Single-staged Islanded Forehead Flap for Cheek Defect in Recurrent Buccal Mucosa Cancer: A Case Report
Facial defect reconstruction restores function and aesthetics following trauma, malignancy, or other anomalies. Among various techniques, the pedicled forehead flap offers superior outcomes due to its robust vascularity and ability to incorporate multiple tissue types. The present case presents a 54...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2025-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/20991/79249_CE[Ra1]_F(IS)_QC(PS_SS)_PF1(RI_KR)_PFA_NC(IS)_PN(IS).pdf |
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| Summary: | Facial defect reconstruction restores function and aesthetics following trauma, malignancy, or other anomalies. Among various techniques, the pedicled forehead flap offers superior outcomes due to its robust vascularity and ability to incorporate multiple tissue types. The present case presents a 54-year-old male with recurrent oral squamous cell carcinoma and a full-thickness cheek defect following tumour excision. Given his history of multiple surgeries and radiation, conventional flap options had already been used or were limited due to compromised vascularity after treatment. A single-staged islanded pedicled forehead flap was innovatively used as a reliable backup reconstructive approach. Preoperative workup included Contrast-Enhanced Computed Tomography (CECT) to assess tumour extent and Doppler sonography for temporal vessel patency. Following wide local excision, the forehead flap was designed, islanded and transposed in a single stage, ensuring adequate tissue coverage, functional restoration and aesthetic symmetry without the need for multiple surgeries. The patient achieved acceptable oral competence, facial contour and minimal donor site morbidity. The novelty of the present case lies in the successful application of a single-staged islanded forehead flap in a previously treated, surgically complex field, avoiding the need for free tissue transfer or staged procedures. The technique’s ability to provide reliable vascularity and optimal cosmetic and functional results with minimal complications highlights its significance as a valuable option in challenging oncologic reconstructions. The present case underscores the enduring role of the forehead flap as a salvage option, particularly in patients with limited reconstructive choices due to prior surgeries or radiation, reinforcing its versatility in modern facial reconstructive surgery. |
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| ISSN: | 2249-782X 0973-709X |