title: Usage of a rotational flap for coverage of a large central forehead defect.
abstract: Background:The forehead is a donor site for facial reconstruction but has no generous donor site for its coverage. All options of the reconstructive ladder can be used. A large rotation flap was used to reconstruct a big central forehead defect following failed previous repair in an elderly diabetic patient after a motor car accident.Case presentation:A 64-year-old diabetic man presented with an extensive central forehead defect after failed previous repair following a motor car accident. Coverage of the defect was performed using a flap based around the ear on one side in a rotation movement. An accepted functional and esthetic result was achieved after 3 months of follow-up.Conclusion:A rotation flap based on arteries around the ear can be used for coverage of a difficult lesion in the central forehead.Level of evidence:Level V, therapeutic study.
authors.affiliation: Plastic Surgery Center, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
authors.forename: Ahmed Hassan
authors.initials: AH
authors.lastname: El-Sabbagh
keywords: central area; forehead; large defect; rotation flap