Forehead Defects Reconstruction Using Double Opposing Rotation Advancement Flaps.

Corresponding Author:
Durga Prasada Rao Pothula,
Assistant Professor,
Department of Plastic Surgery,
Rangaraya Medical College,
Kakinada, Andhra Pradesh, India.
E-mail: pothuladp@gmail.com

ABSTRACT

BACKGROUND

Reconstruction of a forehead defect is a challenge to the reconstructive surgeon. The existing options for closure of forehead defects may range from primary closure to free flaps. We wanted to evaluate the double opposing rotation advancement flaps for closure of small to large forehead defects.

METHODS

We have used double opposing rotation advancement flaps for reconstruction of forehead defects. Small to large forehead defects are closed by this method without distorting the anatomical landmarks like eyebrow and hairline. 25 patients have undergone double opposing rotation and advancement flaps as a single stage procedure.

RESULTS

Suture line healing was good in all cases. Two cases where defect was more than 30 sq. mm witnessed minimal gaps at the reach of tip of each flap. Later, these gaps healed secondarily with good results. No revisions were done in entire series of cases. The dog ear at the lower pole of the defect is handled as per standard techniques described.

CONCLUSIONS

Forehead defects can be closed using double opposing rotation advancement flaps without disturbing the anatomical landmarks of eyebrow and hair line.

KEY WORDS

Double Opposing Rotation Advancement Flaps, Forehead Defect, Eyebrow, Hair Line