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O to T Flap for Central Forehead Defect Reconstruction
Abhishek Ghosh1, Swagnik Chakrabarti1, Atul Kumar Rai1
1Homi Bhabha Cancer Hospital, Old Loco Colony, Shivpurwa, Varanasi, Uttar Pradesh 221002 India.
Journal of Maxillofacial and Oral Surgery
|October 19, 2020
Summary
Reconstructing central forehead defects is difficult due to limited tissue. This study presents a technique using Burrow
Area of Science:
- Plastic surgery
- Reconstructive surgery
Background:
- Central forehead defects pose reconstruction challenges due to scarce adjacent extensible tissue.
- Aesthetic considerations, including brow symmetry and hairline, are crucial in forehead reconstruction.
- The galea's inelasticity and position over the skull's convexity resist tissue advancement, complicating reconstructions.
Observation:
- Presents a case report detailing a novel technique for central forehead defect reconstruction.
- The technique utilizes simple Burrow's triangles for defect closure.
- Focuses on camouflaging scar lines within natural facial features like wrinkles or the hairline.
Findings:
- Demonstrates the efficacy of Burrow's triangles in reconstructing central forehead defects.
- Highlights a method to overcome the challenges posed by inelastic galea tissue.
- Achieves aesthetically pleasing results by integrating scars into natural lines.
Implications:
- Offers a practical and effective solution for challenging central forehead reconstructions.
- Provides plastic surgeons with a valuable technique for improving aesthetic outcomes.
- Contributes to the body of knowledge in reconstructive surgery for the central forehead region.
