CPT® Code 15731

A forehead flap with preservation of vascular pedicle is a surgical procedure primarily utilized for reconstructing significant defects in the nasal region. This technique is particularly effective for addressing severe nasal defects, as it provides a reliable source of tissue that can be shaped and positioned to restore the contour and function of the nose. The paramedian forehead flap, which is a specific type of forehead flap, is characterized by its axial pattern, meaning it maintains a direct blood supply through the cutaneous branch of the supratrochlear artery. This vascular connection is crucial for the viability of the flap, ensuring that the tissue remains healthy and well-nourished during the healing process. The procedure involves careful planning and execution, including the identification of anatomical landmarks, precise measurements to ensure adequate reach to the defect, and meticulous elevation of the flap to preserve its blood supply. The ultimate goal of this surgical intervention is to achieve optimal aesthetic and functional outcomes while minimizing complications and ensuring a smooth recovery for the patient.