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변형된 정중옆 이마피판을 이용한 코끝 재건례

Modified Paramedian Forehead Flap for Nasal Tip Reconstruction

  • 강석주 (인제대학교 의과대학 부산백병원 성형외과학교실) ;
  • 김남훈 (인제대학교 의과대학 부산백병원 성형외과학교실) ;
  • 김진우 (인제대학교 의과대학 부산백병원 성형외과학교실) ;
  • 선욱 (인제대학교 의과대학 부산백병원 성형외과학교실)
  • Kang, Seok Joo (Department of Plastic and Reconstructive Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine) ;
  • Kim, Nam Hoon (Department of Plastic and Reconstructive Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine) ;
  • Kim, Jin Woo (Department of Plastic and Reconstructive Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine) ;
  • Sun, Hook (Department of Plastic and Reconstructive Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine)
  • 투고 : 2011.12.30
  • 심사 : 2012.10.02
  • 발행 : 2012.10.09

초록

Purpose: The typical reconstructive option for the nasal tip is paramedian forehead flap. However, the forehead flap is too bulky for nasal tip reconstruction and does not look natural, and therefore, secondary operations for debulking are required. Methods: We treated a 46-year-old woman who suffered from a nose tip soft tissue defect using a modified paramedian forehead flap. The flap was elevated from the hair line of the forehead and had 3-layered structure. The distal part included skin and subcutaneous tissue, the middle part included frontalis muscle, and the proximal part had periosteum. Results: The nasal tip was not bulky and looked natural in terms of height, shape, and had 3-dimensional structure without debulking procedure. The patient was satisfied with the outcome. Conclusion: The authors' modified paramedian forehead flap may be a useful option for the treatment of nasal tip, columella, and alar defects. With these modifications, the paramedian forehead flap can provide an aesthetically acceptable nasal tip appearance without debulking.

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