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At least 325 records · Page 18Linked to original sources
PubMedDate not supplied

Forehead lift: a combined approach using subperiosteal and subgaleal dissection planes.

The eyelid-eyebrow region is the center for facial expression. Youth and beauty are associated with smooth, wrinkle-free skin and proportional facial features. The position of the eyebrows conveys emotion, and consequently, even a minor change in brow position can alter the expression of an individual's face. Repositioning the eyebrows and reducing the prominence of the glabellar frown lines can change the expression from one of anger and hostility to one that is more pleasant and natural. Various methods have been used for rejuvenation of the upper face. The height or length of the forehead is a useful guide for choosing the appropriate technique. We performed the coronal browlift using the subgaleal dissection plane, with subperiosteal dissection of 2.5 cm of the periosteal band over the supraorbital rim. We believe that this technique provided us with the benefits of the two dissection planes, with a more permanent result.

Adult↗
PubMedDate not supplied

Rigid anchoring of the forehead to the frontal bone in endoscopic facelifting: a new technique.

A new method for internal fixation of the skull in endoscopic facelifting has been developed using a so-called V-tunnel drill system which eliminates the need for pins and screws to anchor the suspended forehead. This system consists of a conventional drill and a V-tunnel guide. The technique involves anchoring the scalp by means of galea/periosteal stitches and sewing it to the bone with PDS sutures after a V-shaped tunnel has been drilled in the external table to a depth of 5 mm. The sutures can be easily positioned and stitched through the V-tunnel without endangering the cerebrum. This versatile V-tunnel drill procedure is very easy and simple and has many foreseeable applications.

Endoscopes↗
PubMed1982

Forehead reconstruction using a bi-pedicled bone flap.

The forehead can be reconstructed using a bi-pedicled bone flap based on the temporalis muscles. The technique is illustrated by the description of a patient in whom post-operative radio-isotope scanning was used to demonstrate the viability of the transposed bone. The technique is useful when there has been previous infection.

Forehead↗
PubMed1984

The importance of symmetry in forehead flap rhinoplasty.

Five patients who have undergone forehead flap rhinoplasty at the West Midlands Regional Plastic and Jaw Surgery Unit are described. The variations in technique are outlined with particular reference to the symmetrical appearance of the reconstructed nose.

Adult↗
PubMed1988

Experience with the "floating forehead".

The effectiveness of the "floating forehead" operation for treating brachycephaly in infants has been assessed. All children who had undergone this procedure at the Hôpital des Enfants Malades between 1977 and 1984 were reviewed retrospectively by an independent observer. Particular attention was paid to the effects on cranial growth, facial growth and morphology.

Acrocephalosyndactylia↗
PubMed1991

Pain and forehead expansion.

Tissue expansion of the forehead by intermittent bolus injection in three patients was noted to be extremely painful. This stimulated a prospective study in four patients whose discomfort was found to be related to a sharp rise in intraluminal pressure after bolus inflation. Tolerable infusion volumes were small (mean 6.25 cc) and associated with high pain scores (mean 7/10). Adequate expansion was protracted (mean 45 1/2 days) and was limited by pain. To eliminate the sharp rises in pressure associated with expansion by bolus injection, a syringe pump was used in two further inpatients. Adequate expansion was both quicker (mean 8.5 days) and less painful (mean pain score 2.6/10).

Aged↗
PubMed1991

En block forehead reconstruction with split-thickness cranial bone.

This report demonstrates the utility of split-thickness cranial grafts harvested by craniotomy in the reconstruction of the entire forehead in an en bloc fashion. The technique allows a cosmetic recontouring of large surfaces of the cranial vault in particular, with little or no need for multiple extracranial grafts. Computer imaging and three-dimensional graphic reconstruction lend themselves well to preoperative planning.

Adult↗
PubMed2005

Soft tissue reconstruction of the forehead and temple.

Soft tissue reconstruction of the forehead and temple challenges facial plastic surgeons to balance esthetic goals with functional concerns. Understanding the muscular and neurovascular anatomy is essential to achieve these ends. Reconstructive considerations include maintaining hairlines and eyebrows, minimizing scarring, using relaxed skin tension lines, and preserving motor and sensory function. Reconstructive options range from healing by secondary intention to primary closure, skin grafts, local flaps, island flaps, or any combination of these techniques.

Facial Injuries↗
PubMed2003

Stress influences the level of negative affectivity after forehead cold pressor pain.

