1,291 results match your criteria Forehead Flaps


Reconstruction of Facial Multiunit Defects Using Expanded Scalp Flap with Laser Depilation in a Group of Predominantly Pediatric Patients.

Facial Plast Surg Aesthet Med 2022 Jun 10. Epub 2022 Jun 10.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

The cervical or thoracic region is currently the main donor site for repair of facial multiunit defects (FMUDs); however, its extensive clinical utilization encompasses the need for flap prefabrication and microsurgical techniques. To illuminate the feasibility of treating FMUD with expanded scalp flaps and laser depilation. From 2016 to 2020, 17 patients with facial giant congenital melanocytic nevi (GCMN) underwent scalp expansion for FMUD reconstruction. Read More

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Optimizing two-stage surgery by expanding single-stage nasal reconstruction in the COVID-19 era.

Australas J Dermatol 2022 May 27. Epub 2022 May 27.

Dermatology Department, Ramón y Cajal University Hospital, Madrid, Spain.

The COVID-19 pandemic led to a decrease in the number of operating rooms available. Single-stage islanded forehead flaps have emerged as a good alternative to the classic frontal flap helping to diminish the surgical waiting list. We present our case series of 6 patients reconstructed with islanded forehead flaps between February and July 2020. Read More

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Chondrocutaneous conchal graft for optimal reconstruction of full-thickness lower eyelid defect: a reconstructive challenge.

BMJ Case Rep 2022 May 17;15(5). Epub 2022 May 17.

Otorhinolaryngology & Head-Neck Surgery & Oncology, All India Institute of Medical Sciences Rishikesh, Rishikesh, Uttarakhand, India.

Non-melanoma skin cancers of the head and neck region require optimal management encompassing oncological safety, minimal functional and cosmetic morbidity. The eyelid reconstruction poses a reconstructive challenge as it should include both anatomical and functional integrity. Full-thickness eyelid defects post resection can be managed with chondrocutaneous grafts. Read More

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Viability and Cosmesis of Right Angle and Vertical Paramedian Forehead Flaps Are Equivalent: A Retrospective Quantitative Study.

Dermatol Surg 2022 May 16. Epub 2022 May 16.

All authors are affiliated with the Department of Dermatology and Skin Science, University of British Columbia, Vancouver, BC, Canada.

Background: Paramedian forehead flaps (PMFFs) are commonly used for reconstruction of nasal defects. The classic PMFF is vertically oriented while the modified PMFF is designed with a 90-degree angle. No study has compared outcomes between these PMFF designs. Read More

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Rintala Flap and Posterior Perichondrial Cutaneous Graft: A Combined Approach for Nasal Tip Reconstruction.

Plast Reconstr Surg Glob Open 2022 May 6;10(5):e4316. Epub 2022 May 6.

Department of Plastic, Reconstructive and Aesthetic Surgery, Geneva University Hospitals, University of Geneva, Geneva, Switzerland.

Nasal tip reconstruction requires a meticulous approach due to the complexity of the nasal anatomy and its aesthetic importance. Many procedures have been described to restore this aesthetic unit, including the paramedian forehead flap, which is one of the workhorse flaps. However, despite excellent final outcomes, this procedure may be refused by patients, due to its temporary conspicuous appearance possibly associated with serious psychological implications, and the need of multiple interventions. Read More

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Single-staged Tunneled Forehead Flap for Medial Canthal and Eyelid Reconstruction.

Plast Reconstr Surg Glob Open 2022 Apr 22;10(4):e4223. Epub 2022 Apr 22.

Eyeplastx, Oculofacial Plastic and Reconstructive Surgery, San Antonio, Tex.

Purpose: The paramedian forehead flap, while initially used for reconstruction of nasal defects, has been adapted for repair of anatomical subunits in the medial canthal and eyelid area. A significant obstacle for utilizing the flap has been the bulky, unsightly vascular pedicle that is maintained between surgical stages. We describe our surgical experience using the tunneled variation in a single stage procedure. Read More

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Reconstructing the Holey Temple: A Composite Approach.

Cureus 2022 Feb 26;14(2):e22621. Epub 2022 Feb 26.

Department of Dermatology, Tel Aviv Sourasky Medical Center, Tel Aviv, ISR.

Surgical defects involving multiple facial cosmetic subunits can be challenging to reconstruct. We report on a patient with a complex temporal defect following Mohs micrographic surgery (MMS) for a basal cell carcinoma (BCC). The extension of the defect across the left temple, cheek, and forehead hindered the utilization of linear closures or flaps. Read More

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February 2022

Head and neck pedicled flap autonomization using a new high-resolution indocyanine green fluorescence video-angiography device.

