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Usage of a rotational flap for coverage of a large central forehead defect.

Authors
  • El-Sabbagh, Ahmed Hassan1
  • 1 Plastic Surgery Center, Faculty of Medicine, Mansoura University, Mansoura, Egypt. , (Egypt)
Type
Published Article
Journal
GMS Interdisciplinary plastic and reconstructive surgery DGPW
Publication Date
Jan 01, 2017
Volume
6
Identifiers
DOI: 10.3205/iprs000104
PMID: 28194323
Source
Medline
Keywords
License
Unknown

Abstract

Background: The forehead is a donor site for facial reconstruction but has no generous donor site for its coverage. All options of the reconstructive ladder can be used. A large rotation flap was used to reconstruct a big central forehead defect following failed previous repair in an elderly diabetic patient after a motor car accident. Case presentation: A 64-year-old diabetic man presented with an extensive central forehead defect after failed previous repair following a motor car accident. Coverage of the defect was performed using a flap based around the ear on one side in a rotation movement. An accepted functional and esthetic result was achieved after 3 months of follow-up. Conclusion: A rotation flap based on arteries around the ear can be used for coverage of a difficult lesion in the central forehead. Level of evidence: Level V, therapeutic study.

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