The Use of Supratrochlear Artery Based Myofascial Forehead Flap for Treatment of a Rhinophyma Case Publication History: Received: December 26, 2016 Accepted: September 20, 2017 Published: September 22, 2017 Keywords: Rhinophyma, Forehead fap, Supratrochlear artery Case Report Open Access Abstract Rhinophyma is a disease going with subcutaneous tissue thickening of the nose, including sebaceous gland hypertrophy and fbrosis. Progressive enlargement and irregular thickening of the nasal skin is characteristic of the disease. Surgical excision is commonly used treatment method. In the present case, nasal dorsal and alar defect afer treated with totally excision and full-thickness skin graf of rhinophyma mass were repaired by using supratrochlear artery based myofascial forehead fap with a little skin island. * Corresponding Author: Dr. Umut Tuncel, Department of Plastic Reconstructive and Aesthetic Surgery, Samsun Education and Research Hospital Samsun/ Turkiye, Tel: + 90532 724 9384; E-mail: drumuttuncel@gmail.com Citation: Tuncel U, Gümüs M, Kurt A (2017) The Use of Supratrochlear Artery Based Myofascial Forehead Flap for Treatment of a Rhinophyma Case. Int J Surg Surgical Porced 2: 121. doi: https://doi.org/10.15344/2456-4443/2017/121 Copyright: © 2017 Tuncel. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. International Journal of Surgery & Surgical Procedures Umut Tuncel * , Murat Gümüs and Alper Kurt Department of Plastic Reconstructive and Aesthetic Surgery, Samsun Education and Research Hospital Samsun/Turkiye Int J Surg Surgical Porced IJSSP, an open access journal ISSN: 2456-4443 Volume 2. 2017. 121 Tuncel, Int J Surg Surgical Porced 2017, 2: 121 https://doi.org/10.15344/2456-4443/2017/121 Special Issue: Plastic Surgery Introduction Rhinophyma is an extremely deformating condition of the nose and considered to be the most severe expression of the fnal stage of acne rosacea, which is characterized by a progressive painless hyperplasia of the sebaceous glands and connective tissue of the nose [1]. Although the etiology of rhinophyma is unknown, it is commonly believed to be a severe end-stage of a skin condition known as rosacea [2,3]. Te supratrochlear artery based forehead fap has become commonly preferred reconstructive option when dealing with repairing large nasal defects [4-6]. Knowledge of the anatomical course of the supratrochlear artery allows for more precise fap design, greater mobility, and increased pedicle length [7]. We present a case treated with supratrochlear artery based myofascial forehead fap along with full-thickness skin graf and recommend this technique as a useful, safe, and efcient method for the treatment of severe and moderate rhinophyma. Patient and Method A 50-year-old man presented with a 10-year history of progressive bulbous overgrowth of the nose. He had a history of cystic acne as a teenager. Te man had never undergone any laser or surgical interventions and the nose kept slowly enlarging. No other medical problem was reported, and there was no family history of rosacea. Nodulocystic and scarred areas, also large dilated pores on the cheeks were observed on the physical examination. Te nose was composed of an exophytic bulbous mass with obliteration of the normal nose contour (Figure 1). Te rhinophyma mass was completely excised and the defect was repaired by a full-thickness skin graf. However, skin graf on the nasal dorsum was showed to be necrosis afer the surgery (Figure 2). A supratrochlear artery based myofascial forehead fap along with full-thickness skin graf was planned to close the defect. Also, a skin island at tip of the myofascial fap was planned for the reconstruction of nasal alar defect. Te procedure was performed under general anesthesia. Te wound was debrided and a subcutaneous paramedian forehead fap was designed according to the size of defect area on the nasal dorsum and nasal ala. Before the fap was raised, supratrochlear artery was dissected on the location about 2 cm lateral to the midline near the medial eyebrow and the fap pedicle of approximately 1 cm width was Figure 1: preoperative view of the patient. Figure 2: rhinophyma mass was totally excised and treated by skin grafing, but full-thickness defect was showed on the nasal dorsum due to the skin graf necrosis.