Forehead Flap for Facial Defects Reconstruction: Case Series and Review of The Literature

Authors

  • Tan Margaretha Heidina Handoko Division of Plastic Reconstructive and Aesthetic Surgery, DR. Kariadi Central-General Hospital, Semarang https://orcid.org/0009-0009-7520-5901
  • Darryl Samuel Division of Plastic Reconstructive and Aesthetic Surgery, DR. Kariadi Central-General Hospital, Semarang
  • Dona Christin Victe Division of Plastic Reconstructive and Aesthetic Surgery, DR. Kariadi Central-General Hospital, Semarang
  • Zulaekha Yolla Division of Plastic Reconstructive and Aesthetic Surgery, DR. Kariadi Central-General Hospital, Semarang
  • Gina Yunita Joice Sitorus Division of Plastic Reconstructive and Aesthetic Surgery, DR. Kariadi Central-General Hospital, Semarang

DOI:

https://doi.org/10.14228/jprjournal.v10i2.364

Keywords:

Surgical flap, Forehead flap, Facial defect, Reconstruction

Abstract

Introduction: Forehead flap is one of the oldest techniques for reconstruction of the facial defects. Throughout the years, various advances in technologies and surgical techniques are continuously developing. Despite the ongoing advances in technology, forehead flap may be a simpler and useful alternative for facial defects.

Method: This study was a retrospective case series of four patients presented to Dr. Kariadi Central-General Hospital during 2021-2022 with facial defects undergoing reconstruction with forehead flap. Case report based on the medical and surgical records.

Result: All patients underwent reconstruction surgery in 2 stages. The first stage was flap elevation and transfer, and the second surgery was flap division and inset weeks later. All patients had overall good outcomes.

Conclusion: Forehead flap is technically simple to perform, easy to master and provides good outcomes. In cases of free flap loss, a forehead flap can be used as a Plan B. Therefore, forehead flap is a reliable option for facial defect reconstruction and should be mastered especially by general plastic surgeons.

References

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Midya M, Galwa R, Goil P. The utility of the lateral forehead flap in demanding reconstructive situations: our experience in a tertiary care center. Niger J Plast Surg. 2020;16(1):9. DOI: https://doi.org/10.4103/njps.njps_10_18

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Price DL, Sherris DA, Bartley GB, Garrity JA. Forehead flap periorbital reconstruction. Arch Facial Plast Surg. 2004;6(4):222–7. DOI: https://doi.org/10.1001/archfaci.6.4.222

Hammer D, Williams F, Kim R. Paramedian Forehead Flap. Atlas Oral Maxillofac Surg Clin North Am. 2020;28(1):23–8. DOI: https://doi.org/10.1016/j.cxom.2019.11.003

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Published

08-01-2025

How to Cite

1.
Forehead Flap for Facial Defects Reconstruction: Case Series and Review of The Literature. J Plast Rekons [Internet]. 2025 Jan. 8 [cited 2025 Aug. 10];10(2):30-5. Available from: https://dev.jprjournal.com/index.php/jpr/article/view/364

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