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At least 433 records · Page 24Linked to original sources
PubMed1995

[Simultaneous nasal reconstruction and facial defect repair using expanded forehead flap].

The expanded forehead flap has been used to reconstruct the nose and repair facial defects simultaneously since Sept. 1991. During operation, the expanded flap was divided into two parts: one based on the supratrochlear vessels for nasal reconstruction, the other based on the frontal branch of the superficial temporal vessel for the facial defects, e.g. periorbital or zygomatic area, upper or lower lip. Four patients were treated with this method and satisfactory results obtained.

Adolescent↗
PubMed1977

The forehead lift: a useful adjunct to face lift and blepharoplasty.

The forehead lift, with interruption of the continuity of the frontalis muscle, has been an effective method in our hands for improving the appearance of the upper third of the face. It can be done independently, or combined with a facial rhytidectomy, a blepharoplasty, and/or other ancillary procedures. In some cases of apparent upper lid redundancy, it can eliminate the need for an upper lid blepharoplasty. The results are pleasing and seem to be lasting, while the complications have been few and mild. We describe the operation and discuss its indications, contraindications, advantages, and disadvantages.

Eyelids↗
PubMed1997

[Predetermined epilations on the fixed areas of the face and forehead in a Tfm strain of mouse].

Many males and females with the bare skin area on their face were frequently observed in the Tfm strain of mouse representing testicular feminization. The predetermined epilation of oral and neighbouring hairs began at about ten months after birth and the subsequent bare skin area persisted for about 1 year to their death, but in some cases became expanded over the forehead. These facts indicate that this strain will be useful as a test animal for the detection if the effects of cosmetics and toiletry goods, medical drugs and so on. Microscopic examination of the epilation process revealed several morphological changes analogous to those in human male pattern baldness. However, in our case, several facts indicating that the androgens may stabilize hair growth, were discussed.

Androgen-Insensitivity Syndrome↗
PubMed1997

Concepts in scalp and forehead reconstruction.

Reconstruction of forehead and scalp defects are challenging. A thorough understanding of the anatomy and dissection planes of the scalp is essential. The ability to use a variety of techniques allows the facial plastic surgeon to maximize functional and aesthetic results. Techniques such as tissue expansion, free tissue transfer, and flaps used for covering exposed bone are useful adjuncts for optimal results.

Alopecia↗
PubMed1997

[Significance of forehead and brow lifts].

Forehead and brow lifting, performed alone or in combination with other esthetic surgical procedures, is still a therapeutic aspect of esthetic facial surgery that is little known to both patients and surgeons. However, it is an approach that can be precisely planned and performed, leading to potentially excellent and permanent benefits in the entire frontal and periorbital region. With precise planning and a subtle technique, this is an exceptionally safe approach to permanent correction of age-related conditions throughout the frontal and periorbital region and thus to rejuvenating for many years the focal area of emotionality and overall facial expression.

Adult↗
PubMed1976

[Reproducibility of blood-flow measurement in the human forehead skin using thermodynamic probes].

The reproducibility (test-retest-reliability) of the forehead skin blood flow (method: fluvography or heat clearance) was tested by means of determination of the intraclass correlation coefficient. Defined changes of skin blood flow may be caused by loading a heat flow probe with weights; this was done in the range from 20 p to 500 p both in an ascending and a descending manner. A good reproducibility of results was reached in all repeated measurements made at intervals of one or several days. The correlation coefficient increases with increasing loads (r = 0.471 at a loading of 20 p; r = 0.813 at a load of 500 p).

Adult↗
PubMed1982

Liquid crystal forehead temperature strips. A clinical appraisal.

We recently compared two brands of liquid crystal temperature strips, designed for application to the forehead, Clinitemp and Fever Scan, with recently calibrated rectal and oral glass thermometers in 134 children. The Clinitemp identified as febrile nine (28%) of 33 children who had fever verified by a glass thermometer. Five of seven children less than 2 years of age with rectal temperatures of 38.9 degree C or higher were identified as afebrile by the Clinitemp. The Fever Scan identified as febrile 26 (79%) of 33 children who had fever verified by a glass thermometer. One of six children less than 2 years of age with rectal temperatures of 38.9 degree C or higher was identified as afebrile by the Fever Scan. Parents who rely on these strips to identify a fever in their children may be misled by an erroneous afebrile reading.

Adolescent↗
PubMed1988

Lid agenesis-macrostomia-psychomotor retardation-forehead hypertrichosis--a new syndrome?

We describe a boy with bilateral lid agenesis and total keratinization of cornea and conjunctiva, macrostomia, psychomotor retardation, forehead hypertrichosis, ocular hypertelorism, thin lips, abnormal auricles and nose, skin alterations, and other findings. Differential diagnosis with ablepharon-macrostomia syndrome is presented. Cause is unknown.

Abnormalities, Multiple↗
PubMedDate not supplied

Folded forehead flap for reconstruction of full-thickness defects of the cheek.

A simplified technique is described for reconstruction of through-and-through full-thickness defects of the cheek following resection of cancer. The standard forehead flap is employed with an extended application, whereby it is folded over itself twice to provide both an inner and an outer lining. This alternative technique appears to be a reliable and quick way of obtaining both cover and lining for reconstruction of through-and-through defects of the cheek.

Cheek↗
PubMedDate not supplied

Repair of full thickness defect of the nose using an expanded forehead flap and a glabellar flap.

