Hassan Raza Jafri, Ashraf Dawood.
Single Stage Median Forehead Rotational Flap (SSMFRF) for Lid Reconstruction.
Ophthalmol Update Jan ;13(4):293-6.

Purpose: to assess the outcome and complications after single stage median forehead rotational flap for lid reconstruction. Methods: Consecutive case series of 21 patients. Patients were selected on non-probability purposive basis from Oculoplasty clinic, Isra Post Graduate institute of Ophthalmology from January 2013 to December 2014. All the patients who underwent single stage median forehead rotational flap for lid reconstruction were included. Patients with complex reconstruction from multiple sources were excluded. Outcome was recorded for final flap acceptance and cosmetic appearance. Complications were also noted and recorded Results: 21 patients were included in this study. All patients underwent single stage median forehead rotational flap. Age of the patients range from 32 years to 78 years (mean of 59.28 years). 08 (38.09%) patients were male while 13(61.90%) were female. 19 (90.47%) patients underwent surgery for reconstruction after tumor excision. Out of these 16 (84.21%) were proven to be Basal cell carcinomas, 02 (10.52%) were squamous cell carcinomas and 1 (5.26%) was melanoma. 16 (84.21%) patients had tumors at the medial canthus while 3 (15.78%) patients had tumors at medial aspect of the lower lid. 01 (13.04%) patient underwent surgery for cicatricial ectropion of the lower lid due to acid burn. 01 (4.76%) patient underwent surgery due to traumatic laceration and tissue loss. As far as complications are concerned 01 (4.76%) patient had forehead wound gapping which required re-suturing. 01 (4.76%) patient had wound dehiscence at the distal margin of the flap, which were dealt with re-suturing after refreshing the margins. Conclusion: Single stage median forehead rotational flap is an effective procedure for lid reconstruction secondary to different causes of defects in the area of upper and lower eyelids and medial canthus. This modification reduces the number of surgical stages, hence reducing economical and psychological burden of the patient and the surgeon. It is associated with fewer complications, which are easily manageable. It shows promising results with good cosmetic appearance.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com