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At least 235 records · Page 13Linked to original sources
PubMed2003

[Optimal forehead rejuvenation. Combining endoscopy-peel-botulinum toxin].

The combining of a traditional resurfacing technique (trichloracetic or phenol peel) with 2 recent technological advances (endoscopic forehead plasty, botulinum toxin) may enhance the forehead rejuvenation in a more natural way. The disappointing results of some of our earlier results on a serie of 70 consecutive foreheadplasties can probably be attributed to the weakness of the suspension through percutaneous sutures. This has been remedied since 1998 by the systematic use of transosseous suspensions. The growing success of botulinum toxin explains the noticeable decrease of endoscopic surgery. This type of procedure is now used to correct significant frontal ptosis requiring an uplifting of no more than 1,5 cm, thereby avoiding the unnatural results encountered in many publications. Some benefits can be obtained by the way of a transpalpebral approach without using the endoscope; nowadays, upper blepharoplasties are almost systematically done in the majority of our cases in order to obtain the most natural result. Light peels and botulinum toxin injections can maintain this result relatively easily.

Adult↗
PubMed1980

Methylmethacrylate onlay implants in the treatment of forehead deformities secondary to craniosynostosis.

Craniosynostosis (Cruzon's, Pfeiffer's and Apert's Syndrome, etc.) can cause forehead deformities that frequently need reconstruction. In general, osteotomies and/or bone grafting are the preferred methods for obtaining proper orbital protection from above and a good aesthetic appearance. In certain cases however, osteotomies and/or bone grafting are not possible or a patient may refuse to have such an extensive procedure. Preformed methylmethacrylate prostheses have in such cases been implanted in patients with significant skull deformities with only minimal morbidity. The ease of this technique coupled with the shortened operative time, minimal hospitalization, and few, minor complications offer the reconstructive surgeon another and relatively simple method for treatment of extensive forehead and supraorbital deformities.

Adolescent↗
PubMed1983

Immediate reconstruction using a scalp-forehead flap for the entire upper lip defect with the application of lyophilized porcine skin to surgical wounds. A case report of a malignant melanoma in the upper lip and oral mucosa.

A rare extensive malignant melanoma involving the upper lip and maxillary alveolar mucosa was removed by en bloc resection after chemotherapy and radiotherapy. Simultaneous immediate reconstruction of the entire upper lip defect was carried out with a bitemporal pedicle flap which included the scalp and forehead after applying lyophilized porcine skin to the wound where the alveolar bone had been resected, and the bilateral scalp-forehead and thigh donor sites. A partial denture was inserted six months postoperatively. Now, one and a half years after operation, the patient is quite satisfied with his cosmetic appearance and masticatory recovery.

Adult↗
PubMed2000

Increases in total respiratory resistance during forehead temperature stimulation.

We investigated the effects of forehead temperature stimulation on total respiratory resistance in healthy individuals. In two experiments involving a total of 38 participants we studied the time course and stability of the response at moderate temperature (20-23 degrees C). Small plastic bags filled with water were positioned on the forehead for a duration of 60 s. Oscillatory resistance (R(os)), heart period (HP), respiratory sinus arrhythmia (RSA), and ventilatory parameters were measured continuously. Experiment 1 showed similar phasic increases in R(os) during the first 20 s of stimulation with moderate (20-23 degrees C) as compared to cold (8-11 degrees C) temperature. Phasic increases by moderate temperature were replicated in Experiment 2 over five successive stimulation trials. Within-session stability of individual differences in response was only modest. Ventilatory adjustments did not facilitate the phasic R(os) increases. As increases were mainly due to the inspiratory component of R(os), a substantial contribution of upper airway artifacts was less likely. Increases in HP were the most pronounced responses to all stimulation conditions, while RSA did not increase significantly.

Adult↗
PubMed1998

Congenital plate-like osteoma cutis of the forehead: an atypical presentation form.

Cutaneous ossifications or osteoma cutis can be found in many syndromes. Primary osteoma cutis, present since birth or the first months of life, in the absence of metabolic disorders or trauma, is found in congenital plate-like osteoma cutis and progressive osseous heteroplasia, coexisting in the latter with deep connective tissue ossifications. This report documents the case of a 7-year-old female with a plate-like cutaneous ossification of the forehead causing aesthetic deformities. Other dermal ossifications in the inguinal and preauricular region, as well as the left hand and a small focus in the extraocular muscles of the left orbit, were also present. These lesions did not show progression, and most of them were present since birth. The lesion of forehead was treated surgically. The lack of progression and the fact that the orbital lesion was solitary still fits the criteria for the diagnosis of plate-like osteoma cutis. Plate-like osteoma cutis and progressive osseous heteroplasia may represent varieties of the same disorder.

