Abstract
Nasal reconstruction has been articulated in the literature since 700 B.C. when the
earliest iteration of the forehead flap was described in the Indian medical treatise,
the Sushruta Samhita. Since then it has evolved into the interpolated flap which has
served as a powerful tool for facial reconstruction. The interpolated flap is constructed
from nonadjacent donor tissue that has an inherent blood supply. It requires a multistaged
approach and is best suited for reconstruction of large or deep defects of the nose.
There are three types of interpolated flaps used for nasal reconstruction: the forehead,
melolabial, and nasofacial interpolation flaps. The nose is the central feature of
the human face and its placement is both aesthetic and functional. Any defects owing
to accidental or iatrogenic trauma can cause physiologic and psychological injury
to patients. This article aims to review the aforementioned flaps and give indications,
contraindications, procedure details, and future directions of these flaps.
Keywords
interpolated flaps - forehead flaps - melolabial flaps - paramedian forehead flaps
- nasofacial
