PMC

Preoperative image of an 83-year-old man
A T₄N₀M₀ squamous cell carcinoma i nvolving the nasal ala and dorsum.

Postoperative frontal view after 3 years
Full-thickness nasal defects was repaired using a bi-pedicled heart-shaped forehead flap.

Preoperative view of an 86-year-old woman
A T₃N₀M₀ basal cell carcinoma (ulcus rodens) of the right nasal ala.

Postoperative results after 10 days
The folded flaps for reconstructing both the nasal ling and the skin during the time necessary to achieve the vascular delay can be seen.

Intraoperative results following reconstruction
Intraoperative image showing the full-thickness defect of the nasal framework and the surgical planning of a bi-pedicled forehead flap.

Postoperative view after 11 months
The full-thickness defect was repaired with a bi-pedicled wing-shaped forehead flap. The frontal basal cell carcinoma was extirpated and closed with direct suturing.

Bi-pedicled forehead flap design
The flap is equipped with a rich vascular network deriving from the intersection of the supratrochlear and supraorbital vessels on the one hand and to the angular vessels on the other.