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Related Experiment Videos

Modified nondelayed forehead flap.

R C Hamaker, J Conley

    Archives of Otolaryngology (Chicago, Ill. : 1960)
    |March 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Head and neck surgeons can use forehead flaps for reconstruction even after external carotid artery ligation. A laterally based flap nourished by the contralateral artery offers a versatile, non-delayed option for cheek reconstruction.

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    Area of Science:

    • Plastic Surgery
    • Head and Neck Surgery
    • Reconstructive Surgery

    Background:

    • Forehead flaps are versatile reconstructive tools.
    • External carotid artery ligation can limit reconstructive options.
    • Nondelayed forehead flaps offer expedited reconstruction.

    Purpose of the Study:

    • To evaluate the utility of a modified, laterally based forehead flap in head and neck reconstruction after external carotid artery ligation.
    • To demonstrate the feasibility of using the contralateral external carotid artery for flap nourishment.

    Main Methods:

    • Three cases of wide cheek ablative surgery with external carotid artery ligation were reviewed.
    • A laterally based forehead flap was utilized for reconstruction, nourished by the contralateral external carotid artery.

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  • The flap was used without delay or staging.

    • Main Results:

    • Successful reconstruction was achieved in all three cases using the modified forehead flap.
    • The laterally based flap provided adequate vascularity from the contralateral external carotid artery.
    • The technique allowed for expedient, non-delayed reconstruction despite prior arterial ligation.

    Conclusions:

    • A laterally based forehead flap can be effectively used for head and neck reconstruction when the ipsilateral external carotid artery system is ligated.
    • This modified technique preserves the benefits of forehead flap reconstruction without the need for staging.
    • It provides a valuable alternative for surgeons facing external carotid artery ligation in reconstructive scenarios.