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At least 289 records · Page 16Linked to original sources
PubMed1983

Complications of the forehead-brow lift.

The actual and possible sequelae and complications associated with a series of forehead-brow lifts are reviewed. Based on a review of the records of 61 patients who underwent the procedure, we recommend that the forehead-brow lift be primarily intended to correct soft tissue ptosis of the upper face. Because of the significant number of patients who required a revision upper blepharoplasty, this procedure either should not be combined with a brow lift, or the patient should be warned of the probable necessity of a later revision upper blepharoplasty.

Eyebrows↗
PubMed1984

Lipomas in the corpus callosum and the forehead, associated with a frontal bone defect.

This report concerns a case of lipomas in the corpus callosum, possibly both lateral ventricles, and the forehead, which were associated with a defect in the frontal bone. It is thought that the lipoma originated in the interhemispheric fissure and extended to the forehead by at least the second month of gestation. It interfered with the development of the corpus callosum, and the collagenous capsule of the lipoma remained till birth. It caused a defect in the frontal bone in the midline, in spite of the development of both frontal bones.

Brain Neoplasms↗
PubMed2004

Hair whorl patterns on the bovine forehead may be related to breeding soundness measures.

The objective of this study was to determine if there is an association between facial hair whorl patterns on the bovine forehead and sperm morphology. Breeding soundness exams were conducted on 219 yearling bulls at three Colorado State University facilities. There were 150 Angus bulls and the remaining bulls were of several different breeds. Hair whorl patterns on the forehead were classified as round or nonround epicenters. Angus bulls with round epicenters had a higher percentage of morphologically normal spermatozoa compared to nonround epicenters (P < 0.05). Hair whorls on Angus bulls were sorted into two extreme groups of round spirals, with rotation or long lines that were longer than the width of the eyes. Bulls with round spirals had a greater percentage of normal spermatozoa compared to bulls with long lines (P < 0.05). Hair whorl pattern on Angus bulls also had an effect on the percentage of bulls that had the minimum threshold value of 70% normal spermatozoa. Eighty percent of Angus bulls with round epicenters had > 70% or more normal spermatozoa compared to 59% with a nonround epicenter (P < 0.01). Fifty percent of Angus bulls with long lines failed because they had < 70% normal spermatozoa. There were no significant differences in the remaining non-Angus bulls. Hair whorl patterns may be useful for making early culling decisions.

Animals↗
PubMed2000

Nasal reconstruction with an expanded dual forehead flap.

Nasal reconstruction with an expanded dual forehead flap is described. This method provides for nasal lining and covering with one forehead flap. The relationship between the two flaps is more flexible than a folded flap. Rigid support can be placed between the two flaps. This is an effective method for the reconstruction of a composite nasal defect when it is difficult to find an appropriate local lining flap.

Aged↗
PubMed1999

[Endoscopic forehead, face and neck lifting].

Endoscopic procedures are a more recent addition to the techniques of aesthetic plastic surgery of the head and neck region. This "buttonhole surgery" appeals particularly to patients and plastic surgeons alike because of tiny scars and reduced morbidity. The technique of video-assisted surgery with monitor control must be learned and practiced in teaching courses with hands-on experience in the laboratory. The indication for endoscopic forehead lifting is already well established. There is only a relative indication for endoscopic neck lifting. In the midface, the endoscope may more safely facilitate subperiosteal composite dissection. The results and the nature and rate of complications is comparable to conventional facelifting techniques. In the forehead, the endoscope renders the large bi-coronal scalping incision unnecessary. Good candidates are younger individuals with elastic skin and without major skin surplus. Long-term results are not yet available.

Endoscopes↗
PubMed2001

Endoscopic forehead lift for ptosis of the brow caused by facial paralysis.

Twelve patients with ptosis of the brow caused by facial nerve paralysis were treated by endoscopic forehead lift. Four had an isolated paralysis of the temporal branch of the facial nerve and in eight the entire facial nerve was affected. In two of these patients the facial paralysis was bilateral, caused by Finnish hereditary amyloidosis. A standard subperiosteal endoforehead approach was used and the forehead was fixed by biodegradable pins (n = 8), anchor screws (n = 3), or a suture to the posterior scalp (n = 1). The procedure was a success in 10 patients, and failed in two after initially good results. The endoscopic brow lift is a good method of treating ptosis of the brow caused by paralysis of the temporal branch of the facial nerve.

