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Forehead flag flap.

J Benito-Ruiz1, J Monner, J Fontdevila

  • 1Department of Plastic and Maxillofacial Surgery, Hospital, Clinic, c/Villarroel 170, 08036 Barcelona, Spain. benito@medicina.ub.es

British Journal of Plastic Surgery
|March 10, 2004
PubMed
Summary
This summary is machine-generated.

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This study modifies a forehead reconstruction flap using supratrochlear vessels for large tumor defects. The modified flap demonstrated successful survival in all six patients, offering a viable option for selected cases.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Oncologic Surgery

Background:

  • Forehead reconstruction presents challenges, particularly for large defects involving periosteum removal.
  • Existing flap techniques may have limitations in specific patient populations or defect types.

Observation:

  • A modified Okada and Maruyama flap, relying solely on supratrochlear vessels, was developed for forehead reconstruction.
  • The flap is elevated extra-periosteally, incorporating periosteum at the pedicle to safeguard the vessels.
  • This technique was applied to six patients with extensive malignant forehead tumors requiring periosteal excision.

Findings:

  • The modified flap achieved complete survival in all six treated patients, with no observed necrosis.
  • The flap design allows for advancement and rotation to cover contralateral full-thickness forehead defects.

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  • The procedure is relatively straightforward, making it suitable for selected patients, including the elderly.

    • Implications:

    • This supratrochlear vessel-based flap offers a reliable and effective solution for complex forehead reconstruction after tumor excision.
    • While sacrificing the supraorbital nerve and causing some eyebrow distortion are noted disadvantages, the flap's viability and ease of use are significant advantages.
    • Further research could explore modifications to mitigate nerve sacrifice and eyebrow distortion while maintaining flap integrity.