Median forehead flap – beyond classic indication

Journal of Clinical and Investigative Surgery. 2016;1(2):69-73 DOI 10.25083/2559.5555.12.6973

 

Journal Homepage

Journal Title: Journal of Clinical and Investigative Surgery

ISSN: 2559-5555 (Online)

Publisher: Digital ProScholar Media

Society/Institution: Digital ProScolar media

LCC Subject Category: Medicine

Country of publisher: Romania

Language of fulltext: English

Full-text formats available: PDF

 

AUTHORS

Cristian R. Jecan (Prof. Dr. Agrippa Ionescu Clinical Hospital, Dep. of Plastic and Reconstructive Surgery, Bucharest, Romania)
Cristina N. Cozma (Prof. Dr. Agrippa Ionescu Clinical Hospital, Dep. of Plastic and Reconstructive Surgery, Bucharest, Romania)
Adrian Tulin (Carol Davila University, Dep. of General Surgery, Prof. Dr. Agrippa Ionescu Clinical Hospital, Bucharest, Romania)
Alexandru D. Hernic (Prof. Dr. Agrippa Ionescu Clinical Hospital, Dep. of Plastic and Reconstructive Surgery, Bucharest, Romania)
Laura Răducu (Prof. Dr. Agrippa Ionescu Clinical Hospital, Dep. of Plastic and Reconstructive Surgery, Bucharest, Romania)

EDITORIAL INFORMATION

Double blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 12 weeks

 

Abstract | Full Text

Introduction. The paramedian forehead flap is one of the best options for reconstruction of the median upper two-thirds of the face due to its vascularity, color, texture match and ability to resurface all or part of the reconstructed area. The forehead flap is the gold standard for nasal soft tissue reconstruction and the flap of choice for larger cutaneous nasal defects having a robust pedicle and large amount of tissue. Materials and Methods. We are reporting a clinical series of cutaneous tumors involving the nose, medial canthus, upper and lower eyelid through a retrospective review of 6 patients who underwent surgical excision of the lesion and primary reconstruction using a paramedian forehead flap. Results. The forehead flap was used for total nose reconstruction, eyelids and medial canthal reconstruction. All flaps survived completely and no tumor recurrence was seen in any of the patients. Cosmetic and functional results were favorable. Conclusions. The forehead flap continues to be one of the best options for nose reconstruction and for closure of surgical defects of the nose larger than 2 cm. Even though is not a gold standard, median forehead flap can be an advantageous technique in periorbital defects reconstruction.