Jamie Ryan is a Consultant Otolaryngologist, Head and Neck Surgeon
and Facial Plastic Surgeon. He works at Dunedin Hospital and has a private
practice at Fernbrae House, Dunedin. He trained in New Zealand and subsequently
undertook fellowship training in Scotland. He is a member of the Otago Regional
Head and Neck Cancer Clinic and has a particular interest in cosmetic facial
surgery and reconstructing facial defects following cancer excision.
Paramedian Forehead Flap
The paramedian forehead flap is a reliable method of nasal reconstruction, particularly when the defect involves more than one nasal subunit. It is an axial pattern flap based on the supratrochlear artery, and can provide a wide area of coverage with a narrow pedicle and little donor site morbidity. Experience has led to modification in technique with regard to management of the donor site, flap pedicle and revision procedures. The indications and technique of this flap will be reviewed. The 2-stage and 3-stage flap will be presented, as well as variations used to optimise the reconstructive result.