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Upper forehead skin reconstruction with h-flap.

Ali Ebrahimi1, Nasrin Nejadsarvari

  • 1Departement of Plastic Surgery and Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Journal of Cutaneous and Aesthetic Surgery
|October 29, 2013
PubMed
Summary
This summary is machine-generated.

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The double opposing rectangular advancement flap (H-flap) offers a reliable method for reconstructing upper forehead defects. This technique provides excellent aesthetic outcomes and patient satisfaction, with inconspicuous scars and good tissue match.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Dermatology

Background:

  • Forehead defect reconstruction involves various techniques like local flaps, regional flaps, free flaps, and skin grafts.
  • The double opposing rectangular advancement flap (H-flap) is utilized for upper forehead defects.

Purpose of the Study:

  • To evaluate the efficacy and aesthetic outcomes of the H-flap for upper forehead defect reconstruction.

Main Methods:

  • A prospective case series of 10 patients (6 women, 4 men; median age 61 years) undergoing H-flap reconstruction after tumor excision.
  • Mean follow-up was 15 months, with no recurrence observed.

Main Results:

  • Excellent aesthetic results were achieved in all cases.
Keywords:
DefectsH-flapforehead reconstructionstumours

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  • High patient satisfaction was reported based on questionnaire data.
  • No recurrence of tumors was noted during the follow-up period.

    • Conclusions:

    • The H-flap is a reliable and safe local flap for upper forehead defects ranging from 4 cm to 6 cm.
    • Long-term follow-up demonstrated inconspicuous scars and good texture/color match.
    • The study recommends the H-flap, detailing specific surgical considerations like incision alignment and flap dimensions.