The forehead flap is a workhorse for reconstruction of large cutaneous nasal defects, including from ala to ala. It is characterized by its dependability, consistent anatomy, robust perfusion pressure at the pedicle base, and excellent texture match. The midline forehead flap design has the advantage of a donor site scar in the midline of the forehead rather than paramedian, which is often less conspicuous. The curved pedicle also gives a slightly longer reach.1
A, Defect marked out on the forehead taking to ensure crisp corners. The skin paddle is in the midline, and the blood supply is centered over the supratrochlear arteries and its collaterals. B, Status post–forehead flap inset. The forehead defect is closed primarily, and care is taken to ensure eyebrow symmetry.
Thank you for submitting a comment on this article. It will be reviewed by JAMA Facial Plastic Surgery editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Steps of a midline forehead flap used in reconstruction of a cutaneous nasal defect.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 13
Customize your page view by dragging & repositioning the boxes below.
Midline Forehead Flap in Reconstruction of Cutaneous Nasal Defect
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.