We describe a method to repair full thickness defects of the nose using a glabellar flap as the lining of the nasal cavity and an expanded forehead flap for external closure. We consider our method useful in the reconstruction of a nose with a full thickness defect for which the flap donor site is limited. The patient was a 45-year-old man who underwent resection of a basal cell carcinoma located over the dorsum of the nose which was associated with a hemangioma simplex on the face. As a result, about two-thirds of the nose, from the dorsum to the tip, as well as a part of the right cheek became deficient and the right nasal cavity became exposed. The nose was reconstructed using the above-mentioned method. The result was satisfactory both cosmetically and functionally.

Basal Cell Carcinoma↗
PubMed2001

[Extended nasal reconstruction with forehead flap. Report of a series of 12 adults].

The authors report a study about 12 cases of partial, total and extensive rhinectomy treated by a median "gingko flower" forehead flap. Technical adaptations are described to resolve the difficult problem of support and lining reconstruction. The authors compare their technique with the various other methods: the classical one (Converse scalping and sea-gull Millard's flaps) or more recent surgical solutions (distal composite flaps and expansion).

Adult↗
PubMed1997

Use of vertical median forehead flap in the reconstruction of the anterior skull base: report of two cases.

Improvements in reconstruction of the skull base have made craniofacial surgery safe. Reconstruction of the anterior skull base must provide a seal between the cranial cavity and upper respiratory tract, as well as offer structural support for the brain. A wide variety of local flaps have been designed. The choice of flap in individual cases depends on the location and size of the defect. We report a reconstructive technique for the anterior skull base with vertical median forehead flaps which we used to treat two patients, one patient with adenocarcinoma and the other with leiomyosarcoma. Both were lesions of the ethmoid sinuses and nasal cavity.

Adenocarcinoma↗
PubMed1995

From the forehead of Zeus: the ontogeny of the immune response.

Many of the most important developments that result in a fully functioning vertebrate immune system take place in the developing fetus. From a variety of gene segments there is assembled in B cells a congeries of antibody combining sites, one to a cell, which form the greater part of the large repertoire of immunological specificities that characterise the system. This capability is further expanded later by somatic mutations. Just as immunoglobulin isotypes are produced sequentially (IgM, IgD, IgG, IgE, IgA) as they are read along the chromosome, so does the fetus and neonate manifest immunological competence sequentially to different antigens by employing variable region germline genes as they appear along the chromosome. The generation of T cell receptor diversity is accomplished by a similar mechanism of gene segment translocations. Each stage in the lineage of T and B cells is associated with the appearance of unique combinations of surface molecular markers, which in T cells characterise also the specialised functions of different subsets. If the immune system does not spring forth quite fully formed from the evolved vertebrate genome, as Athena did from the forehead of Zeus, ontogenetic mechanisms have made it very nearly complete.

Antibody Diversity↗
PubMed1996

[Osteosynthesis in the mid-face and forehead area].

BACKGROUND: In the beginning of the development of facial osteosynthetic techniques only relatively thick plates were available. Since then various mini- and micro-plating systems were developed for the midfacial and forehead regions. As so many different systems with different sizes are available, it is important to know which systems are appropriate for which indications. Therefore, the aim of this study was to add knowledge to some aspects of the differential indications of different systems for the middle and upper facial regions. METHODS AND PATIENTS: 1. The pull-out forces of seven different mini- and microscrews were measured. 2. The thicknesses of the facial bone were measured at 11 different points in 10 skulls. 3. The clinical experiences of midfacial and upper facial osteosynthesis in 45 patients were summarised. RESULTS: The pull-out forces increase with increasing bone- and screw-thickness and also substantially depend on the design of the screws. Although the bone thicknesses in the mid and upper facial region vary considerably, all investigated regions are suitable for osteosynthesis. In none of our patients any complication occurred that was related to the osteosynthesis. CONCLUSIONS: Microsystems with screw diameters of 0.8 mm (Howmedica) are suited for fractures of the nasoethmoidal complex. Providing the same thickness as the microplates the Panfixsystem (Howmedica) offers a better holding strength especially when using the 1.3 mm screws, and is easier to handle. For stabilising fractures of the zygoma, which might dislocate postoperatively due to the pulling force of the masseteric muscle, we still feel that the miniplating technique with compression is the method of choice.

Adult↗
PubMed1995

Endoscopic-assisted recontouring of the facial skeleton: the forehead.

Endoscopic techniques have revolutionized current surgical techniques and have now been introduced to plastic surgery. Advantages of endoscopic assistance include direct visualization, hidden scars, and decreased morbidity. We sought to implement endoscopic techniques to recontour the facial skeleton and avoid the disadvantages of open procedures. A standard video system and endoscopic instrumentation including a 4-mm 30-degree endoscope and a power bur were used. Cadaveric dissections were performed before clinical use. Using endoscopic assistance, the frontal bone of a 42-year-old Korean woman with bony deformities was visualized and sculpted using a power bur. An uneventful postoperative course ensued. This case illustrates the feasibility of using endoscopic techniques in forehead recontouring and sets the stage for further work in malar and mandible recontouring.

Adult↗
PubMed1995

Tissue expansion-assisted prefabrication of the forehead flap for nasal reconstruction.

A new technique for nasal reconstruction is described. This method--expansion-assisted flap prefabrication--is essentially a simultaneous application of pretransfer grafting and tissue-expansion procedures for creating custom-made forehead flaps to meet varying requirements of nasal reconstruction. We have applied this new technique on seven patients, with full-thickness nasal defects during a 3-year period. Results from these patients are presented with a review of different use of flap prefabrication principles in nasal reconstruction.

Adolescent↗