Background: Six hundred years before Christ, the mid-forehead flap was described by the Indian Sushruta Samhita. Until today, this flap called ‘’Indian flap”, has a major role in the reconstruction of the nose. The aim of this work was to analyze the results of the 38th Infirmary of the Santa Casa da Misericórdia of Rio de Janeiro, Professor Ivo Pitanguy’s Service, in nasal reconstruction with ...

OBJECTIVE The aim of this surgical procedure was to definitively correct severe recurrent upper and lower bilateral eyelid ectropion after 2 attempts with full-thickness skin grafts. It was necessary to repair all 4 eyelids with forehead skin. Middle lamella support was required. METHODS Bilateral median forehead flaps, which were well vascularized by the supratrochlear vessels, were chosen f...

Objective: To evaluate the clinical efficacy and safety of different expanded forehead flaps in the cerviofacial reconstruction, aiming to identify an optimal technique. Methods: A total of 70 patients who suffered from scars contracture, nevus, vascular anomalies (hemangioma and capillary malformation), nasal defects and facial cleft admitted to our hospital between June 2014 and December 2016...

Background: The forehead is a donor site for facial reconstruction but has no generous donor site for its coverage. All options of the reconstructive ladder can be used. A large rotation flap was used to reconstruct a big central forehead defect following failed previous repair in an elderly diabetic patient after a motor car accident. Case presentation: A 64-year-old diabetic man presented wit...

Figure 1. Preoperative aspect.

Because of its ideal color and texture, forehead skin is acknowledged as the best donor site with which to resurface the nose. However, all forehead flaps, regardless of their vascular pedicles, are thicker than normal nasal skin. Stiff and flat, they do not easily mold from a two-dimensional to a three-dimensional shape. Traditionally, the forehead is transferred in two stages. At the first st...

Background: Local facial flaps are frequently used reconstructive option and are carrying very good outcome as regard matching, texture, and less scarring. This study was designed retrospectively to evaluate the flap survival and aesthetic outcome of the three commonly used local facial flaps. Material and methods: Retrospective analysis of 175 patients whom were managed by local fasciocutanous...