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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/2055

Title: The Forehead Flap: A Valuable Option in Resource Depleted Environment
Authors: Agbara, Rowland
Fomete, Benjamin
Obiadazie, Athanasius Chukwudi
Omeje, Kelvin Uchenna
Amole, Olushola Ibiyinka
Keywords: Orofacial
soft tissue defect
delayed reconstruction
Issue Date: 25-Apr-2016
Publisher: Plastic and Aesthetic Research
Citation: Agbara R, Fomete B, Obiadazie AC, Omeje KU, Amole OI. The forehead flap: a valuable option in resource depleted environment. Plast Aesthet Res 2016;3:115-20.
Series/Report no.: Vol. 3;Pp 115-120
Abstract: Aim: Reconstruction of orofacial soft tissue defect is often challenging and this is more difficult in resource challenged environment. This retrospective study highlights our experience with the use of forehead flap to overcome some of the challenges of orofacial reconstruction in a resource depleted environment. Methods: A 23-year retrospective analysis of all patients who had orofacial defect reconstruction using forehead flap in our department was undertaken. Information was sourced from patient’s case notes and operating theatre records. Data was analyzed using Statistical Package for Social Sciences (SPSS) version 16 (SPSS Inc., Chicago, IL, USA) and Microsoft Excel 2007 (Microsoft, Redmond, WA, USA). Results: A total of 43 patients were managed within the period reviewed and consisted of 31 (72.1%) males and 12 (27.9%) females. Trauma 24 (55.8%) accounted for most defect and the lip was the commonest site of defect. Complete forehead flap was used in 31 (72.1%) of cases and when timing of defect repair is considered, delayed reconstruction was the preferred method. Postoperative complications was observed in 8 (18.6%) patients and consisted of failed flap in 2 (25.0%) patients, tumor recurrence in reconstructed site in 2 (25.0%) patients and tumor occurrence in forehead flap donor site in 1 (12.5%) patient. Conclusion: The forehead flap remains a reliable option in orofacial soft tissue defect reconstruction. It is easy to raise and can provide coverage for wide defects as far as the paramandibular and submandibular regions. Moreover, it does not require patient repositioning.
URI: http://hdl.handle.net/123456789/2055
ISSN: 2349-6150
Appears in Collections:Surgery

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