Repair of Forehead Defects by Rotation of Local Flaps

The contralateral subgaleal sliding flap for the single-stage reconstruction of large defects of the temple and lateral forehead

“…The CLASS flap differs from Worthen's rotation forehead flap in that the horizontal limb of the flap is designed to ensure that two separate movements of advancement followed by rotation occur, which create the ‘sliding’ nature of the flap. This has several advantages over Worthen's flap: less tissue dissection is needed; large vertically orientated defects may also be repaired – unlike Worthen's flap which favours horizontally orientated defects; there is little risk of the ipsilateral frontal hairline being depressed inferiorly or ipsilateral eyebrow ptosis occurring; the sliding nature of the flap reduces the need to close the secondary defect of the frontal hairline with a second further scalp rotation flap, and by virtue of the flap's sliding nature, there is no need to extend the flap's incision lines into the hairline itself, which may result in a degree of cicatricial alopecia.…”

Use of Retroauricular Temporal Flap for Large Post Oncosurgical Glabellar and Forehead Defects

“…Rhomboid, multiple transposition or rotation flaps are reserved for small defects. 6,7 Scalp flap 8,9 brings undesirable hairy skin into the forehead area. Microvascular free flaps 10-12 are a good option but are difficult to execute particularly in this area.…”

Flap Dynamics

“…Rotation flaps with back-cuts for defects of the upper forehead help close otherwise difficult wounds. 19 The flap is made quite long and follows the hairline margin. The length creates a narrow secondary defect which may be closed subsequently.…”