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Moustache reconstruction using an extended midline forehead flap.

K Agrawal1, K N Panda

  • 1Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.

British Journal of Plastic Surgery
|February 24, 2001
PubMed
Summary
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A novel extended midline forehead flap reconstructs the upper lip and moustache. This technique is reliable and easy to perform, though it requires multiple stages, leading to prolonged recovery.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Reconstruction of the upper lip and moustache presents unique challenges.
  • Defects in the nasal alar region require specialized reconstructive approaches.

Observation:

  • A modification of the classical midline forehead flap, termed the extended midline forehead flap, is introduced.
  • This flap incorporates hair-bearing scalp for upper lip and moustache reconstruction.
  • Non-hair-bearing forehead skin was utilized for simultaneous nasal alar defect repair.

Findings:

  • The extended midline forehead flap is a reliable and technically straightforward method.
  • It requires no specialized surgical expertise and results in minimal donor site deformity.
  • The procedure is multistaged, contributing to prolonged patient morbidity.

Related Experiment Videos

Implications:

  • This technique offers a viable option for complex upper lip and moustache reconstruction.
  • It addresses concurrent nasal alar defects effectively.
  • Surgeons should consider the multistage nature and potential for prolonged recovery when selecting this method.