The purpose of this study was to investigate simultaneously a stress manipulation and an experimental pain manipulation to determine how stress and pain interact to influence negative affectivity. One hundred healthy subjects completed a counterbalanced repeated measure crossover design in which stress (speech task) versus a nonstress control condition (magazine reading) was manipulated. Each session was immediately followed by a 2-minute forehead cold pressor task. Measures of affectivity (Positive Affect Negative Affect Schedule), pain ratings, cardiovascular measures (systolic blood pressure, diastolic blood pressure, heart rate), and salivary cortisol were obtained during each session. Regression analysis showed that the stress manipulation influenced the level of anger and that change in anger predicted post-pain negative affectivity independently of the contribution of maximum pain (model R(2) =.31), with 45% of the total model variance accounted for by change in anger and 17% of the total model variance accounted for by maximum pain intensity. In the nonstress condition only level of pain intensity was an independent predictor of negative affectivity (model R(2) =.16), with 69% of the total model variance accounted for by maximum pain intensity. These results show that stress significantly amplifies post-pain negative mood beyond that accounted for by the level of pain intensity alone.

Adult↗
PubMed2004

Sex differences in the long-term stability of forehead cold pressor pain.

UNLABELLED: The purpose of this study was to examine sex differences in the stability of experimental pain responding across time. Stability was assessed by using 2 forehead cold pressor applications separated by 9 months. Twenty-eight men and 20 women completed both Session 1 and Session 2. Repeated measures analysis of variance showed a main effect for Session on maximum pain level. Women reported significantly more pain at Session 2, whereas men showed no difference between sessions. There were no differences on pain report between men and women at Session 1. A significant Session by Sex interaction was associated with perceived chronic stress and trait anxiety levels. At Session 2 but not Session 1, women endorsed a significantly greater expectation than men to experience unpleasant aftereffects from the cold pressor task. Additional analysis showed that chronic stress and trait anxiety were significantly associated with sex-specific pain responding. We propose that the influence of a prior painful incident on an identical repeated painful experience differs between men and women. We speculate that this influence is related to sex differences in psychological mechanisms used to interpret painful stimuli within the context of remembered experiences. To our knowledge, this is the first report of sex differences in the long-term stability of an experimental laboratory pain stimulus, controlling for follicular phase of the female menstrual cycle. PERSPECTIVE: This study examines sex differences in the stability of experimental pain responding across a 9-month period. We speculate that psychological mechanisms influence one's interpretation of a prior painful incident and that this interpretation facilitates increased pain reporting in response to an identical repeated exposure, as was observed for women.

Adult↗
PubMed2004

Forehead oximetry in critically ill patients: the case for a new monitoring site.

Pulse oximetry is a ubiquitous monitor in anesthesia and critical care and is often considered the fifth vital sign. Under conditions of normal perfusion and temperature, the finger probe is the most common and effective sensor. In the presence of hypotension, hypoperfusion,and hypothermia, however, the finger sensor is often unable to detect a pulsatile signal. Another site and sensor are necessary to monitor these patients effectively. This article describes the search for this site, the choice of the forehead, and preliminary data regarding the use of this sensor site.

Anesthesia, General↗
PubMed1999

Cerebrospinal fluid leakage during endscopic forehead lifting.

PURPOSE: To report a case of endoscopic brow lift in which cerebrospinal fluid leakage was encountered. METHOD: A 69-year-old otherwise healthy man underwent endoscopic forehead lifting. RESULTS: An area of strong adherence was encountered in the area of the left superior paracentral scalp incision. As the adherence was released, clear fluid extruded (cerebrospinal fluid) and a burr hole was discovered. Absorbable gelatin sponge was placed over the dural defect and burr hole, and closure of the endoscopic scalp incisions was accomplished. CONCLUSION: Caution is suggested in performing this procedure when a patient has any history of a head trauma.

Aged↗
PubMed1996

Galeo-pericranial flaps in the forehead: a study of blood supply and volumes.

Despite their extensive use in anterior cranial base reconstruction, very little is understood about the blood supply of galeo-pericranial flaps derived from the forehead region. The goal of this study was to define the extent of the reliable axial blood supply and to determine the volumes of these flaps. The blood supply to anteriorly based galeo-pericranial flaps depends entirely upon the deep branches and a variable component of the superficial branches of the supraorbital and the supratrochlear vessels. The axial component of the blood supply to these flaps is 20-70 mm. The extent of "random' pattern blood supply distal to this could not be adequately assessed. The volumes of various galeo-pericranial flaps range from 3 to 48 cc. The well vascularized proximal portions of galeo-pericranial flaps may well serve the reconstructive needs of the anterior cranial base. Use of more distal portions of these flaps should be undertaken with caution. Some increase in bulk and vascularity may be achieved if the pericranial and the galeal-frontalis myofascial flaps are harvested as a single unit, the composite galeal-frontalis-pericranial flap. Due to the vascular and volume limitations of galeo-pericranial flaps, consideration should be given to the use of microvascular free tissue transfers in instances where large soft tissue defects and a large "dead space' occur.

Angiography↗
PubMed1989

Frontalis-associated lipoma of the forehead.

We describe a deeply placed lipoma of the forehead. This fatty tumor is usually misdiagnosed initially as an epidermal inclusion cyst. Preoperative recognition allows its proper depth within the tissue, that is, within or just below the frontalis muscle, to be anticipated.

Diagnosis, Differential↗