title: Frontalis-based island pedicle flaps for the single-stage repair of large defects of the forehead and frontal scalp.
abstract: BACKGROUND
  Medium- to large-sized surgical defects of the forehead and frontal scalp provide a challenge for the reconstructive surgeon.
  
  
  OBJECTIVE
  To highlight the utility of a frontalis-based island pedicle flap (FIPF) for the single-stage, aesthetic reconstruction of such defects.
  
  
  METHODS
  The design and detailed surgical technique required for a FIPF are described.
  
  
  RESULTS
  The long-term results are illustrated.
  
  
  CONCLUSIONS
  FIPFs, despite significant tissue dissection, are readily performed under local anaesthesia and are well tolerated by patients. The FIPF adds to the dermatological surgeon's armamentarium in the reconstruction of large defects of the central forehead and frontal scalp.
authors.affiliation: Department of Mohs Micrographic and Reconstructive Surgery, Leeds Centre for Dermatology, Leeds General Infirmary, Leeds, UK. walayat.hussain@leedsth.nhs.uk
authors.forename: W
authors.initials: W
authors.lastname: Hussain
authors.forename: J
authors.initials: J
authors.lastname: Hafiji
authors.forename: P
authors.initials: P
authors.lastname: Salmon
mesh_terms: D002277:Carcinoma / Q000601:surgery; D005153:Facial Neoplasms / Q000601:surgery; D005546:Forehead / Q000601:surgery*; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D015580:Mohs Surgery / Q000379:methods; D012535:Scalp / Q000601:surgery*; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps