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Expanded narrow subcutaneous-pedicled island forehead flap for reconstruction of the forehead.

Authors
  • 1
  • 1 Department of Plastic and Reconstructive Surgery, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan. [email protected] , (Japan)
Type
Published Article
Journal
Annals of plastic surgery
1536-3708
Publication Date
Volume
63
Issue
2
Pages
167–170
Identifiers
DOI: 10.1097/SAP.0b013e318189a960
PMID: 19574891
Source
Medline
License
Unknown

Abstract

To reconstruct the subsequent defects after resection of a unilateral large forehead lesion, we devised a revised method, "expanded narrow subcutaneous-pedicled island forehead flap." After unilateral forehead skin was expanded by a tissue expander, the flap was designed on the upper half of the expanded forehead skin nourished by the subcutaneous adipomuscular pedicle, including the supratrochlear or supraorbital artery. The elevated flap was then transposed or rotated 180 degrees toward the defect. The donor site was closed with upward advancement of the lower half of the expanded skin. Four patients were treated with this method. The flaps survived completely without serious complications, and acceptable results were obtained in all patients. This method has the advantage of increased freedom of flap design and transfer, providing an effective use of unaffected skin, less scars left on the forehead, and less formation of the dog-ear compared with the conventional procedure.

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