Journal of Cutaneous and Aesthetic Surgery

ORIGINAL ARTICLE
Year
: 2013  |  Volume : 6  |  Issue : 3  |  Page : 152--154

Upper forehead skin reconstruction with H-flap


Ali Ebrahimi1, Nasrin Nejadsarvari2 
1 Departement of Plastic Surgery and Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
2 Departement of Plastic Surgery and Trauma Research Center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran

Correspondence Address:
Ali Ebrahimi
Departement of Plastic Surgery and Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran
Iran

Introduction: There are several options for forehead defect«SQ»s reconstructions, including different local flaps, regional flaps, free flaps and skin grafts. We used double opposing rectangular advancement flaps (H-flap) in the upper forehead defects. Materials and Methods: This is a prospective case series study that has done in Plastic surgery ward. Of the 10 patients, six were women and four were men, their median age was 61 years (range 50-79 years). Mean follow-up of patients were 15 months and there was no recurrence during this time. We reconstructed forehead after excision of tumours in the same operation. Results: Aesthetic results of H-flap in all cases were great with patient satisfaction according to questionnaire sheets. Conclusion: This local flap is a reliable and safe way for upper forehead defects up to 6 cm lengths. Long-term follow up showed inconspicuous scars and good texture and colour match of the reconstructed forehead. We recommend this flap for upper forehead reconstruction in defects between 4 cm and 6 cm. Directions of incisions are parallel to resting skin tension line and length to width of flap considered 2:1 with excision of burrow triangle from both side. We used silicon sheet post operatively for 3 months for better aesthetic results.


How to cite this article:
Ebrahimi A, Nejadsarvari N. Upper forehead skin reconstruction with H-flap.J Cutan Aesthet Surg 2013;6:152-154


How to cite this URL:
Ebrahimi A, Nejadsarvari N. Upper forehead skin reconstruction with H-flap. J Cutan Aesthet Surg [serial online] 2013 [cited 2020 Jul 7 ];6:152-154
Available from: http://www.jcasonline.com/article.asp?issn=0974-2077;year=2013;volume=6;issue=3;spage=152;epage=154;aulast=Ebrahimi;type=0