Presented as a poster at the American Head and Neck Society Combined Otolaryngology Spring Meetings, Chicago, Illinois, U.S.A., April 27–May 1, 2011.
Facial Plastics and Reconstructive Surgery
Article first published online: 2 JUL 2012
Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 122, Issue 8, pages 1679–1684, August 2012
How to Cite
Huang, A. T., Tarasidis, G., Yelverton, J. C. and Burke, A. (2012), A novel advancement flap for reconstruction of massive forehead and temple soft-tissue defects. The Laryngoscope, 122: 1679–1684. doi: 10.1002/lary.23355
The authors have no funding, financial relationships, or conflicts of interest to disclose.
- Issue published online: 25 JUL 2012
- Article first published online: 2 JUL 2012
- Accepted manuscript online: 11 APR 2012 02:29PM EST
- Manuscript Accepted: 23 MAR 2012
- Manuscript Revised: 19 MAR 2012
- Manuscript Received: 8 JAN 2012
- Forehead cutaneous defects;
- skin cancer reconstruction;
- cervicofacial flap;
- Level of Evidence: 4
To describe the authors' experience with an extended deep-plane cervicofacial (EDPCF) advancement flap, a modification of the deep-plane cervicofacial flap, for reconstruction of large forehead and temple soft-tissue defects.
Case series at a tertiary referral medical center.
The charts of 11 consecutive patients who underwent EDPCF flap surgery for reconstruction of forehead and temple skin cancer defects were reviewed for demographics, smoking status, defect size, length of surgery and hospitalization, American Society of Anesthesiologists Physical Status Classification (ASA) grade, and postoperative complications.
All patients had reconstruction of large forehead and temple defects following either primary resection or Mohs micrographic surgery for skin cancer. No skin grafting was required for secondary defects. The average defect size was 52.2 cm2. Patient ages averaged 74 years with a median ASA grade of 3. Thirty-six percent of patients admitted to smoking. Average operative time was 100 minutes, with 82% of patients treated on an outpatient basis. There were no complications of ectropion or facial nerve injury encountered. Partial distal flap necrosis occurred in one patient who admitted to smoking and resolved with conservative management.
The EDCPF flap is a robust flap with a dual arterial supply and both rotation and advancement components. It is ideal in frail patients with good soft-tissue laxity and provides an immediate one-stage reconstruction with ideal skin color, texture, and thickness matches for large forehead and temple defects.