Nasal reconstruction by thin forearm flap

It is theoretically possible to thin a forearm flap by clarifying the subcutaneous adipofascial structure and vasculature of the forearm, and a thin forearm flap has been developed accordingly based on the anatomy. In our report, we discussed indications for thin flap usage from a point of view which considers reconstruction of skin, bone and mucosal defects. Our first choice for thin forearm flap usage utilizes the two skin paddles and the radial bone for reconstructing whole defects of the nose. With this method, the donor site, if possible, is covered with the VAF flap using the basilic vein and its accompanying arteries after elevating the flap.