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Research Letter |

Use of Lateral Forehead Rotational Flaps to Close Paramedian Forehead Flap Donor Sites

Daniel R. Butz, MD1; Jeremy Warner, MD1,2
[+] Author Affiliations
1Section of Plastic and Reconstructive Surgery, University of Chicago Medicine, Chicago, Illinois
2Division of Plastic Surgery, NorthShore University HealthSystem, Northbrook, Illinois
JAMA Facial Plast Surg. 2016;18(2):146-148. doi:10.1001/jamafacial.2015.2002.
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This case series report reviews the use of lateral forehead rotational flaps to help close large forehead flap donor sites.

The paramedian forehead flap is commonly used for nasal reconstruction.14 The donor site can typically be closed primarily with acceptable scarring. However, for larger nasal defects, the donor site at the cephalic portion of the forehead is frequently too large to be closed primarily.5 Historically, these donor sites have been left to heal secondarily. However, this process can take months and comes at significant morbidity to the patient. This study reviews our experiences using lateral forehead rotational flaps to help close primarily large forehead flap donor sites.

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Figure.
Lateral Forehead Flap Case Example

A, Intraoperative photograph before reconstruction. B, Intraoperative photograph after bilateral cheek advancement flaps, paramedian forehead flap, and lateral forehead rotation flap for donor site closure. C, Frontal view of the patient 13 months after the reconstruction. D, Profile view of the patient 13 months after the reconstruction.

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