ترميم الانف عند الاطفال باستعمال الشريحة الجبهية المعدلة

Background& Objective: Nasal reconstruction is considered as one of the difficult reconstructive problems to solve. That is due to the importance of the cosmetic appearance of the nose, the several types of tissues forming the nose and the complexity of the anatomy of the nose. Due to the small nostrils, delicate tissue and lack of surrounding tissues enough for reconstruction, this problem becomes more difficult to in the reconstruction of children’s noses, The aim of this research is to look at the cases of nasal reconstruction in children at Mouassat university hospital, and to suggest a new modification on the forehead flap, which leads to lengthening the flap by recruiting a piece of the Galea as a facial flap connected to the distal end of the forehead flap. This flap will be covered with a split thickness skin graft, then it will be folded to reconstruct the inner surface of the nose. Materials & Methods: A retrospective study on12 children who had wide defects on their noses. Between 2006 to 2011. Results: The majority of nasal defects on noses were due to history of infection in early childhood. The modified forehead flap was used in half of the cases, while the other half of cases were reconstructed using the standard forehead flap. Neither secondary contractures nor nostrils stenosis were found following the recruitment of modified forehead flap. The flap continued to grow perfectly several years post operation.Secondary contractures and nostrils stenosis were recorded following the use of the standard forehead flap and reconstruction of the inner surface with different methods like turned over flaps and lining skin grafts. Conclusion: The reconstruction of nasal defects in children needs special experience and long term follow up. The modified, lengthened from the Galea, forehead flap is considered to be a good solution for lining reconstruction, which permits the insertion of cartilage or bone grafts at the same setting