Midline Forehead Skin Flap (Seagull Flap)



Midline Forehead Skin Flap (Seagull Flap)


D. R. MILLARD JR.



In ancient India, many centuries before Christ, the Kumas caste of potters cut forehead flaps for nasal reconstruction following punishment mutilations. Since then, there have been many modifications of the original design, but the seagull-shaped forehead skin flap has advantages that most of the other flaps do not enjoy.




ANATOMY

Since some glabellar and frontalis muscle fibers are included in this flap, it could be considered a type of musculocutaneous flap. Its main vascular supply is the supratrochlear bundle based on the medial aspect of one brow. The circulation to the distal portions of the flap is primarily random pattern.


FLAP DESIGN AND DIMENSIONS

The flap is best suited to a forehead of ample height (3 inches from brow to hairline). If the forehead is too narrow, the flap can be set at an oblique angle. The design is created with the body of the seagull placed in a midvertical position on the forehead (Fig. 52.1A). The tail, which is the base of the flap, is placed over one of the supratrochlear vascular bundles.

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Jun 26, 2016 | Posted by in General Surgery | Comments Off on Midline Forehead Skin Flap (Seagull Flap)
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