Modification of Orticochea Three-Flap Technique for Reconstruction of Lateral Forehead Defect

Surgical defects in temporo-parieto-frontal region are challenging to reconstruct (Ransom in Arch Facial Plast Surg, 2012. 10.1001/archfacial.2012.7). The size and site of the defect determines its mode of reconstruction (Ransom in Arch Facial Plast Surg, 2012. 10.1001/archfacial.2012.7). A 60-year-old lady presented with basal cell carcinoma (BCC) over the skin of the right temporal region. She underwent wide excision of the lesion resulting in a moderate sized skin and soft tissue defect. Reconstruction of the defect was challenging owing to the size not amenable for primary closure, lack of pliability of adjoining soft tissue and proximity to structures of aesthetic significance. In order to achieve a functional and aesthetic reconstruction, a modified Orticochea three-flap reconstruction technique was used. This case report describes in detail the surgical procedure and outcome.