Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-28T07:40:30.287Z Has data issue: false hasContentIssue false
  • English
  • Français

Frontalis muscle flap: a novel method for donor site closure of an interpolated paramedian forehead flap

Published online by Cambridge University Press:  25 November 2009

J Montgomery ,
A T M Mace ,
C Cotter  and
S Sheikh
J Montgomery*
Affiliation:
Department of ENT, Gartnavel General Hospital, Glasgow, Scotland, UK
A T M Mace
Affiliation:
Department of ENT, Southern General Hospital, Glasgow, Scotland, UK
C Cotter
Affiliation:
Department of Maxillofacial Surgery, Southern General Hospital, Glasgow, Scotland, UK
S Sheikh
Affiliation:
Department of ENT, Southern General Hospital, Glasgow, Scotland, UK
*
Address for correspondence: Miss J Montgomery, Department of ENT, Royal Alexandria Hospital, Corsebar Road, Paisley, PA2 9PN. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

We present a previously unreported technique which we have found useful for closure of the donor site created by a paramedian forehead flap, during nasal reconstruction.

Case report:

An 80-year-old woman was referred to the ENT department for management of a large tumour involving the left nasal dorsum. The lesion measured 2.5 × 2.5 cm, and an incisional biopsy confirmed moderately differentiated squamous cell carcinoma. Complete excision with an interpolated paramedian forehead flap reconstruction was performed. The pedicle was divided three weeks post-operatively, and the 2 × 2 cm forehead defect was closed at this time. A frontalis muscle flap and full thickness skin graft were used to close the donor site.

Conclusion:

A frontalis muscle flap is a novel method of closing large forehead defects created by a paramedian forehead flap. A frontalis muscle flap provides a healthy base for a full thickness skin graft, which allows good skin colour matching and an enhanced cosmetic result.

Keywords

FaceNoseSurgical Flaps
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 4 , April 2010 , pp. 453 - 455
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Conley, JJ, Price, JC. Midline vertical forehead flap. Otolaryngol Head Neck Surg 1981;89:38–44CrossRefGoogle ScholarPubMed
2 Jackson, IT. Local Flaps in Head and Neck Reconstruction. St Louis, Mosby, 1985Google Scholar
3 Barton, FE. Aesthetic aspects of nasal reconstruction. Clin Plast Surg 1988;15:155–61CrossRefGoogle ScholarPubMed
4 Deutsch, BD, Becker, FF. Secondary healing of Mohs defects of the forehead, temple, and lower eyelid. Arch Otolaryngol Head Neck Surg 1997;123:529–34CrossRefGoogle ScholarPubMed
5 Guerrerosantos, J. Frontalis musculocutaneous island flap for coverage of forehead defect. Plast Reconstr Surg 2000;105:18–22CrossRefGoogle ScholarPubMed
6 Menick, FJ. Aesthetic refinements in use of the forehead flap for nasal reconstruction: the paramedian forehead flap. Clin Plast Surg 1990;17:607–22CrossRefGoogle ScholarPubMed
7 Converse, JM, Wood-Smith, D. Experiences with the forehead island flap with a subcutaneous pedicle. Plast Reconstr Surg 1963;31:521–7CrossRefGoogle ScholarPubMed
8 Hassanpour, E, Mafi, P, Mozafari, N. Reconstruction of major forehead soft tissue defects with adjacent tissue and minimal scar formation. J Craniofac Surg 2005;16:1126–30CrossRefGoogle ScholarPubMed
9 Desai, R, Donnelly, H. Repair of a glabellar and inferior forehead defect. Dermatol Surg 2006;32:112–4CrossRefGoogle ScholarPubMed
10 Kiyokawa, K, Tai, Y, Tanabe, HY, Inoue, Y, Hayakawa, K, Shigemori, M et al. A surgical method for treating anterior skull base injuries. J Craniomaxillofac Surg 1999;27:11–19CrossRefGoogle ScholarPubMed
11 Leonard, AG. The forehead flap: minimising the secondary defect by preservation of the frontalis muscle. Br J Plast Surg 1983;36:322–6CrossRefGoogle ScholarPubMed