O to T Flap for Central Forehead Defect Reconstruction
- PDF / 983,137 Bytes
- 4 Pages / 595.276 x 790.866 pts Page_size
- 7 Downloads / 195 Views
CASE REPORT
O to T Flap for Central Forehead Defect Reconstruction Abhishek Ghosh1 • Swagnik Chakrabarti1 • Atul Kumar Rai1 • Tanvi Choubey1 Achyuth Panuganti1 • Sandeep Bhukar1
•
Received: 30 January 2019 / Accepted: 8 August 2019 Ó The Association of Oral and Maxillofacial Surgeons of India 2019
Abstract The reconstruction of central forehead defect is challenging because of the paucity of the adjacent extensible tissue and aesthetic importance of the area. Reconstruction of this region should be done keeping in mind brow symmetry and natural hairline. Camouflaging the final scar lines in wrinkles or hairline should be the final goal. Even small resections in this region can be surprisingly difficult owing to resistance offered by galea to advancement despite significant undermining due to its inelastic composition and position over the skull’s natural convexity. Following, we present a case report wherein we describe a technique for the reconstruction of central forehead defects using simple Burrow’s triangles. Keywords O to T flap Forehead defect Periglabellar flap Burrow’s triangle
Introduction The reconstruction of central forehead defect is challenging because of the paucity of the adjacent extensible tissue and aesthetic importance of the area [1]. Reconstruction of this region should be done keeping in mind brow symmetry and natural hairline [1]. Camouflaging the final scar lines in wrinkles or hairline should be the final goal. Even small resections in this region can be surprisingly difficult owing to resistance offered by galea to advancement despite significant undermining due to its inelastic composition and position over the skull’s natural convexity [1]. Following, we present a case report wherein we describe a technique for the reconstruction of central forehead defects using simple Burrow’s triangles.
Case Report
& Abhishek Ghosh [email protected] Swagnik Chakrabarti [email protected] Atul Kumar Rai [email protected] Tanvi Choubey [email protected] Achyuth Panuganti [email protected]
A 77-year-old gentleman presented to the head and neck surgical oncology department with complains of progressively increasing non-healing ulcer, measuring 2 9 2 cm2, over the central forehead since last 1 year. The patient was a farmer, ECOG 2 with cardiac comorbidities and uncontrolled hypertension precluding the use of general anaesthesia. Biopsy revealed the lesion to be squamous cell carcinoma, and a CT scan did not show any bone erosion or cervical lymphadenopathy. He underwent wide excision of the lesion with 1.5 cm margin all around with base being the periosteum. The final defect size was 5 9 5 cm2.
Sandeep Bhukar [email protected] 1
Homi Bhabha Cancer Hospital, Old Loco Colony, Shivpurwa, Varanasi, Uttar Pradesh 221002, India
123
J. Maxillofac. Oral Surg.
Fig. 1 Dark circle represents the defect in the central forehead. The triangles represent the Burrow’s triangles designed for closure of the defect
Surgical Technique for Closure of the Defect Superi
Data Loading...