Child↗
PubMed1998

Effects of static forehead and forearm muscle tension on total respiratory resistance in healthy and asthmatic participants.

The impact of static muscle tension on total respiratory resistance (TRR) was examined. Participants (24 healthy, 24 asthmatic) performed biofeedback-assisted sequences of tensing (15 s) and relaxing (20 s) forehead and forearm muscles. Muscle tension levels were 40% or 80% of the maximum individual force. Oscillatory TRR, electromyograms, ventilation, heart period, and respiratory sinus arrhythmia were recorded. Baseline TRR did not change over the session as a whole. Decreases in TRR during forehead tension in both groups were accompanied by increases in end-expiratory volume, which could have mediated TRR changes. During forearm tension, decreases in TRR with minimal ventilation changes were only observed in healthy participants, whereas asthmatic patients revealed marked increases in respiratory volume and flow. These results indicate that static muscle activity and TRR are negatively related. Ventilatory changes can exaggerate or diminish evidence for this relationship.

Adult↗
PubMed2003

Nodular fasciitis of the forehead in a pediatric patient.

BACKGROUND: Nodular fasciitis is a benign fibroblastic proliferation in soft tissue that is frequently misdiagnosed as a sarcoma. Most patients are middle aged, and the upper extremity is the most common localization. Nodular fasciitis is rarely diagnosed in childhood but appears in the head and neck region more commonly in children than in adults. OBJECTIVE: To describe a rare case of nodular fasciitis of the forehead in a pediatric patient. RESULTS: A 15-year-old female had been aware of a subcutaneous nodule with subtle tenderness on the forehead for 4 months. The patient had no history of trauma. The nodule was totally excised with a narrow margin and was histopathologically diagnosed as nodular fasciitis. No recurrence was observed for 22 months. CONCLUSION: When we encounter subcutaneous nodules of the face and neck region in children, it is important for dermatologists to keep nodular fasciitis in mind for differential diagnosis to avoid unnecessary wide resection.

Adolescent↗
PubMedDate not supplied

Dysplastic nevi of the scalp and forehead in children.

To determine if there is a significant difference in the relative frequency and degree of atypia of sporadic dysplastic nevi from the scalp, face, and neck area in children as compared with nevi from the rest of the body, we reviewed 99 consecutive biopsy specimens of melanocytic nevi from the scalp, face, and neck areas in children less than 18 years of age and compared them with 95 consecutive cases of nevi from other areas of the body in children of the same age. Large numbers of the nevi biopsied from the scalp (13 of 31; 41.93%) and forehead (2 of 10; 20%) were dysplastic. The number of dysplastic nevi from the neck (1 of 58; 1.72%) was not assessed as very different from the incidence found in other regions of the body, where 7 dysplastic nevi (7.36%) from a total of 95 nevi were found. Of the 13 dysplastic nevi from the scalp, 9 showed minimal atypia and 4 showed moderate atypia. No nevi with severe atypia were found. Many pigmented nevi from the scalp and forehead in children in this study were dysplastic. This finding points out the importance of examining the scalp of children for the presence of dysplastic nevi. The majority of nevi from the neck were common nevi.

Adolescent↗
PubMed1999

Secondary intention healing of exposed scalp and forehead bone after Mohs surgery.

For Mohs surgical wounds that show exposed bone (ie, bone denuded of periosteum), healing by secondary intention may be preferable to surgical reconstruction. To determine the appropriateness of secondary intention healing, we reviewed surgical outcome in 205 patients with Mohs wounds of the scalp and forehead that had healed by secondary intention. Of these patients, 38 had Mohs wounds showing exposed bone. The mean area of exposed bone was 1074 mm(2); the mean area of exposed soft tissue was 1575 mm(2). The mean time for wounds with intact periosteum to epithelialize was 7 weeks; the mean time for bare bone to epithelialize was 13 weeks. All wounds healed without infection or tissue breakdown. We conclude that secondary intention healing of scalp and forehead wounds showing exposed bone is a safe and effective method of wound management after Mohs surgery.

Elasticity↗
PubMed2000

Application of dermal substitute (Integra) to donor site defect of forehead flap.

Although forehead flap has limited use, it may have a role as a 'third' line option. Its primary complication is the poor cosmetic defect on the forehead. A case is presented in which, after harvesting the flap for reconstruction of the oral cavity, a dermal substitute (Integra) together with split thickness skin graft was used for the management of this wound. The result was significantly improved over using split skin graft alone.

