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At least 343 records · Page 19Linked to original sources
PubMed2006

Forehead flap method for total nasal reconstruction.

One of the very first recorded methods developed over the ages to correct the mutilating deformity of rhinectomy was the forehead flap. While many other techniques have also been devised, this surgical method has stood the test of time better than any other. Further refined during the 20th century, it has now become the gold standard for obtaining the best results in nasal reconstruction. We present an illustrative case of a young man who was assaulted outside a night club and who suffered a clean separation of the nasal pyramid from the facial plane. We highlight the novel use of osseous, as opposed to cartilaginous, reconstruction of the upper lateral cartilages, which has not previously been reported in the literature.

Adult↗
PubMed2003

A forehead mass present for 53 years after trauma in childhood.

A 60-year-old man developed a mass on his forehead in his childhood. Histologic examination revealed a subcutaneous encapsulated cellular neoplasm consisting of mostly polygonal epithelioid cells, with abundant amphophilic cytoplasm and pleomorphic nuclei. There was one focal area of spindle cells. Numerous blood vessels of various sizes, small vacuoles and eosinophilic hyalinized material were also present. The morphologic features of the neoplasm did not fit with the typical features of any recognized pathologic entity. The subsequent immunohistochemical and electron microscopical evidence supported the diagnosis of epithelioid schwannoma, a rare variant of schwannoma that has not been reported in oral and maxillofacial pathology publications. The purpose of this report is to document a case and increase the awareness of this entity.

Cell Nucleus↗
PubMed1988

Cervicogenic headache: the forehead sweating pattern.

Forehead sweating in 11 patients with cervicogenic headache was tested with the Evaporimeter. All were studied during heating experiments, 2 patients during exercise, and 10 patients after pilocarpine stimulation. Five patients were studied during spontaneous attacks. The evaporation during spontaneous attacks was symmetrical. This was also the case after heating, exercise, and pilocarpine stimulation. These findings differ clearly from the situation in cluster headache. These observations indicate that cervicogenic headache and cluster headache differ fundamentally with regard to autonomic involvement.

Adult↗
PubMed2003

Primary cutaneous actinomycosis of the forehead.

Actinomycosis is a granulomatous suppurative bacterial disease caused by anaerobic actinomyces, which presents primarily with the cervico-facial, thoracic, abdominal or pelvic form. Cutaneous involvement is well documented and it is usually secondary to local extension or exceptionally to ematogenous spreading from visceral sites. Primary cutaneous actinomycosis is very rare and usually associated with external trauma and/or local ischemia. We report on the case of a primary cutaneous actinomycosis of the forehead in a 59-year-old man with diabetes mellitus who had had a preceding cranial trauma and several cutaneous reconstructive surgical procedures. The patient was treated successfully with combined antibiotic therapy.

Actinomyces↗
PubMed1999

Nodular fasciitis of the forehead.

BACKGROUND: Nodular fasciitis is a benign, fibrohistiocytic tumor most commonly arising on the trunk. Histopathologically it can be misdiagnosed as a sarcoma. OBJECTIVE: To describe a case of nodular fasciitis on the forehead and to review the clinical and histologic characteristics of the tumor. METHODS: Case report and review of the literature. RESULTS: Local excision to completely remove tumor has proven curative at 1 year of follow-up. CONCLUSION: Nodular fasciitis can be encountered on the head and neck and should be regarded as a benign tumor. Either minimal excision or even a "watch and wait" plan can be successful in treating this tumor.

Adult↗
PubMed2001

The H-flap: a useful flap for forehead reconstruction.

We have found that double opposing rectangular advancement flaps in the forehead may be easily performed under either local or general anaesthesia, and are associated with high patient satisfaction and low morbidity. We claim no originality for the mode of reconstruction, but highlight its broad spectrum of application and its popularity with junior plastic surgeons passing through our unit. We have found that the term 'H-flap' provides a readily communicated alternative to 'double opposing rectangular advancement flaps'.

Basal Cell Carcinoma↗
PubMed1999

Surgical rejuvenation of the brow and forehead.

The position and orientation of eyebrows plays an important part in the overall appearance of the face. Many incisions and approaches have been described to elevate a ptotic eyebrow. It is essential to understand the periorbital anatomy and the biomechanics of elevation and fixation of the brow and forehead soft tissues. If properly planned and executed, surgical brow lifts can restore a youthful appearance to eyelids and the orbit.

Biomechanical Phenomena↗
PubMed2004

Limitations of forehead infrared body temperature detection for fever screening for severe acute respiratory syndrome.

We investigated alternative measurement methodology for infrared body thermometry to increase accuracy for outdoor fever screening during the 2003 SARS epidemic. Our results indicate that the auditory meatus temperature is a superior alternative compared with the forehead body surface temperature due to its close approximation to the tympanic temperature.

Body Temperature↗
PubMed2005

Combining the CO2 laser and the endoscope to remove soft tissue masses from the forehead area.

