Limits...
The forehead flap.

Frunza A, Beedasy A, Anghel A, Lascar I - Eplasty (2014)

View Article: PubMed Central - PubMed

Affiliation: Bucharest Emergency Clinical Hospital, Bucharest University School of Medicine, Romania.

AUTOMATICALLY GENERATED EXCERPT
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A 84-year-old woman came in our clinic with a exophytic, ulcerated, hemorrhagic tumor of the right cheek... The computed tomographic scan showed tumoral involvement of the facial muscles with extension to the anterior maxillary sinus wall... The pathological examination found a moderately differentiated squamous cell carcinoma... The flap is usually designed as an esthetic unit and comprises the hairless skin of the forehead between the scalp and the eyebrows and extends laterally to the preauricular and temporal hair-bearing skin... The inferior border of the flap should lie immediately above the eyebrow, primarily to include the inferior branch of the superficial temporal artery but also to improve the donor site deformity by the use of a skin graft as a forehead esthetic unit... The standard forehead flap (temporal based-flap) includes all or part of the forehead skin... Pertinent landmarks are the anterior hairline and superior edge of the eyebrow... The bilobed forehead flap using both branches of the superficial temporal artery can be used to cover both the mucosal and skin surfaces in full-thickness cheek defects; the forehead flap can be used to reconstruct the intraoral mucosa and the scalp flap can be used for external skin coverage... The forehead flap will cover the ipsilateral cheek, eye, and nasal defects, and therefore it is used after tumor resection, congenital anomalies surgery, trauma, and degenerative diseases; a forehead flap is long enough to provide cover to the carotid artery in the upper neck... It also can be used to reconstruct the cervical esophagus, provided that it is passed under the malar region and the body of the mandible is removed... Despite its versatility, nowadays it is rarely used because of the drawbacks involving the donor site coverage (grafted periosteum)... One of the alternatives to improve the donor site aspect is to use Integra or any dermal substitutes... These were not available in our case.

No MeSH data available.


Forehead flap raised with right lateral pedicle and the defect to be covered.
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Related In: Results  -  Collection

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Figure 2: Forehead flap raised with right lateral pedicle and the defect to be covered.


The forehead flap.

Frunza A, Beedasy A, Anghel A, Lascar I - Eplasty (2014)

Forehead flap raised with right lateral pedicle and the defect to be covered.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4282017&req=5

Figure 2: Forehead flap raised with right lateral pedicle and the defect to be covered.

View Article: PubMed Central - PubMed

Affiliation: Bucharest Emergency Clinical Hospital, Bucharest University School of Medicine, Romania.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

A 84-year-old woman came in our clinic with a exophytic, ulcerated, hemorrhagic tumor of the right cheek... The computed tomographic scan showed tumoral involvement of the facial muscles with extension to the anterior maxillary sinus wall... The pathological examination found a moderately differentiated squamous cell carcinoma... The flap is usually designed as an esthetic unit and comprises the hairless skin of the forehead between the scalp and the eyebrows and extends laterally to the preauricular and temporal hair-bearing skin... The inferior border of the flap should lie immediately above the eyebrow, primarily to include the inferior branch of the superficial temporal artery but also to improve the donor site deformity by the use of a skin graft as a forehead esthetic unit... The standard forehead flap (temporal based-flap) includes all or part of the forehead skin... Pertinent landmarks are the anterior hairline and superior edge of the eyebrow... The bilobed forehead flap using both branches of the superficial temporal artery can be used to cover both the mucosal and skin surfaces in full-thickness cheek defects; the forehead flap can be used to reconstruct the intraoral mucosa and the scalp flap can be used for external skin coverage... The forehead flap will cover the ipsilateral cheek, eye, and nasal defects, and therefore it is used after tumor resection, congenital anomalies surgery, trauma, and degenerative diseases; a forehead flap is long enough to provide cover to the carotid artery in the upper neck... It also can be used to reconstruct the cervical esophagus, provided that it is passed under the malar region and the body of the mandible is removed... Despite its versatility, nowadays it is rarely used because of the drawbacks involving the donor site coverage (grafted periosteum)... One of the alternatives to improve the donor site aspect is to use Integra or any dermal substitutes... These were not available in our case.

No MeSH data available.