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At least 379 records · Page 21Linked to original sources

Linear cutaneous neurilemmomas on the forehead.

A 35-year-old woman had had pruritic linearly arranged papules on the right side of her forehead for 17 years. A biopsy specimen from one of the papules showed the histopathological appearance of an intradermal plexiform neurilemmoma. No other features of systemic neurofibromatosis or neurilemmomatosis were detected. Neurilemmoma usually occurs as a solitary lesion in the subcutis and there are only few reports of such localized multiple intradermal neurilemmomas associated with neither neurofibromatosis nor neurilemmomatosis.

Adult↗

The forehead flap: a modification in technique.

The use of the forehead flap for reconstruction within the oral cavity after tumour resection is discussed. A minor modification in technique is described. The sub-zygomatic route to the oral cavity is used and a piece of teflon or sialalastic sheet is sewn over the raw surfaces of the flap which lies within the tunnel in the cheek to facilitate retrieval of the pedicle.

Dermatologic Surgical Procedures↗

A quiet revolution: a surgical approach to skin cancers of the forehead.

Dermatologists are performing increasing numbers of procedures for skin cancers with specialized training in a number of treatment modalities. As an example, repairs of surgical defects of the forehead are presented including rotation flaps, O to T closures and Burow's triangle flap.

Forehead↗

The midline forehead flap for resurfacing the nose.

A method of resurfacing the nose using tissue of like thickness and color is presented. The midline forehead flap is a reliable source of tissue that can be developed using standard procedures of reconstructive surgery.

Anesthesia, General↗

Mohs surgery report: an approach to cutaneous surgical defects of forehead and eyebrow following Mohs micrographic surgery.

Elective excisions of the forehead are relatively easy to plan because of the prominence of horizontal skin folds and vertical glabellar furrows. However, the variety of defects in that region which result from Mohs micrographic surgery for cutaneous tumors frequently present reconstructive challenges. Principles applicable to this anatomic region and illustrative cases are presented and discussed.

Cicatrix↗

The midline forehead island flap.

The midline forehead island flap exemplifies pedicled island flaps based on random circulation. The use of this flap for medial canthal reconstruction is set forth by photographs, diagrams, and appropriate commentary.

Basal Cell Carcinoma↗

Refinements of the island median forehead flap for reconstruction of the medial canthal area.

Extensive excision of malignant tumors in the medial portion of the eyelids involving the medial canthal tendon and orbicularis oculi muscle results in the lateral displacement of the eyelids and forward drift of the medial canthal region during the healing process if they are not repaired. We present three successful cases of reconstruction of an extensive defect in the medial portion of the eyelids by the island median forehead flap with frontal muscle and frontal galea aponeurotica to repair the medial canthal tendon and orbicularis oculi muscle. This improved technique successfully avoids lateral displacement of the eyelids and forward drift of the medial canthal region, and is a treatment choice for the extensive medial canthal defect.

Adult↗

Delayed grafting of midline forehead flap donor defect: utilization of residual flap tissue.

The use of a midline forehead flap often creates a secondary defect that is difficult to close primarily. When the pedicle is detached, the residual flap tissue can be utilized as a delayed full-thickness skin graft. This technique combines two surgical principles: delayed grafting and the use of adjacent residual flap pedicle skin that would normally be discarded.

Forehead↗

Forehead reconstruction.

Guidelines for forehead reconstruction include maintaining or re-establishing normal boundaries, preserving nerve function, and maximizing scar camouflage. The interrelationships of anatomy, function, and principles of tissue movement which are critical to optimal reconstructive planning will be presented.

Cicatrix↗

Dermatofibrosarcoma protuberans of the forehead and scalp with involvement of the outer calvarial plate: multistaged repair with the use of skin expanders.

BACKGROUND AND OBJECTIVE: Dermatofibrosarcoma protuberans (DFSP) is a locally aggressive and infiltrative tumor that requires Mohs' micrographic surgery or wide excision to treat. Adequate excision often leaves a cosmetic disfiguring defect, particularly if the tumor is located on the head and neck. Complex defects of the face present special problems, such as distortion, ectropion, and retraction of normal tissues. PATIENT AND METHODS: We present a case of an infiltrating DFSP of the forehead and scalp in a young woman. The tumor was removed, and the defect was reconstructed with multistaged repair, which included bone coverage, local and regional flaps, and the use of expanders. RESULTS: A multistaged repair was performed with good clinical outcome and satisfactory cosmetic results. CONCLUSION: Multistaged repair of the face is a viable alternative surgical approach to preserve facial contours and minimize distortion in the treatment of DFSP. This case illustrates the degree of complexity that the treatment of DFSP may involve.

