# Paramedian Frontal Flap Reconstruction for Nasal Defect Following an Accidental Amputation

## TL;DR

A 56-year-old man's nose was successfully reconstructed after an accident using a paramedian frontal flap in a two-stage surgery.

## Contribution

This case report demonstrates the effectiveness of paramedian frontal flap reconstruction for nasal defects caused by traumatic amputation.

## Key findings

- The paramedian frontal flap provided satisfactory functional and aesthetic outcomes six months post-surgery.
- A two-stage surgical approach with careful planning achieved successful nasal reconstruction.
- Weekly dressing changes with fatty gauze and fusidic acid ointment supported healing.

## Abstract

This case report aims to present the successful reconstruction of a nasal defect in a 56-year-old male patient who suffered a partial nasal amputation due to a domestic accident involving a grinding wheel. The reconstruction was carried out using a paramedian frontal flap in a two-stage surgical process. Initially, the flap was designed and customized to match the dimensions of the defect, with a pedicle width of approximately 1.5 cm vertically. The flap was elevated in a distal-to-proximal manner, starting with subcutaneous dissection and progressing to periosteal dissection proximally. Weekly dressing changes were made using fatty gauze and fusidic acid ointment. Four weeks postoperatively, the flap pedicle was divided, and the brow was repositioned.

At the six-month follow-up, the patient showed satisfactory clinical outcomes with no functional complaints and was very pleased with the aesthetic result. Paramedian frontal flap reconstruction is a dependable technique for addressing nasal defects following traumatic amputation, providing favorable functional and aesthetic results. This case highlights the importance of careful surgical planning and technique in achieving successful facial reconstruction.