OBJECTIVE: The aim of this study was to provide a retrospective analysis of treatment that combines the laser and the endoscope. BACKGROUND DATA: Previously, surgeons faced many complications arising from endoscope-assisted surgery in the region of the forehead. In order to reduce the incidence of complications, such as swelling and hematoma, the CO2 laser is added to endoscope-assisted surgery. METHODS: Between January 1996 and January 2003, 42 patients were treated for the removal of a benign tumor. The group was comprised of 18 males and 24 females, and their ages ranged from 5 to 64 years. The SurgiLase 150XJ CO2 laser system, used in conjunction with the flexible FIBERLASE (Sharplan, NJ), was used in all cases. The endoscope was 4 mm in diameter, with an angle of 30 degrees (Snoden Pancer, USA). The dissection was performed by relaying images from the endoscope to a monitor. The basic instrumentation consists of elevators, a nerve hook, retractors, and endoscopic scissors. Suction of the smoke generated by laser evaporization was also necessary. RESULTS: Of the 42 cases treated, 30 patients displayed lipomas, 10 patients displayed inclusion cysts, and two patients displayed dermoid cysts. After surgery, the follow-up period ranged from 6 months, to 2 years and 6 months, with an average of 1 year and 7 months. In this retrospective review, the incidences of early complications of these 42 patients included one case of scalp alopecia, three of scar alopecia, one of numbness, and three of ecchymosis. No hematoma cases were recorded. Evaluation after 6 months revealed the later complication of one scar alopecia. CONCLUSIONS: SurgiLase CO2 laser, used in conjunction with endoscopic surgery, enables plastic surgeons to work at a distance through small incisions without causing bleeding. Visible scars are reduced and recovery time is diminished.

Adolescent↗
PubMed1977

Parotid enlargement, forehead edema, and suppression of malaria as nutritional consequences of ascariasis.

Bilateral painless enlargement of the parotids, a curiously localized edema of the forehead and relative freedom from malaria were striking findings in children of Anjouan but not of Grande Comore, two neighboring islands of the Comorro group in the Indian Ocean. Compared with those of Grande Comore, Anjouan children were heavily infested with Ascaris lumbricoides. We suggest that the clinical findings may be the nutritional consequence of severe ascariasis and that the low incidence of malaria in Anjouan children may be an example of the delicate ecological balance between the host, the Ascaris, and the plasmoidum.

Abdomen↗
PubMed2000

Odor distinctiveness between enantiomers of linalool: difference in perception and responses elicited by sensory test and forehead surface potential wave measurement.

The effects on humans of inhalation of optically active linalools were examined in terms of sensory tests and portable forehead surface electroencephalographic (IBVA-EEG) measurements in order to assess their odor distinctiveness by chiral isomers. (R)-(-)-Linalools with specific rotation of [alpha](D) = -15.1 degrees were isolated by repeated flash column chromatography from lavender oil, while (S)-(+)-linalools with [alpha](D) = +17.4 degrees and (RS)-(+/-)-linalools with [alpha](D) = 0 degrees and content of (R)-form 50.9% and (S)-form 49.1% were obtained from coriander oil and commercial linalool, respectively, by using the same method. With the use of an inhalator, each was administered to subjects both before and after 10 min of work. It was found that administration after work evoked different subjective impressions when compared with that before work depending on the configuration of the isomers and the type of work employed. For instance, inhalation of (R)-(-)-linalool after hearing environmental sounds not only produced a much more favorable impression in the sensory test but was also accompanied by a greater decrease in beta waves after work in comparison with that before work. This is in contrast to the case of mental work, which resulted in a tendency for agitation accompanied by an increase in beta waves. These findings led us to conclude that enantiomeric stereospecificity of linalool evoked different odor perception and responses not only with chiral dependence but also with task dependence. In addition, in comparing these sensory profiling features and IBVA-EEG tendencies between hearing environmental sound and mental work, a tendency was observed for (R)-(-)-linalool to coincide with (RS)-(+/-)-linalool but not with (S)-(+)-linalool.

Acyclic Monoterpenes↗
PubMed1986

Solitary nevus lipomatosus superficialis on the forehead.

Solitary nevus lipomatosus superficialis is a rare nevoid anomaly characterized by ectopic adipose tissue in the dermis without predirection. The case of a 14-year-old boy with a hemispherical solitary nevus lipomatosus superficialis on his median forehead is presented. The items that need special consideration during diagnosis and treatment of this tumor are described.

Adolescent↗
PubMed1989

Median forehead island skin flap for the correction of severely collapsed nose.

Five cases of severely collapsed nose as a result of infection were corrected by excision of intranasal scar and lining the intranasal defect with median forehead island skin flaps based on supratrochlear vessels. Simultaneous bone grafting was undertaken to support the reexpanded nose. Clinical experiences are presented.

Adult↗
PubMed1989

Delayed pedicle separation in forehead flap nasal reconstruction.

Nasal reconstructions with midline forehead flaps are often plagued by inadequate tip projection and excessively thick alar rims. These problems can be overcome by a combination of preliminary tissue expansion, which gains extra length, and delayed pedicle separation, which allows aggressive thinning of alar rims and shaping of the tip while its blood supply is still fully intact. Only when tip-shaping is completed is the pedicle divided and the reconstruction completed. In our experience this combination of increased flap length and improved tip shape has led to better tip projection and superior overall results. Three representative cases that demonstrate these principles are presented.

Basal Cell Carcinoma↗
PubMed1990

The use of periosteal flaps in scalp and forehead reconstruction.

In certain clinical situations, coverage of scalp and forehead soft-tissue defects is best accomplished by skin graft. When bone is also exposed, however, skin graft coverage may not be possible. Flaps of periosteum can be used in these cases as bony coverage, thus providing the vascularized bed necessary for skin graft "take." Advantages and disadvantages of these periosteal flaps are discussed.

Adult↗
PubMed1991

Recontouring of the lateral forehead using the temporalis muscle.

Contour deformities of the lateral forehead are not uncommon after direct injuries or extirpative procedures, or as a sequela to iatrogenic maneuvers for juxtaposed craniomaxillofacial endeavors. Transposition of noncutaneous local vascularized autogenous tissues for augmentation of these defects has minimal inherent risks and little donor site morbidity. Although the temporoparietal fascia has previously been described as a first choice in this regard, if unavailable due to concomitant injury or absence of the superficial temporal vessels, the temporalis muscle itself provides an excellent second option that deserves consideration.

Adult↗