Adult↗

Primary cutaneous histiocyte and neutrophil-rich CD30+ and CD56+ anaplastic large-cell lymphoma with prominent angioinvasion and nerve involvement in the forehead and scalp of an immunocompetent woman.

BACKGROUND: Cutaneous lymphomas co-expressing CD56 and CD30 are very rare. They share a clinicopathological overlap with natural killer- (NK)/T-cell lymphomas and anaplastic large-cell lymphomas (ALCLs), two entities with widely disparate clinical behavior. METHODS: We present a case of an immunocompetent 57-year-old Caucasian woman with a rapidly growing, angiodestructive and neuroinvasive primary cutaneous ALCL (PCALCL). The neoplastic population of large anaplastic CD30+ and CD56+ T cells was masked by a massive admixture of histiocytes and neutrophils. The partially ulcerated and pus-secreting tumor involved the forehead and scalp and was assessed as clinical stage IAE. RESULTS: After chemotherapy (cyclophosphamide, doxorubicin, vincristine, and prednisone), the patient achieved a complete remission. Additionally, high-dose chemotherapy with autologous peripheral blood stem-cell transplantation was administered as a consolidation of complete remission, in which she has remained for 6 years. CONCLUSIONS: This is the first CD30+ and CD56+ primary skin lymphoma to be reported on the head. The presented case carries a remarkable combination of clinicopathological features of PCALCL and NK-/T-cell lymphoma.

CD56 Antigen↗

Forehead skin blood flow in normal neonates during active and quiet sleep, measured with a diode laser Doppler instrument.

Changes in forehead skin blood flow during active and quiet sleep were determined in 16 healthy neonates using a recently developed semi-conductor laser Doppler flow meter with-out light conducting fibres. Measurements were carried out at a postnatal age varying from 5 hours to 7 days. The two sleep states could be distinguished in 17 recordings. The mean skin blood flow values during active sleep were significantly higher (p less than 0.01) than those during quiet sleep, the mean increase being 28.1%. The variability of the flow signal, expressed as the coefficient of variation, changed significantly from 23.1% during active sleep to 18.2% during quiet sleep.

Forehead↗

Ophthalmoplegia and facial numbness following treated squamous carcinoma of the forehead.

A 62-year-old man presented with progressive diplopia, left ptosis, proptosis, complete ophthalmoplegia, facial numbness, and headache of 2 1/2 months' duration. The symptoms started 1 month after surgical resection of a squamous cell carcinoma in the left side of the forehead. Imaging studies helped localize the lesion, correlating with clinical features. The differential diagnosis is discussed. The final diagnosis was confirmed by autopsy.

Brain Neoplasms↗

Comparison of core threshold temperatures for forehead sweating based on esophageal and rectal temperatures.

A protocol incorporating successive hot and cold water immersions, causing respective warming and cooling of the body, has been used to determine the core threshold for sweating. Disparate results have been reported for the core threshold of sweating, and these have been attributed to the possible existence of core temperature gradients during such a protocol. Spatial and temporal core temperature (Tc, degree C) gradients during dynamic changes in body temperature may give rise to different values of core temperature thresholds for sweating, depending on the Tc measurement site. In addition, during such an immersion protocol skin temperature transients may influence expression of thresholds using esophageal temperature (Tes). With these considerations, the effects of Tc gradients and skin temperature on Tc thresholds for sweating were examined. Subjects (n = 22) were immersed to the neck in 40 degrees C water until Tes reached 38.5 degrees C (phase 1), followed immediately by cooling in 30.6 degrees C water until extinction of sweating was observed (phase 2). Cooling was continued in the latter bath after the sweating extinction until total immersed time reached 50 min or until shivering was initiated (phase 3). During the trials continuous assessment was made of rectal temperature (Tre) and Tes, mean unweighted skin temperature (Tsk, degree C), forehead sweating rate (Esw, g.m-2.min-1), oxygen consumption (VO2, L.min-1), and surface heat flux (Q, W.m-2). With the current protocol it appeared inappropriate to determine the Tc thresholds for onset of sweating, as sweating was initiated prior to any significant displacement of Tc, but was most likely influenced by Tsk and its rate of change.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Cutaneous malakoplakia on the forehead.

A case of cutaneous malakoplakia in an 81-year-old woman in reported. A reddish slowly growing plaque had appeared on her forehead 13 years previously. Histopathology revealed a dense dermal granulomatous infiltrate consisting of lymphocytes and numerous histiocytes containing Michaelis-Gutmann bodies. Ciprofloxacin treatment resulted in partial involution of the lesion.

Aged↗