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January 1988

The Precise Midline Forehead Flap as a Musculocutaneous Flap

Author Affiliations

From the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Washington University School of Medicine, St Louis (Drs Thomas and Griner); and the Division of Facial Plastic Surgery, Department of Otolaryngology, Oregon Health Sciences University School of Medicine, Portland (Dr Cook).

Arch Otolaryngol Head Neck Surg. 1988;114(1):79-84. doi:10.1001/archotol.1988.01860130083020

• The forerunners of the midline forehead flap date back to ancient India. The flap, as modified in this presentation, is often the treatment of choice for reconstructing significant full-thickness defects of the nose. The flap described is designed as a musculocutaneous flap incorporating skin, subcutaneous tissue, muscle, and aponeurosis. The enhanced vascularity of this flap allows precise thinning and tailoring at the distal end. A stepwise description of flap design is outlined.

(Arch Otolaryngol Head Neck Surg 1988;114:79-84)