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April 1973

The Forehead Flap: Technique and Complications

Author Affiliations

St. Louis
From the Department of Otolaryngology, Washington University School of Medicine, St. Louis. Dr. Biller is currently with Mount Sinai School of Medicine, New York; Dr. Brownson is now in private practice in Tulsa, Okla.

Arch Otolaryngol. 1973;97(4):316-318. doi:10.1001/archotol.1973.00780010326006

The records of 43 patients requiring a forehead flap for reconstruction following oral or pharyngeal resection were reviewed in order to assess complications and to find the preferred operative technique.

Major complications were present in 23% of the patients. Passage of the flap beneath zygoma, without fracture of the zygoma on occasion, is felt to be the preferred method of gaining entrance into the oral cavity. Factors related to complications including fistula formation, facial nerve paralysis, flap necrosis, and osteomylitis are discussed.

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