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Using Local Flaps to Reconstruct Mohs Defects of the Forehead.
Kayva L Crawford1, Natalie A Krane1
1Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Mail stop SJH-01, Portland, OR 97239, USA.
Otolaryngologic Clinics of North America
|April 5, 2025
Summary
Reconstructing forehead defects requires understanding anatomy and using local flaps like advancement, rotation, and transposition for tension-free closure. Adjuvant treatments can further improve aesthetic and functional results for patients.
Area of Science:
- Plastic surgery
- Dermatology
- Anatomy
Background:
- Forehead defects pose reconstructive challenges due to high visibility and limited tissue.
- Understanding forehead anatomy, including tissue planes and neurovascular structures, is crucial for successful reconstruction.
Purpose of the Study:
- To outline effective reconstructive techniques for forehead defects.
- To emphasize the importance of anatomical knowledge and local flap principles.
Main Methods:
- Review of anatomical considerations for forehead reconstruction.
- Discussion of local flap techniques: advancement, rotation, and transposition flaps.
- Exploration of adjuvant procedures like chemodenervation and microneedling.
Main Results:
- Local flap reconstruction maximizes tissue mobility and allows for tension-free closure.
- Preservation of facial landmarks is achievable with proper technique.
- Adjuvant procedures can enhance aesthetic outcomes and patient satisfaction.
Conclusions:
- Mastery of local flap principles and anatomical knowledge is key to successful forehead defect reconstruction.
- Tension-free closure and preservation of facial landmarks are critical goals.
- Adjuvant therapies offer potential for improved patient outcomes.
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