Paramedian forehead flap

Oral Maxillofac Surg Clin North Am. 2014 Aug;26(3):401-10. doi: 10.1016/j.coms.2014.05.008. Epub 2014 Jun 25.


The paramedian forehead flap (PMFF) is a versatile flap with a robust vascular supply that is well suited for reconstruction of complex or large nasal defects. Although a 2-stage technique is most common, a single-stage procedure involving tunneling the proximal pedicle and 3-stage procedures involving tissue expansion, vascular delay, and flap tailoring after inset before pedicle division have also been described. This article describes a traditional 2-stage technique and presents the case of a patient with a posttraumatic nasal deformity reconstructed with a PMFF.

Keywords: Forehead flap; Local facial flap; Midface reconstruction; Nasal reconstruction; Paramedian forehead flap.

Publication types

  • Review

MeSH terms

  • Esthetics
  • Forehead / surgery*
  • Humans
  • Nose Deformities, Acquired / surgery*
  • Postoperative Complications
  • Rhinoplasty / methods*
  • Surgical Flaps / blood supply*