Head Neck 2022 06 2;44(6):1496-1499. Epub 2022 Apr 2.

Department of Otolaryngology - Head and Neck Surgery, Scientific Institutes of Hospitalization and Care San Raffaele Hospital, Vita-Salute University, Milan, Italy.

In head and neck oncologic surgery a reconstructive phase is often required and pedicled flaps are still a viable option, though they may need a pedicle division performed at a later stage. Several techniques are commonly used for perfusion assessment of the flaps, with indocyanine green (ICG) fluorescence video-angiography representing a promising tool. We used ICG video-angiography to evaluate the perfusion of two of the most commonly adopted pedicled flaps in the head and neck field (the supraclavicular and the paramedian forehead flap) before and after second-stage pedicle division, allowing a safer in-setting. Read More

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An Innovative and Economical Device for Ischemic Preconditioning of the Forehead Flap Prior to Pedicle Division: A Comparative Study.

J Reconstr Microsurg 2022 Mar 15. Epub 2022 Mar 15.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Background:  Ischemic preconditioning of the forehead flap prior to pedicle division helps to improve angiogenesis. Clamping the pedicle by a clamped rubber band with vessel forceps is often clinically applied. However, the severe pain and unstable blocking effect influenced the preconditioning process. Read More

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A computer based facial flaps simulator using projective dynamics.

Comput Methods Programs Biomed 2022 May 3;218:106730. Epub 2022 Mar 3.

Computer Graphics Laboratory, Dept. of Computer Science, University of Wisconsin (Madison), USA.

Background And Objectives: Interactive surgical simulation using the finite element method to model human skin mechanics has been an elusive goal. Mass-spring networks, while fast, do not provide the required accuracy.

Methods: This paper presents an interactive, cognitive, facial flaps simulator based on a projective dynamics computational framework. Read More

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Simultaneous Paramedian Pedicle Forehead and Free Medial Sural Artery Perforator Flap Reconstruction of a Composite Nasal Defect: A Case Report.

Ann Plast Surg 2022 03;88(1s Suppl 1):S106-S109

From the Department of Plastic and Reconstructive Surgery, Linkou Chang Gung Memorial Hospital.

Background: Extensive nasal defects after resection of a malignancy are a challenge for all plastic surgeons. Nasal composite tissue defects have to be reconstructed with multiple staging surgeries. A paramedian pedicled forehead flap and free tissue transfer can be used for lining and skin replacement at different stages. Read More

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Resection of Tumors Located in the Anterior Skull Base and Sellar Region Through the Supraorbital Keyhole Approach via a Forehead Wrinkle Incision: Modifications and Deficiencies.

J Craniofac Surg 2022 Feb 3. Epub 2022 Feb 3.

Department of Neurosurgery, The First Affiliated Hospital of Anhui Medical University Department of Clinical Medicine, Anhui Medical University, Hefei, China.

Objective: To investigate the clinical effect of the supraorbital keyhole approach (SKA) via a forehead wrinkle incision in the resection of tumors in the anterior skull base and sellar region.

Methods: Sixty patients with tumors located in the anterior skull base and sellar region treated through the SKA in our hospital from 2017 to 2020. The skin incision and bone flap position were designed individually according to the size and growth of the tumor. Read More

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February 2022

The Bilateral Trans Alar Forehead Flap to Reconstruct the Cocaine Nose: A Case Report.

Plast Reconstr Surg Glob Open 2022 Jan 24;10(1):e4044. Epub 2022 Jan 24.

University of Utrecht, Utrecht, the Netherlands.

Isolated circumferential lining contraction of the midvault and nasal floor is a challenging reconstructive problem. In the cocaine nose, extensive loss of mucosal lining, with or without loss of columella, will result in collapse of the nose into the pyriform fossa. Various techniques have been used to provide nasal lining, but when the defect is extensive a free tissue transfer is advocated. Read More

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January 2022

[Nasal reconstruction: Decision tree based on 229 operated cases].

Ann Chir Plast Esthet 2022 Feb 22;67(1):7-13. Epub 2022 Jan 22.

CHU d'Angers, Angers, France.

Background: The Face is the most frequent localization for cutaneous carcinoma. The nose accounts for about 30% of these tumors. Nose tissue loss repair has to pursue 3 types of objectives: carcinologic, aesthetic and functional. Read More

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February 2022

Reconstruction of large facial defects using a combination of forehead flap and other procedures.

Arch Craniofac Surg 2022 Feb 10;23(1):17-22. Epub 2022 Jan 10.

Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.

