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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]
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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

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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