Reconstruction of the Burned Nose Using an Expanded Skin-Grafted Forehead Flap, Delayed Turnover Flaps, and Indocyanine Green Perfusion Assessment

Clicks: 8
ID: 320657
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Steady

Ranked #14 of 70 articles by views in journal of burn care & research : official publication of the american burn association

Most read Least read

Bar heights use a square-root scale.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Reconstruction of the burned nose is challenging because defects may involve external skin, internal lining, and structural support within scarred or previously grafted tissues. We report the case of a 35-year-old man who sustained an approximately 20% total body surface area flame burn involving the face, neck, chest, and upper extremities, requiring acute excision and split-thickness skin grafting. He later developed a severe postburn nasal deformity with loss of the lower third of the nose, airway compromise, and deficiency of lining, support, and external soft tissue. Both the forehead and nasal dorsum had previously been resurfaced with split-thickness skin grafts, limiting standard reconstructive options. A staged reconstruction was performed using tissue expansion of the grafted forehead, delayed bipedicled turnover flaps from grafted dorsal nasal skin for internal lining, costal cartilage grafting for structural support, and a paramedian forehead flap for external coverage. Intraoperative indocyanine green fluorescence angiography was used to assess perfusion and guide operative decision-making. The reconstruction restored nasal contour and airway patency without flap loss, infection, or major complication, and avoided microsurgical free tissue transfer. At long-term follow-up extending to 10 years from the initial injury, the reconstruction remained stable. This case demonstrates that previously grafted tissue can be recruited for complex nasal reconstruction when augmented by tissue expansion, staged delay, and intraoperative perfusion assessment.
Reference Key
openalex_W7168029399 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Syena Moltaji, H. Rode, Jeffrey Fialkov
Journal journal of burn care & research : official publication of the american burn association
Year 2026
DOI
10.1093/jbcr/irag119
URL
https://doi.org/10.1093/jbcr/irag119
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.