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Updated: Jul 22, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
The "shutter flap" for large defects of the forehead
N S Levine1, W J Sahl, J B Stewart
1Section of Plastic and Reconstructive Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, USA.
Abstract:
Acquired defects involving exposed bone in the central forehead can be challenging to reconstruct. We present a simple technique in which two superiorly based flaps of galea frontalis and skin are transposed medially, like the shutter of a camera. Full-thickness grafts are used to close the donor site. This is a remarkably easy way to close some very large forehead wounds.
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