Adult↗
PubMed1984

Folded skin with lipomatous nevus in the forehead and scalp.

An 18-year old Japanese woman with folded skin in the forehead and scalp was found to have an underly Brachycephaly with peculiar hair lines, broad and sparse eyebrows, bilateral epicanthi, and decreased neck-shoulder angles were found, as well as reticular pigmentation of fingers and toes. Routine laboratory data and endocrine analyses were within normal limits. Combined longitudinal and coronal incisions in the forehead and scalp initially, followed by gull-wing incisions along the eyebrows, resulted in satisfactory improvement of the clinical appearance.

Adolescent↗
PubMed1988

Forehead expansion and total nasal reconstruction.

Forehead flaps are the method of choice for total nasal reconstruction. However, if adequate skin is unavailable, tissue expansion of this donor site for subtotal nasal reconstruction seems logical, as has been described elsewhere. The literature, however, appears devoid of reports of using this technique when all the nasal structures are absent. We report on 3 patients for whom expanded forehead flaps provided poor long-term results because of late shrinkage.

Adult↗
PubMed1997

Total reconstruction of a partial-thickness upper eyelid defect with the expanded forehead flap.

This paper demonstrates examples of successful reconstruction of partial-thickness eyelid defects using the expanded forehead flap. Two patients are presented: one in whom cicatrical ectropion was present and the other in whom there was an absence of ectropion. In both patients primary grafting was executed just after the injury was sustained. By the time the patients were referred for reconstruction, mismatch in the quality of the skin and scars along the border of the graft left the area of primary repair to be impaired aesthetically as well as functionally. Reconstruction of the upper eyelid using the expanded forehead flap resulted in excellent approximation of the native tissue. Aesthetic as well as functional capacities were considered in this approximation. The advantage of this technique is that it offers a larger amount of tissue without compromising the aesthetic or functional similarity to the native eyelid.

Child↗
PubMed2001

Endoscopic excision of benign tumors in the forehead and brow.

Twenty-five cases of benign tumor of the forehead and brow were excised successfully with endoscope-assisted surgery. The access incision was selected strategically behind the front hairline. For tumors in the middle of the forehead, the tumor was approached by subgaleal dissection. For those in the brow or temporal area, the dissection plane was just superficial to the deep temporal fascia. Patient age ranged from 3 to 59 years. The mass varied in size from 1.0 x 0.5 to 2.0 x 2.0 cm. There were 18 lipomas, 6 dermoid cysts, and 1 pilomatricoma. There was no residual mass or recurrence 1 to 24 months postoperatively. There was no paresthesia or numbness in the scalp. Patients and their families were greatly satisfied with this operation and the absence of visible scarring.

Adolescent↗
PubMed1989

Comparison of the mastoid to vertex and mastoid to high forehead electrode arrays in recording auditory evoked potentials.

The ipsilateral mastoid to vertex and ipsilateral mastoid to high forehead electrode arrays were found to have equal efficacy in recording the auditory brain stem and middle latency responses in both open and closed filtered conditions. It is concluded that the ipsilateral mastoid to high forehead electrode array is a valid clinic alternative for use in evoked response testing.

Audiometry, Evoked Response↗
PubMed1975

Persistent individual differences in the bacterial flora of the skin of the forehead: numbers of propionibacteria.

The bacterial flora of the central area of the forehead of 48 adults was examined by a standardized swabbing procedure to determine the extent of individual variation. Propionibacteria were the most abundant organisms on most subjects. Their numbers per cm-2 of skin ranged from fewer than 6 to 1,100,000. Seventeen subjects had more than 100,000 and 16 subjects yielded fewer than 10,000. Six had fewer than 1,000. Differences with respect to sex and age were not statistically significant. Coagulase-negative cocci numbered from 25 to 75,000 per cm-2. There was no statistically significant correlation between numbers of propionibacteria and numbers of cocci. In order to distinguish trivial or transient individual differences from those of a more fundamental nature, 16 subjects were examined four times at intervals of several months with a total elapsed time of from 329 days to 523 dyas and a median of 385 days. Eight subjects were representative of the upper third and 8 the lower third of the population with respect to numbers of propionibacteria in the initial survey. Geometric mean values for propionibacteria per cm-2 of skin in the measurements of subjects with a rich population ranged from 152,686 to 280,867. Corresponding figures for the subjects with a sparse population were 1,215 to 3,639. Comparing geometric means by the t-test yielded p values of less than .001 in the second and fourth measurements and less than .01 in the third. It is concluded that a rich or a sparse population of propionibacteria is a stable individual characteristic of the skin of the forehead.

