Meta-analysis details outcomes of paramedian forehead flap nasal repair

A systematic review and meta-analysis of 69 studies (n=4100) examined paramedian forehead flap (PMFF) reconstruction for complex nasal defects, most commonly performed for basal cell carcinoma and trauma. The analysis reported low overall complication rates, with scar retraction, bleeding, and venous congestion being the most frequent, and found that single-stage reconstruction was associated with higher rates of venous congestion than two- or three-stage approaches. The authors also reported that cartilage grafting was associated with a reduction in complete flap survival.

Most relevant for: Surgeons performing nasal reconstruction with paramedian forehead flaps for defects due to skin cancer or trauma.

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