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Frontalis muscle flap: a novel method for donor site closure of an interpolated paramedian forehead flap

Published online by Cambridge University Press:  25 November 2009

J Montgomery ,
A T M Mace ,
C Cotter  and
S Sheikh
J Montgomery*
Affiliation:
Department of ENT, Gartnavel General Hospital, Glasgow, Scotland, UK
A T M Mace
Affiliation:
Department of ENT, Southern General Hospital, Glasgow, Scotland, UK
C Cotter
Affiliation:
Department of Maxillofacial Surgery, Southern General Hospital, Glasgow, Scotland, UK
S Sheikh
Affiliation:
Department of ENT, Southern General Hospital, Glasgow, Scotland, UK
*
Address for correspondence: Miss J Montgomery, Department of ENT, Royal Alexandria Hospital, Corsebar Road, Paisley, PA2 9PN. E-mail: jenny_montgomery@hotmail.co.uk
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Abstract

Objective:

We present a previously unreported technique which we have found useful for closure of the donor site created by a paramedian forehead flap, during nasal reconstruction.

Case report:

An 80-year-old woman was referred to the ENT department for management of a large tumour involving the left nasal dorsum. The lesion measured 2.5 × 2.5 cm, and an incisional biopsy confirmed moderately differentiated squamous cell carcinoma. Complete excision with an interpolated paramedian forehead flap reconstruction was performed. The pedicle was divided three weeks post-operatively, and the 2 × 2 cm forehead defect was closed at this time. A frontalis muscle flap and full thickness skin graft were used to close the donor site.

Conclusion:

A frontalis muscle flap is a novel method of closing large forehead defects created by a paramedian forehead flap. A frontalis muscle flap provides a healthy base for a full thickness skin graft, which allows good skin colour matching and an enhanced cosmetic result.

Keywords

FaceNoseSurgical Flaps
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 4 , April 2010 , pp. 453 - 455
Copyright
Copyright © JLO (1984) Limited 2009

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