Forehead<br />Reconstruction <br />Mansoor Khan<br />Plastic & Reconstructive Surgery<br />HMC, Peshawar<br />
Provide coverage to skull while not compromising the aesthetic function of the forehead<br />
Anterior forehead<br />Supra brow <br />Pre-temporal<br />Glabella<br />Subunits of forehead<br />
Layers of the forehead<br />
Arterial supply of the forehead<br />
Nerve supply of the forehead<br />
Provision of stable tissue, non hair bearing, similar colour tissue<br />Maintaining proper position/shape of the eyebrows...
Serial wound excision<br />Achieve tumor free wound <br />Considering radiated areas  <br />Trauma protocol (xrays, CT)<br...
Forehead<br />Reconstruction Options<br />Direct closure<br />Closure by secondary intension<br />Skin grafting<br />Local...
Primary closure<br />
Closure  by secondary intension<br />
Split thickness skin grafting<br />
Crane principle based flap<br />
Shutter flaps<br />
Shutter flaps closure<br />
H-flap closure<br />
H-flap closure<br />
H- flap closure<br />
Double rotation flaps<br />
Single rotation flap<br />
Worthen flap<br />
Worthen flap closure<br />
Esser cheek advancement <br />
A-T flaps closure<br />
A-T flaps closure<br />
Transposition flap<br />
3 flaps scalp expansile technique<br />
Trapeziusmyocutaneous flap<br />
Tissue expansion<br />
Forehead<br />Reconstruction <br />Microvascular free flaps and prefabrication<br />
Single follicle transplantation<br />
Composite grafting for brow  reconstruction<br />
Pedicled flap for brow reconstruction <br />
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Forehead reconstructionn

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forehead reconstruction

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Forehead reconstructionn

  1. 1. Forehead<br />Reconstruction <br />Mansoor Khan<br />Plastic & Reconstructive Surgery<br />HMC, Peshawar<br />
  2. 2. Provide coverage to skull while not compromising the aesthetic function of the forehead<br />
  3. 3. Anterior forehead<br />Supra brow <br />Pre-temporal<br />Glabella<br />Subunits of forehead<br />
  4. 4. Layers of the forehead<br />
  5. 5. Arterial supply of the forehead<br />
  6. 6. Nerve supply of the forehead<br />
  7. 7. Provision of stable tissue, non hair bearing, similar colour tissue<br />Maintaining proper position/shape of the eyebrows <br />Preservation of smooth/continuous anterior hairline <br />Planning incisions along the RSTLs, hairlines, vertical in the glabella<br />Goals of forehead reconstruction<br />
  8. 8. Serial wound excision<br />Achieve tumor free wound <br />Considering radiated areas <br />Trauma protocol (xrays, CT)<br />Principles of forehead reconstruction<br />
  9. 9. Forehead<br />Reconstruction Options<br />Direct closure<br />Closure by secondary intension<br />Skin grafting<br />Local flaps<br />Distant flaps<br />Tissue expansion<br />Free flaps<br />
  10. 10.
  11. 11. Primary closure<br />
  12. 12. Closure by secondary intension<br />
  13. 13. Split thickness skin grafting<br />
  14. 14. Crane principle based flap<br />
  15. 15. Shutter flaps<br />
  16. 16. Shutter flaps closure<br />
  17. 17. H-flap closure<br />
  18. 18. H-flap closure<br />
  19. 19. H- flap closure<br />
  20. 20. Double rotation flaps<br />
  21. 21. Single rotation flap<br />
  22. 22. Worthen flap<br />
  23. 23. Worthen flap closure<br />
  24. 24. Esser cheek advancement <br />
  25. 25. A-T flaps closure<br />
  26. 26. A-T flaps closure<br />
  27. 27. Transposition flap<br />
  28. 28. 3 flaps scalp expansile technique<br />
  29. 29. Trapeziusmyocutaneous flap<br />
  30. 30. Tissue expansion<br />
  31. 31. Forehead<br />Reconstruction <br />Microvascular free flaps and prefabrication<br />
  32. 32. Single follicle transplantation<br />
  33. 33. Composite grafting for brow reconstruction<br />
  34. 34. Pedicled flap for brow reconstruction <br />
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