title: The precise midline forehead flap as a musculocutaneous flap.
abstract: The forerunners of the midline forehead flap date back to ancient India. The flap, as modified in this presentation, is often the treatment of choice for reconstructing significant full-thickness defects of the nose. The flap described is designed as a musculocutaneous flap incorporating skin, subcutaneous tissue, muscle, and aponeurosis. The enhanced vascularity of this flap allows precise thinning and tailoring at the distal end. A stepwise description of flap design is outlined.
authors.affiliation: Department of Otolaryngology, Washington University School of Medicine, St Louis, MO 63110.
authors.forename: J R
authors.initials: JR
authors.lastname: Thomas
authors.forename: N
authors.initials: N
authors.lastname: Griner
authors.forename: T A
authors.initials: TA
authors.lastname: Cook
mesh_terms: D005546:Forehead / Q000601:surgery*; D006801:Humans; D008722:Methods; D009666:Nose / Q000601:surgery*; D013524:Surgical Flaps