Forehead↗
PubMed1998

[Reconstruction of the forehead region with tabula externa of the skull].

BACKGROUND: Calvarial bone graft is often used in reconstructive cranio-facial surgery. As most common three different forms can be distinguished: outer-table bone, full thickness grafts and composite flaps (bone with a periostal or muscular pedicle). PATIENT AND METHOD: An extensive fibrous dysplasia of the frontal region was removed in a 26 years old patient. Reconstruction was carried out with alloplastic material achieving a good esthetic result. Recurrent seroma and occurrence of a fistula demanded removal of the alloplastic material and en-bloc reconstruction of the forehead region was accomplished with a parietal outer-table graft. Within a follow-up time of one year a good esthetic and stable reconstruction has been achieved. CONCLUSION: Split-thickness calvarial bone is still a versatile graft in reconstruction of the forehead region. Although a low rate of side effects in harvesting calvarial bone grafts are in general expected, one has to be aware of dural lesions occuring in the donor site during craniotomy.

Adult↗
PubMed1998

Subtotal nasal reconstruction using a bi valved paramedian forehead flap.

Many surgical options have been proposed for total or subtotal reconstruction of the nose after extirpative surgery or trauma. Careful replacement of all anatomic layers including the structural framework and internal and external nasal lining is essential to successful reconstruction. If adequate internal lining is present, reconstruction of the structure of the nose and the external nasal lining is often straightforward. Difficulty arises with providing sufficient internal nasal lining in patients who underwent full thickness reconstruction of half of the nose with a bi-valved paramedian forehead flap. A different plane of dissection is used for the flap and structural grafts are placed between the layers of the axial pattern flap. The anatomy, plane of flap dissection, and biomechanics of flap transfer are presented as well as the specific technique for nasal reconstruction. The bi-valved paramedian forehead flap presents another surgical option for reconstruction of full thickness defects of the nose.

Adult↗
PubMed1994

Cutaneous pattern perception on foreheads in 3- and 4-year-old children.

In the present study, we investigated how 3- and 4-year-old children perceived mirror-image stimuli traced on their foreheads. First, the subjects were taught matching-to-sample tasks with symmetrically shaped and asymmetrically shaped figures (called mirror-image stimuli) on cards. Then the subjects were taught cutaneous perception of a figure traced by the experimenter's finger on the forehead. Last, the subjects were tested with mirror-image stimuli in cutaneous perception tasks. The results of these experiments indicated that the subjects who could discriminate the mirror-image stimuli could also perceive asymmetrical stimuli as mirror reversals.

Child, Preschool↗
PubMed2002

Exposed artificial bone in the forehead covered with a transverse orbicularis oculi myocutaneous flap.

We have reconstructed the forehead by covering exposed artificial bone with a transverse orbicularis oculi myocutaneous flap. This technique had the following advantages: good circulation in the flap extended the arc of rotation; the flap matched the forehead in colour and texture; the scar of the flap donor site was not conspicuous, and no dysfunction was seen; and the technique is simple and not invasive.

Adult↗
PubMed1979

Forehead and brow lifts and their relationship to blepharoplasty.

The brows and forehead are important considerations in planning a blepharoplasty. Forehead wrinkles, ptotic brows, and frown lines can be corrected effectively and safely with minimal complications at the time of, and prior to, the blepharoplasty. Various approaches that we use are presented here. The surgical procedure selected should reflect the defect present and the surgeon's preference.

Blepharoptosis↗
PubMed1988

Repeated tissue expansion in reconstruction of a huge combined scalp-forehead avulsion injury.

A 29-year-old woman sustained a severe combined forehead-scalp avulsion injury (20 X 17 cm) in an automobile accident 4 years ago. The skull was covered with split skin-grafts. The defect was successfully removed by the use of simultaneous and repeated tissue expansion of the normal occipital area and the remains of the forehead. The case illustrates the possibility of using large expander volumes (1,700 cc) in the head area and the fact that even narrow skin bridges (2.0 cm above the left eyebrow) can be expanded. The expander shape can be chosen to create a desired flap size and form. Finally, hair thickness and growth can be quite acceptable even after huge expansions of the scalp.

Adult↗
PubMed1996

The "shutter flap" for large defects of the forehead.

Acquired defects involving exposed bone in the central forehead can be challenging to reconstruct. We present a simple technique in which two superiorly based flaps of galea frontalis and skin are transposed medially, like the shutter of a camera. Full-thickness grafts are used to close the donor site. This is a remarkably easy way to close some very large forehead wounds.

Aged↗