Adult↗
PubMed1970

Effect of acute hypoxia on vascular responsiveness in man. I. Responsiveness to lower body negative pressure and ice on the forehead. II. Responses to norepinephrine and angiotensin. 3. Effect of hypoxia and hypocapnia.

An effect of hypoxemia on vascular responsiveness and blood pressure regulation has not been demonstrated in man. The response of forearm resistance vessels to several vasoconstrictor stimuli was compared during normoxia and acute hypoxia. Forearm vasoconstrictor responses to lower body negative pressure and to the application of ice to the forehead, which are neurogenic stimuli, were decreased during acute hypoxia. Lower body negative pressure caused a decrease in mean arterial pressure during hypoxia, but not during normoxia. Because norepinephrine is the neurotransmitter released during reflex vasoconstriction, we considered the possibility that decreased responsiveness to norepinephrine might be one mechanism for diminished responses to lower body negative pressure and ice on the forehead during hypoxia. Hypoxia decreased the response of forearm resistance vessels to infusions of norepinephrine and angiotensin into the brachial artery. In addition, the effectiveness of intravenous infusions of norepinephrine in elevating mean arterial pressure was decreased during hypoxia. Since exposure to acute hypoxia stimulates hyperventilation and hypocapnia, experiments were done to determine the contribution of hypocapnia during hypoxia to the decreased vasoconstriction. The results indicate that hypocapnia may diminish the vascular response to some stimuli, but the reduction in oxygen appears to be the primary mechanism for decreased vasoconstrictor responses during acute hypoxia.

Adult↗
PubMed1995

Linear transverse forehead incision for patients with alopecia praematura--technical note.

A method for craniotomy via a transverse linear scalp incision on the forehead wrinkle line with cosmetic reconstruction is described. The method requires minimal knowledge of plastic surgical techniques. Operative scars are inconspicuous and the normal appearance of the forehead can be retained, which is especially valuable for patients with alopecia praematura.

Adult↗
PubMed1998

The endoscopic browlift for forehead rejuvenation.

Since its initial description by Vasconez et al in 1992, the endoscopic browlift has evolved into a popular method for addressing brow ptosis and forehead rejuvenation. The advantages of fewer incisions, less postoperative swelling, alopecia and prolonged scalp anesthesia, and more rapid rehabilitation have provided greater patient acceptance than the traditional coronal approach. Unlike the coronal browlift where the amount of elevation is determined by the amount of skin excised, the elevation in the endoscopic browlift is determined by periosteal release at the arcus marginalis and forehead flap fixation. Though equipment costs are greater and a learning curve exists, the endoscopic browlift offers the oculoplastic surgeon additional beneficial options in the management of brow ptosis.

Endoscopy↗
PubMed1976

Painful ophthalmoplegia following treated squamous carcinoma of the forehead. Orbital apex involvement from centripetal spread via the supraorbital nerve.

Intraneural and perineural spread of squamous carcinoma from the face to the cranial cavity is an important cause of delayed cranial nerve palsies after local excision of a skin tumour. As exemplified in reports of two cases, signs of this type of centripetal spread of squamous cell tumour along the branches and trunk of the supraorbital nerve are (i) severe unremitting orbital and forehead pain with associated hypoaesthesia, (ii) palpable or radiological evidence of thickening of the nerve at the supraorbital notch and (iii) evolution of ophthalmoplegia, blindness, and sensory loss in the first division of the trigeminal nerve. Appearance of severe supraorbital neuralgia months or years after excision of a skin tumour from the forehead should alert the clinician to extension of tumour cells along the supraorbital nerve. This may enable him to institute timely treatment before a complete orbital apex syndrome has developed.

Aged↗
PubMed2006

Solitary plasmocytoma of frontal bone presenting as an asymptomatic forehead lump.

Solitary plasmocytoma of bone is a rare type of plasma cell tumor. We present a case of a solitary extramedullary plasmacytoma of the frontal bone presenting as an asymptomatic forehead lump with clinically benign characteristics. This case highlights the need for a high index of suspicion when dealing with enlarging subcutaneous lumps of the forehead and scalp. The significance of this lies in the appropriate sequencing of investigations and the implementation of the necessary treatment regimen.

Aged↗