Advancement flaps for large defects of the eyebrow, glabella, forehead, and temple. Ophthalmic Plast Reconstr Surg 2002 Mar;18(2):138-45
Date
03/19/2002Pubmed ID
11897955DOI
10.1097/00002341-200203000-00008Scopus ID
2-s2.0-0036202947 (requires institutional sign-in at Scopus site) 21 CitationsAbstract
PURPOSE: To describe a system for reconstruction of large defects of the eyebrow, glabella, forehead, and temple. The system maximizes the use of direct approximation and advancement flaps before resorting to less aesthetic techniques.
METHODS: This was a retrospective cohort study drawn from approximately 70 patients with post-Mohs defects of the eyebrow, glabella, forehead, and temple. Surgical intervention involved the graded application of direct approximation, horizontally oriented advancement flaps, rotational flaps, and free skin grafts. The selection of individual and combined techniques was based on defect area and depth, elasticity of adjacent tissues, and relations of the defect to the neighboring eyebrows and hairlines.
RESULTS: Reconstructive techniques applied to defects of the eyebrow, glabella, forehead, and temple can be arranged in an incremental scale that provides progressively more tissue but at an escalating aesthetic cost. The usual defect size limits for direct approximation and advancement flaps can be expanded.
CONCLUSIONS: To avoid the limitations of large rotational flaps and skin grafts in this region, maximal use of direct approximation and advancement flaps is recommended.
Author List
Harris GJ, Garcia GHAuthor
Gerald J. Harris MD Professor in the Ophthalmology and Visual Sciences department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Cohort StudiesEyebrows
Facial Muscles
Female
Forehead
Humans
Male
Mohs Surgery
Ophthalmologic Surgical Procedures
Retrospective Studies
Skin Neoplasms
Skin Transplantation
Surgical Flaps
