolute minimum of donor site morbidity. Specifically, advances in tissue engineering show promise in recreating cartilaginous framework. This article summarizes the most recent developments in nasal reconstruction. The focus of recent advances in nasal reconstruction centers on minimizing morbidity while achieving an inconspicuous result.
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