title: Use of the hemifrontal flap in reconstruction of the forehead.
abstract: The hemifrontal flap is an efficient way of reconstructing large unilateral defects that involve the hemiforehead. Six patients had their foreheads reconstructed after the excision of neglected tumours in the frontal region. The flap was designed to provide adequate repair of large defects including the periosteum. The width of the flap above the eyebrow is almost equal to the vertical height of the forehead in the midline. Efficient reconstruction of the primary defect including surface and depth was achieved in all patients. There were no complications with the viability of the flap. The hairline and the line of the eyebrows were preserved in their original sites, with no alteration in the aesthetic landmarks of the forehead in 3 cases, where there was no invasion of tumour.
authors.affiliation: Department of Plastic and Reconstructive Surgery, A.Sygros Hospital 5 I.Dragoumi Str, Athens University, Medical School, 16121 Athens, Greece.
authors.forename: Othon
authors.initials: O
authors.lastname: Papadopoulos
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Karypidis
authors.forename: Chrisostomos
authors.initials: C
authors.lastname: Chrisostomidis
authors.forename: Petros
authors.initials: P
authors.lastname: Konofaos
authors.forename: Grigorios
authors.initials: G
authors.lastname: Champsas
authors.forename: George
authors.initials: G
authors.lastname: Kazdaglis
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002280:Basal Cell Carcinoma / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004954:Esthetics; D005152:Facial Muscles / Q000033:anatomy & histology; D005153:Facial Neoplasms / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005546:Forehead / Q000033:anatomy & histology / Q000601:surgery*; D005624:Frontal Bone / Q000601:surgery; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D018714:Radiotherapy, Adjuvant; D019651:Plastic Surgery Procedures / Q000379:methods*; D012867:Skin / Q000033:anatomy & histology; D012878:Skin Neoplasms / Q000601:surgery; D016038:Skin Transplantation / Q000379:methods; D012888:Skull Neoplasms / Q000601:surgery; D013524:Surgical Flaps / Q000473:pathology; D013701:Temporal Bone / Q000601:surgery; D015050:Zygoma / Q000601:surgery