Eur J Plast Surg (2012) 35:779–780 DOI 10.1007/s00238-012-0734-y LETTER TO THE EDITOR Forehead flap design modification to overcome hairline limitation of length Ravi Kumar Tomar & Robert A. Pearl & Ciaran Healy Received: 16 April 2012 /Accepted: 8 May 2012 /Published online: 29 May 2012 Springer-Verlag 2012 Sir, The forehead flap was raised distal to proximal, with The paramedian forehead flap is currently the most com- the hair-bearing portion of the flap (distal 2 cm) raised monly used technique for nasal reconstruction within our thinly just below the epidermis, ensuring that the folli- practice; however, a regularly encountered problem is that culoapocrine apparatuses were left in situ and not in- of hairline limitation to flap length. When reconstructing the cludedinthe flap (Y in Fig. 1). The remainder of the nasal tip and columella, the length of flap required to correct forehead flap was raised and transferredinthe standard the defect often requires extension into the hair-bearing manner. The donor site was closed directly in the mid- scalp (not only for patients with a short forehead), resulting forehead, whilst the upper forehead was dressed with in the less than satisfactory appearance of the donor site scar. moist alginate dressings and allowed
European Journal of Plastic Surgery – Springer Journals
Published: Oct 1, 2012
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