Background: Reconstruction of large facial defects is challenging as both functional and cosmetic results must be considered. Reconstruction with forehead flaps on the face is advantageous; nonetheless, reconstruction of large defects with forehead flaps alone results in extensive scarring on the donor site. In our study, the results of reconstruction using a combination of forehead flaps and other techniques for large facial defects were evaluated. Read More

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February 2022

Forehead Flap Templates for Nasal Reconstruction Digitally Developed From 2D and 3D Images.

J Craniofac Surg 2022 Jan-Feb 01;33(1):e78-e80

Institute of Biomaterials and Biomedical Engineering.

Abstract: The forehead flap is the gold standard procedure for nasal reconstruction to address a partial or complete rhinectomy. Traditionally, the three-dimensional (3D) nasal defect is manually templated intraoperatively to design the two-dimensional (2D) flap shape on intact morphology. In this clinical study, digital preoperative planning is used to template with computer-assisted design and manufacturing. Read More

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January 2022

Different Transfer Forms of the Expanded Forehead Flap Pedicled with Superficial Temporal Vessels to Treat Chin and Submental Scar Deformities.

J Craniofac Surg 2021 Dec 8. Epub 2021 Dec 8.

Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Background: The chin and submental regions are located at the junction of the face and neck. Its function and aesthetic appearance can be seriously affected when scar deformities cause the cervicomental angle to disappear. The expanded forehead flap pedicled with superficial temporal vessel(s) is a surgical treatment for chin and submental scar deformities. Read More

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December 2021

Use of Indocyanine Green Angiography to Identify the Superficial Temporal Artery and Vein in Forehead Flaps for Facial Reconstruction.

J Craniofac Surg 2021 Dec 1. Epub 2021 Dec 1.

Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

Abstract: The superficial temporal artery (STA) frontal branch flap is susceptible to venous congestion because of its unpredictable and variable outflow. The authors applied indocyanine green angiography in identifying the superficial temporal vessels to help surgeons with proper flap designs to avoid severe complications. A retrospective review from 2015 to 2020 was conducted. Read More

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December 2021

The pedicled lateral forehead flap in reconstructing oral floor defect - The last resort; case report.

Int J Surg Case Rep 2021 Dec 18;89:106521. Epub 2021 Oct 18.

King Faisal Specialist Hospital and Research Centre, Department of Surgery, Plastic and Reconstructive Surgery Section, Riyadh, Saudi Arabia. Electronic address:

Introduction And Importance: Locoregional flaps, particularly the pedicled lateral forehead flap, are not usually used in reconstructing oral floor defects following oncologic resection. Rather, microscopic free flaps have evolved to be the standard of care in head and neck reconstruction. However, the pedicled lateral forehead flap could be valuable in floor of the mouth reconstruction in the absence of resources or other options. Read More

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December 2021

A practical approach to nasal reconstruction in Asian patients.

Authors:
In Suk Koh Hook Sun

Arch Craniofac Surg 2021 Oct 20;22(5):268-275. Epub 2021 Oct 20.

Department of Plastic and Reconstructive Surgery, Busan Paik Hospital, Inje University School of Medicine, Busan, Korea.

Background: The study aimed to evaluate nasal reconstruction techniques customized for Asians. The currently available nasal reconstruction guidelines are based on Caucasian patients, and their applicability is limited in Asian patients due to differences in anatomical and structural features.

Methods: A retrospective analysis was performed of the medical records of 76 patients who underwent nasal reconstruction at a single center between January 2010 and June 2020. Read More

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October 2021

Aesthetic Design of Expanded Bilateral Superficial Temporal Vascular Fascial Pedicled Flap for Repairing Maxillocervical Scars.

Ann Plast Surg 2021 11;87(5):509-513

From the Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Background: Large-scale maxillocervical scars impair face and neck function and damage appearance. The forehead expanded bilateral superficial temporal pedicled flap is a good treatment strategy for this area; however, the traditional cutaneous pedicled flap damages the temporal hair area. This impairs aesthetics and causes alopecia; furthermore, requires an additional pedicle-cut operation. Read More

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November 2021

Subtotal Nasal Reconstruction in a 91-year-old Patient: Expanded Double Forehead Flaps and Costal Cartilage.

Plast Reconstr Surg Glob Open 2021 Oct 15;9(10):e3868. Epub 2021 Oct 15.

Department of Plastic and Reconstructive Surgery, Japanese Red Cross Society Nagano Hospital, Nagano, Japan.

Nasal reconstruction in very elderly patients is challenging. We attempted subtotal nasal reconstruction with an expanded double forehead flap and autologous costal cartilage support in a 91-year-old woman presenting with subtotal nasal defects after sebaceous carcinoma resection. Only small parts of the bilateral alae and the columella base remained after resection, and the frontal area of the septum was also resected. Read More

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October 2021

Paranasal transposition flap in facial soft tissue reconstruction of facial cleft Tessier type 3 & ADAM complex: A case report.

