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  Indian J Med Microbiol
 

Figure 1: Nonexpanded paramedian forehead flap. (a) Preoperative frontal view, showing rodent ulcer in the left ala and nasal sidewall and marking of right paramedian forehead flap; (b) postoperative frontal view after 1 year; (c) intraoperative view showing incisions of the flap and nasal defect of the left ala and sidewall and reconstruction of the lining with ispsilateral muchoperichondrial hinge flap; (d) intraoperative view showing elevation of the flap in three levels (subcutaneous in the upper third, submuscular in the middle third and subperiosteal level in the lower third); (e) intraoperative view showing direct closure of the donor site after bilateral forehead undermining and reflected forehead flap to cover the defect after cartilage and lining reconstruction.

Figure 1: Nonexpanded paramedian forehead flap. (a) Preoperative frontal view, showing rodent ulcer in the left ala and nasal sidewall and marking of right paramedian forehead flap; (b) postoperative frontal view after 1 year; (c) intraoperative view showing incisions of the flap and nasal defect of the left ala and sidewall and reconstruction of the lining with ispsilateral muchoperichondrial hinge flap; (d) intraoperative view showing elevation of the flap in three levels (subcutaneous in the upper third, submuscular in the middle third and subperiosteal level in the lower third); (e) intraoperative view showing direct closure of the donor site after bilateral forehead undermining and reflected forehead flap to cover the defect after cartilage and lining reconstruction.