Repair of a Large Lateral Forehead and Temple Defect

Seine, Adrian J.; Salmon, P. R.; Mortimer, N.J.

doi:10.1097/dss.0000000000003495

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2023

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“…One could also use other approaches to repair this defect such as a combination of flaps or a flap with a graft. 1,2 For instance, one could use a rhombic flap from the temple to close the lateral two-thirds of the wound and an advancement flap of the forehead from medial to lateral or a transposition flap from the medial forehead could be used to close the remainder of the defect. Combining multiple flaps is often an acceptable option, but does come with the downside of multiple procedures and an increased number of scar lines.…”

Section: Nature Of the Conundrummentioning

confidence: 99%

Repair of Large Lateral Forehead and Temporal Wound

Anderson,

Bennett

2023

Dermatol Surg

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A 91-year-old man was referred with a 0.8-3 1.0-cm pearly papule in a larger ill-defined sclerotic plaque on the left temple that on biopsy showed a basal cell carcinoma. The tumor was removed by Mohs micrographic surgery in 6 stages resulting in a wound that measured 4.0 3 5.0 cm (Figure 1). The defect involved the left lateral forehead and superior temple, sparing the eyebrow. How would you repair this defect? Figure 1. Defect after tumor was excised with Mohs surgery.

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Section: Nature Of the Conundrummentioning

confidence: 99%