Int J Surg Case Rep 2021 Oct 22;87:106432. Epub 2021 Sep 22.

Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, University of Padjajaran - Hasan Sadikin General Hospital Bandung, Bandung, Jawa Barat, Indonesia.

Introduction: Craniofacial Tessier Cleft type 3 as a common craniofacial cleft with nasolabial region soft tissue defect, forced surgeons to find their ways of reconstructing using localregional flaps to provide defect closure. The cleft may occur in existence with other constriction band syndrome entity such as the ADAM complex. The effort to repair and give back the basic function for daily activity, put surgeons to find ways and one among them are soft tissue reconstruction using most reliable are forehead and melolabial flaps. Read More

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October 2021

Head and Neck Reconstruction with Venous Flap: A Case Report.

Plast Reconstr Surg Glob Open 2021 Sep 17;9(9):e3816. Epub 2021 Sep 17.

Division of Plastic and Reconstructive Surgery, University of Montreal Hospital Center, Montreal, QC, Canada.

Venous flaps are nonphysiologic flaps in which the venous system replaces the vascular circuit found in conventional flaps, serving as inflow as well as outflow. Although a main concern with venous flaps has been their reliability, this can be improved by manipulating their physiology using shunt restriction. The soft, pliable tissue provided by venous flaps coupled with the low donor site morbidity and ease of flap harvest make them ideal for coverage of moderate-sized facial defects, which may be too large for local options yet too small for conventional free flaps. Read More

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September 2021

Repair of an Extensive Forehead, Scalp, and Eyelid Defect.

Dermatol Surg 2022 03;48(3):349-351

Both authors are affiliated with the Division of Dermatology, University of Vermont Medical Center, Burlington, Vermont.

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Upper Margin of the Forehead Flap and Its Correlation With Aesthetic Results in Nasal Reconstruction in Fitzpatrick Skin Type III and IV Chinese.

Dermatol Surg 2022 Jan;48(1):39-42

Department of Plastic and Reconstructive Surgery, Aesthetic Medical Center of Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taipei, Taiwan.

Background: The forehead flap is one of the most commonly used methods for nose reconstruction.

Objective: To determine the ideal upper margin of the flap in nasal reconstruction and its correlation with aesthetic results.

Methods: From April 2013 to September 2017, 40 patients underwent nasal reconstruction involving the dorsum with a forehead flap. Read More

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January 2022

[Nasal reconstruction with paramedian forehead flaps].

Hautarzt 2021 Oct 16;72(10):913-921. Epub 2021 Sep 16.

Hautklinik, Universitätsklinikum Münster, Von-Esmarch Str. 58, 48149, Münster, Deutschland.

The nose has an important function in the esthetic perception of the face. The esthetic coverage of defects on the nose is therefore of particular importance; however, the position is exposed to sunlight and poses a particular risk for the development of non-melanoma skin cancer (NMSC) and melanomas. After tumor excision, the size of the defect is decisive for defect closure. Read More

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October 2021

Reconstruction of Medial Canthal Defects by Local/Loco-Regional Flaps.

J Craniofac Surg 2022 May 10;33(3):e287-e290. Epub 2021 Sep 10.

Department of Burns, Plastic, Maxillofacial and Microvascular Surgery, Lok Nayak Hospital, New Delhi, India.

Aim: To describe a series of medial canthal defect reconstruction by local/loco-regional flaps following excision of basal cell carcinoma.

Material And Methods: A series of 35 medial canthal defects following excision of basal cell carcinoma was reconstructed by local/loco-regional flaps. For smaller defects, glabellar lateral advancement flap or Limberg's flap from the nasolabial area were used to resurface the defects. Read More

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Repair of a Large Lateral Forehead Defect.

Dermatol Surg 2022 May 18;48(5):563-565. Epub 2021 Aug 18.

All authors are affiliated with the Division of Dermatologic Surgery and Cutaneous Oncology, Department of Dermatology, Indiana University School of Medicine, Indianapolis, Indiana.

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[Rhinopoiesis after traumatic total amputation in childhood in an 11-year-old child].

Ann Chir Plast Esthet 2021 Oct 13;66(5):395-405. Epub 2021 Aug 13.

Cabinet de chirurgie plastique, reconstructrice et esthétique, 76, avenue Raymond-Poincaré, 75116 Paris, France.

Fortunately, traumatic total amputations of the nose are rare, especially in children. Their reconstructions generally require several operative steps, most often associating cartilaginous grafts (rib and/or concha), a free radial antebrachial flap for mucosal reconstruction and a frontal flap for the skin covering. These are therefore long and complex procedures requiring a trained surgical team and maximum patient adherence to their treatment plan. Read More

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October 2021