forehead reconstructionn
DESCRIPTION
forehead reconstructionTRANSCRIPT
ForeheadReconstruction
Mansoor KhanPlastic & Reconstructive SurgeryHMC, Peshawar
Provide coverage to skull while not compromising the aesthetic
function of the forehead
Subunits of forehead
Pre-temporal Supra brow
Glabella
Anterior forehead
Laye
rs o
f the
fore
head
Arteria
l sup
ply o
f the
fore
head
Nerve supply of the forehead
Provision of stable tissue, non hair bearing, similar colour
tissue
Maintaining proper position/shape of the eyebrows
Preservation of smooth/continuous anterior
hairline
Planning incisions along the RSTLs, hairlines, vertical in the
glabella Goals of forehead reconstruction
Serial wound excision
Achieve tumor free wound
Considering radiated areas
Trauma protocol (xrays, CT)
Principles of forehead reconstruction
ForeheadReconstruction
OptionsDirect closure
Closure by secondary intension
Skin grafting
Local flapsDistant flaps
Free flapsTissue expansion
Primary closure
Closure by secondary intension
Split thickness skin grafting
Crane principle based flap
Shutter flaps
Shutter flaps closure
H-flap closure
H-flap closure
H- flap closure
Double rotation flaps
Single rotation flap
Worthen flap
Worthen flap closure
Esser cheek advancement
A-T flaps closure
A-T flaps closure
Transposition flap
3 flaps scalp expansile technique
Trapezius myocutaneous flap
Tissue expansion
ForeheadReconstruction
Microvascular free flaps and prefabrication
Single follicle transplantation
Composite grafting for brow reconstruction
Pedi
cled
flap
for b
row
reco
nstr
uctio
n