Frontalis-based island pedicle flaps for the single-stage repair of large defects of the forehead and frontal scalp.

BACKGROUND

Medium- to large-sized surgical defects of the forehead and frontal scalp provide a challenge for the reconstructive surgeon.

OBJECTIVES

To highlight the utility of a frontalis-based island pedicle flap (FIPF) for the single-stage, aesthetic reconstruction of such defects.

METHODS

The design and detailed surgical technique required for a FIPF are described.

RESULTS

The long-term results are illustrated.

CONCLUSIONS

FIPFs, despite significant tissue dissection, are readily performed under local anaesthesia and are well tolerated by patients. The FIPF adds to the dermatological surgeon's armamentarium in the reconstruction of large defects of the central forehead and frontal scalp.