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Reconstruction of a Large, Central Forehead Defect After Mohs Micrographic Surgery Using the Innovative Horizontal
Mojahed Mohammad K Shalabi1, Mohamad Jabin2, Marcus Zaayman1
1Department of Dermatology, Baylor Scott & White Medical Center, Temple, Texas, USA.
Case Reports in Otolaryngology
|April 15, 2026
Summary
Forehead reconstruction requires careful planning to maintain facial symmetry and avoid a surprised look. The Buffalo flap offers a promising solution for large forehead defects, especially in elderly patients with exposed bone.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
- Reconstructive Surgery
Background:
- Forehead reconstruction complexity depends on wound characteristics and cosmetic goals.
- Maintaining eyebrow and eyelid position is crucial for aesthetic outcomes.
- Patient factors like skin laxity influence surgical choices.
Purpose of the Study:
- To evaluate the efficacy of the Buffalo flap for forehead reconstruction.
- To identify optimal patient selection criteria for this technique.
Main Methods:
- Review of the Buffalo flap technique for forehead reconstruction.
- Analysis of patient selection factors, including age and bone exposure.
Main Results:
- The Buffalo flap is a viable option for large, central forehead defects.
- It is particularly suited for elderly patients with exposed bone.
Conclusions:
- The Buffalo flap is a promising advancement in forehead reconstruction.
- Careful patient selection ensures favorable cosmetic results and functional outcomes.
Keywords:
Mohs micrographic surgerybanner transposition flapbuffalo flapflap reconstructionlarge forehead defect
