Background: Coverage of post-traumatic or post-oncosurgical nasal defects\nis a very challenging procedure. Small nasal defects may be covered by skin\ngrafts or small local flaps while larger nasal defects require more complex\nflap coverage techniques as using tissue expanders, prefabricated flaps or\nfree flaps. The forehead flap has been used for centuries and remains a\nworkhorse flap for reconstruction of large and complex nasal defects. Aim:\nevaluate the feasibility and versatility of forehead flap for resurfacing nasal\ndefects. Materials and Methods: 12 patients underwent coverage of nasal\ndefects after trauma or tumor excision using forehead flaps. All flaps needed\na second stage for flap separation 3 weeks after the time of operation. The\nsize of the harvested flap, the harvesting time, results of transferred flaps, patient\nsatisfaction and flap-related complications were analyzed. Results: 12\npatients (10 males and 2 females) underwent reconstruction of different nasal\ndefects using 12 forehead flaps. The overall complications occurred in 2\npatients. The remaining 10 patients showed no complications and passed an\nuneventful follow-up period. 7 Patients were very satisfied, 4 were satisfied\nand only one patient was not satisfied as she was 23 years old young female\nand was subjected to human bite. Follow-up periods ranged from 6 to 12\nmonths. Conclusion: Nasal defects can successfully be managed with the\nforehead flap. Probably, the flap provides the best result due to the good\nmatching of the skin in terms of color, texture, and thickness. Also, despite\nthe increasing use of free flaps, the forehead flap is still a valid and safe option\nfor nasal defects coverage that allows good aesthetics and functional\noutcomes.
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