Our Experience in Using the Paramedian Flap in Facial Reconstruction as A Workhorse Flap

Background: Maxillofacial defects demand reconstruction frequently as a result of the resection of benign or malignant cancers and traumatic injuries. Objectives: to evaluate the versatility of the paramedian forehead flap as a workhorse flap in the reconstruction of facial defects from a clinical application view. Methods: This prospective study has been carried out on 20 cases recruited from emergency rooms and outpatient clinics at Benha University and Nasser Institute from 1/4/2023 until 1/4/2024. The participants who agreed to participate in this clinical study signed an informed consent following being completely informed about the technique and its circumstances. Results: The flap survival rate has been seen to be 100%. Regarding Satisfaction, 1 (5%) patient was dissatisfied, 7 (35%) patients were satisfied, and 12 (60%) patients were very satisfied. No patients were very dissatisfied. Function was preserved in all patients. Regarding complication, 1 (5%) patient had wound infection which was managed with antibiotics, debridement, and removal of diseased or threatened cartilage and 1 (5%) patient had hair on the nose which was later treated with a laser hair removal procedure Conclusion: Paramedian forehead flap have high versatility and efficacy as a workhorse flap in reconstruction of facial defects with lower complication and high patient satisfactions. Wound infection and hair on the nose were the most common complications.