Premium
The contralateral subgaleal sliding flap for the single‐stage reconstruction of large defects of the temple and lateral forehead
Author(s) -
Hussain W.
Publication year - 2014
Publication title -
british journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.304
H-Index - 179
eISSN - 1365-2133
pISSN - 0007-0963
DOI - 10.1111/bjd.12740
Subject(s) - forehead , medicine , surgery , single stage , stage (stratigraphy) , paleontology , engineering , biology , aerospace engineering
Summary Background Due to the relative lack of a mobile tissue reservoir, the flap repair of large defects of the temple and lateral forehead is challenging. Objective To present our experience of the contralateral subgaleal sliding ( CLASS ) flap for the single‐stage aesthetic repair of such defects. Methods Data were collated on all patients at one regional M ohs centre in whom the CLASS flap had been performed since 2011. Results The CLASS flap was performed on 16 patients (11 male, five female) with an average age of 63 years (range 42–90). The average defect size was 2·8 × 3·1 cm. A single case of postoperative infection occurred, which settled with appropriate therapy with no adverse sequelae. All patients rated their outcome as good or excellent. Conclusion The CLASS flap is a reliable, aesthetic, single‐stage reconstructive technique for large defects of the lateral forehead and temple.