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Objective: To assess the results of paramedian forehead flap (PMFF) in reconstructive rhinoplasty.
Material & Methods: This descriptive study was conducted on 35 patients at the Departments of Ear, Nose, Throat,
Lady Reading Hospital and Khyber Teaching Hospital, Peshawar from January 2010 to December 2012. All patients
with acquired nasal defects were admitted through outpatient department and casualty. The patients were evaluated
preoperatively in terms of history, examination and relevant investigation and postoperatively in terms of success of
paramedian forehead flap and photography. All procedures were carried out under general anaesthesia and covered
by intravenous antibiotics. The skeletal support was achieved by using costal cartilage grafts if needed. These patients
were followed for two years.
Result: Our study included 35 patients constituting 26 males and 09 females, with male to female ratio of 3:1. The age
of the patients ranged from 17-70 years with mean age of 28.35 years ± 2.15 SD. Most of the patients presented in 3rd
and 4th decade of life (67.71%). Most of the patients were from rural area 25 cases (71.42%). Assault (40%) was on top
followed by accidents (28.57%). Indication for rhinoplsty in all patients was cosmetic (100%). In all patients paramedian
forehead flap was used (100%). Overall success rate was (90%).
Conclusion: Reconstruction of nasal defects with paramedian forehead flap provides a good cosmetic and functional
result with minimal complication.
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