Journal of Cutaneous and Aesthetic Surgery
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Year : 2013  |  Volume : 6  |  Issue : 3  |  Page : 152-154

Upper forehead skin reconstruction with H-flap

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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-2077.118415

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Introduction: There are several options for forehead defect'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.

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