A novel technique for forehead and eyebrow reconstruction using a temporal hairline flap combined with a free forearm flap: a report of two cases

Masakatsu Hihara; Rina Hikiami; Toshihito Mitsui; Natsuko Kakudo; Maki Okamoto; Atsuyuki Kuro; Kenji Kusumoto

doi:10.1093/jscr/rjac004

A novel technique for forehead and eyebrow reconstruction using a temporal hairline flap combined with a free forearm flap: a report of two cases

J Surg Case Rep. 2022 Jan 30;2022(1):rjac004. doi: 10.1093/jscr/rjac004. eCollection 2022 Jan.

Authors

Masakatsu Hihara¹, Rina Hikiami¹, Toshihito Mitsui¹, Natsuko Kakudo¹, Maki Okamoto¹, Atsuyuki Kuro¹, Kenji Kusumoto¹

Affiliation

¹ Department of Plastic and Reconstructive Surgery, Kansai Medical University, Osaka, Japan.

Abstract

We herein report a novel technique for managing large forehead skin defects that include the eyebrows and upper eyelid. Case 1 was of a 55-year-old woman with an eccrine carcinoma (T2N0M0) at the right forehead, resulting in a skin defect 15 cm in diameter. Case 2 was of an 81-year-old man with a malignant peripheral nerve sheath tumor (T1a N0M0) at the left forehead, resulting in a skin defect 18 cm in diameter. A pedicled temporal hairline flap and free forearm flap were combined and placed on the defect, and good eyebrows and forehead morphology was ultimately achieved.