Related Experiment Video
Updated: May 18, 2026
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Double-opposing rotation-advancement flaps for closure of forehead defects
Evan R Ransom1, Andrew A Jacono
1Divisions of Facial Plastic and Reconstructive Surgery, Departments of Otolaryngology–Head and Neck Surgery, Albert Einstein College of Medicine, Bronx, New York 11021, USA. evan.ransom@gmail.com
Archives of Facial Plastic Surgery
|September 19, 2012
Summary
This study introduces a double-opposing rotation-advancement flap for forehead defect reconstruction. This versatile technique achieves single-stage closure without altering brow position or hairline, suitable for various defect sizes.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
- Reconstructive Surgery
Background:
- Forehead defects present reconstructive challenges, particularly concerning aesthetic outcomes.
- Maintaining brow position and hairline is crucial for patient satisfaction after forehead reconstruction.
Observation:
- A retrospective review of 16 cases utilizing double-opposing rotation-advancement flaps for forehead defect closure was conducted.
- Defect sizes ranged from small (<10 cm2) to large (>20 cm2), with a mean of 18 cm2.
- The technique was adapted from Orticochea's method for large scalp wound closure.
Findings:
- Single-stage closure was successfully achieved in all 16 patients.
- No permanent frontal branch of the facial nerve injuries were reported.
- Photographic analysis confirmed that brow position and hairline contour were preserved in all cases.
- One patient experienced moderate cellulitis, and no tumor recurrence was observed.
Implications:
- The double-opposing rotation-advancement flap is a versatile and reliable reconstructive option for diverse forehead defects.
- This technique offers a method for achieving aesthetic results by preserving key facial landmarks.
- It provides a valuable surgical solution for plastic and dermatologic surgeons managing forehead reconstructions.
Related Concept Videos
01:14Cranial Bones: Superior and Posterior View
The superior view of the cranium shows the frontal and paired parietal bones.
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
01:14Muscles for Facial Expressions
The craniofacial muscles are a collection of approximately 20 thin skeletal muscles situated beneath the skin of the face and scalp. These muscles, primarily responsible for the vast array of human facial expressions, originate from the bones or fibrous structures of the skull and extend outwards to connect with the skin. While most skeletal muscles in the body are enveloped in thick fascia, facial muscles generally have a more delicate fascial covering, with the buccinator muscle being a...
01:27Cranial Bones: Lateral View
The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
01:22Sutures of the Skull
The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...