The H-flap: a useful flap for forehead reconstruction

Rose, Victoria; Overstall, Simon; Moloney, Dominique M.; Powell, Barry

doi:10.1054/bjps.2001.3689

Cited by 22 publications

(11 citation statements)

References 4 publications

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“…We have found that the term H-flap provides a readily communicated alternate to double opposing rectangular advancement flaps. [9] We recommend this flap for upper forehead reconstruction in defects between 4 cm and 6 cm. Directions of incisions are parallel to resting skin tension line and length to width of flap considered 2:1 with excision of burrow triangle from both side.…”

Section: Discussionmentioning

confidence: 99%

Upper forehead skin reconstruction with H-flap

Ebrahimi¹,

Nejadsarvari²

2013

J Cutan Aesthet Surg

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Introduction:There are several options for forehead defect's reconstructions, including different local flaps, regional flaps, free flaps and skin grafts. We used double opposing rectangular advancement flaps (H-flap) in the upper forehead defects.Materials and Methods:This is a prospective case series study that has done in Plastic surgery ward. Of the 10 patients, six were women and four were men, their median age was 61 years (range 50-79 years). Mean follow-up of patients were 15 months and there was no recurrence during this time. We reconstructed forehead after excision of tumours in the same operation.Results:Aesthetic results of H-flap in all cases were great with patient satisfaction according to questionnaire sheets.Conclusion:This local flap is a reliable and safe way for upper forehead defects up to 6 cm lengths. Long-term follow up showed inconspicuous scars and good texture and colour match of the reconstructed forehead. We recommend this flap for upper forehead reconstruction in defects between 4 cm and 6 cm. Directions of incisions are parallel to resting skin tension line and length to width of flap considered 2:1 with excision of burrow triangle from both side. We used silicon sheet post operatively for 3 months for better aesthetic results.

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Section: Discussionmentioning

confidence: 99%

Upper forehead skin reconstruction with H-flap

Ebrahimi¹,

Nejadsarvari²

2013

J Cutan Aesthet Surg

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“…This technique is used for defects up to 30 mm in diameter. 6 The supraorbital artery, vein, and nerve emerge from the skull or orbit through the supraorbital foramen, located, on average, approximately 2.5 cm from the midline, and situated at an average distance of about 1.5 mm above the supraorbital rim. The supratrochlear vessels and nerve emerge from the orbit through the supratrochlear notch.…”

Section: Discussionmentioning

confidence: 99%

Repair of Large Defects in the Forehead Using a Median Forehead Rotation Flap and Advancement Lateral U-Shaped Flap

Redondo¹

2006

Dermatologic Surgery

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“…Embora geralmente elevados no plano subcutâneo, os retalhos podem ser mais facilmente elevados no plano subgaleal/subfrontal em pacientes idosos com a pele mais fina. O fechamento procede de lateral para medial, alimentando os retalhos centralmente e assim, ao contrário de outros métodos, evita-se a necessidade de excisar os triângulos de Burrow, o que resultaria em cicatrizes verticais desnecessárias (ROSE et al, 2001). Dessa forma, ao se encontrar centralmente, os retalhos formaram um "H".…”

Section: Técnica Cirúrgica Utilizadaunclassified

“…O uso de outras técnicas de reconstrução (retalhos V -Y, retalhos de avanço com rotação A-T) resultariam numa cicatriz vertical mais significativa, ou em cicatrizes oblíquas menos bem camufladas nos vincos da pele, ou ainda em ruptura da linha dos pelos (ROSE et al, 2001).…”

Section: Técnica Cirúrgica Utilizadaunclassified

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Carcinoma Basocelular Em Supercílio Reconstrução Com Retalho Bilateral: Um Relato De Caso

Faíco-Filho

Oliveira²,

Batista³

et al. 2018

Nucleus

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RESUMO:O carcinoma basocelular (CBC) é a neoplasia maligna mais comum em humanos e sua incidência vem aumentando nas últimas décadas. Apesar das baixas taxas de mortalidade e de rara ocorrência de metástases, o tumor pode apresentar comportamento invasivo local e recidivas após o tratamento, provocando importante morbidade. Exposição à radiação ultravioleta representa o principal fator de risco ambiental associado a sua gênese, sendo portanto, um fator prevenível. O presente trabalho visa relatar o caso de uma paciente diagnosticada com carcinoma basocelular do tipo infiltrativo em supercílio, que foi submetida à cirurgia de retirada da lesão utilizando-se a técnica de reconstrução com retalho bilateral. Tal procedimento foi acompanhado pelos estudantes autores do trabalho, que aprofundaram-se no tema e realizaram uma extensa revisão correlacionada. Foi também explorada a dificuldade de reconstrução do local acometido, que representa um desafio ao cirurgião, tanto pelo baixo número de opções corretivas quanto pela região esteticamente crucial ao paciente. Concluiu-se que além de um diagnóstico precoce, é fundamental que o tratamento adequado seja implementado, e posteriormente, um acompanhamento ambulatorial rigoroso deve ser realizado.Palavras-chave: Carcinoma basocelular. Supercilio. Retalho bilateral SUMMARY : Basal cell carcinoma (BCC) is the most common malignant neoplasm in humans and its incidence has been increasing in recent decades. Despite the low mortality rates and the rare occurrence of metastases, the tumor may present local invasive behavior and relapses after treatment, causing important morbidity. Exposure to ultraviolet radiation represents the main environmental risk factor associated with its genesis, and is therefore a preventable factor. The present study aims to report the case of a patient diagnosed with basal cell carcinoma of the infiltrative type on the eyebrow, who underwent surgery to remove the lesion using the technique of bilateral flap reconstruction. This procedure was followed by the student authors of the study, who deepened the subject and carried out an extensive review related to it. The difficulty of reconstructing the affected site was also explored, which represents a challenge to the surgeon, both because of the low number of corrective options and the region aesthetically crucial to the patient. It was concluded that in addition to an early diagnosis, it is essential that appropriate treatment be implemented, and afterwards, a rigorous outpatient follow-up should be performed.Keywords: Basal cell carcinoma. Eyebrow. Bilateral flap reconstruction RESUMEN: El carcinoma de células basales (CCB) es el tumor maligno más frecuente en los seres humanos y su incidencia ha aumentado en las últimas décadas. Aunque suponga bajas tasas de mortalidad y la aparición de metástasis sea infrecuente, el tumor puede tener un comportamiento local invasivo y recidivas después del tratamiento, por lo que presenta niveles de morbilidad significativos. La exposición a la radiación ultraviole...

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The H-flap: a useful flap for forehead reconstruction

Cited by 22 publications

References 4 publications

Upper forehead skin reconstruction with H-flap

Upper forehead skin reconstruction with H-flap

Repair of Large Defects in the Forehead Using a Median Forehead Rotation Flap and Advancement Lateral U-Shaped Flap

Carcinoma Basocelular Em Supercílio Reconstrução Com Retalho Bilateral: Um Relato De Caso

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