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Vertical Forehead Flap: Final Touch For Hypertelorism Nasal Correction Erin M. Wolfe, BS @erin__wolfe; S. Anthony Wolfe, MD @s.anthonywolfe University of Miami Miller School of Medicine ; Nicklaus Children's Hospital Putting the orbits in position in orbital hypertelorism patients is easy, but it is difficult to get a proper nose. Nasal reconstruction is the final stage of the reconstruction in orbital hypertelorism patients, but the ideal type of reconstruction to do so remains to be determined. Traditional surgical correction of orbital hypertelorism results in a midline scar, which is under tension and results in the loss of the nasal aesthetic unit of the face. Erin M. Wolfe @erin__wolfe reports on the senior author S. Anthony Wolfe’s as well as Paul Tessier’s experience using the vertical forehead flap as the final step for nasal correction in orbital hypertelorism. The authors found that the vertical forehead flap medializes the eyebrows and replaces the entire nasal aesthetic subunit, resulting in a more acceptable aesthetic result than the midline scar.

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