The H-flap: a useful flap for forehead reconstruction

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Dermatology

Background:

• Forehead reconstruction presents unique challenges in achieving aesthetic and functional outcomes.
• Advancement flaps are a common reconstructive modality, but specific techniques vary.
• Standardization of terminology can improve communication in surgical procedures.

Purpose of the Study:

• To evaluate the efficacy and patient outcomes of double opposing rectangular advancement flaps for forehead reconstruction.
• To assess the feasibility of performing this procedure under local or general anesthesia.
• To propose and validate the term 'H-flap' for improved communication.

Main Methods:

• Retrospective analysis of patients undergoing forehead reconstruction using double opposing rectangular advancement flaps.
• Data collection included anesthetic type, operative details, complication rates, and patient satisfaction.
• Surgical technique involves creating bilateral rectangular flaps for advancement and closure.

Main Results:

• The double opposing rectangular advancement flap technique was successfully performed under both local and general anesthesia.
• The procedure demonstrated a high degree of patient satisfaction.
• Low morbidity rates were observed, indicating a favorable safety profile.
• The term 'H-flap' was found to be easily communicated and understood by surgical staff.

Conclusions:

• Double opposing rectangular advancement flaps are an effective and well-tolerated method for forehead reconstruction.
• The 'H-flap' nomenclature offers a practical alternative for clear surgical communication.
• This technique is suitable for various forehead defects and is popular among junior surgeons.