Lateral Forehead Flap : A Reliable Flap in Difficult Conditions (original) (raw)

Introduction: Complex orofacial defects pose a difficult problem for reconstructive surgeon. History of previous surgery or radiation adds to the difficulty of reconstruction. In era of microsurgery, use of locoregional flaps, alone or in combination may prove to be the only practical solution in certain situations. Patients and Methods: Two cases of oral carcinoma were resected and the defects were reconstructed using the lateral forehead flap with the pectoralis myocutenous flap. In one of the cases 5th rib was harvested with PMMC flap for reconstruction of the mandibular defect. Result: In both the cases the donor defect was covered with split skin graft. All flaps survived and functional outcome was satisfactory. Aesthetic outcome of the donor defect was also acceptable. Conclusion: Lateral forehead flap is a reliable flap with an acceptable outcome in patients with previous history of radiation and surgery. Agarwal Avinash, Sharma Manik and Nanda Vipul* Department of Cosmetic a...

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