caa a22 4500 606186573 CHVBK 20210128100836.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s00405-014-3027-1 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3027-1 Skaria A. Centre de Dermatochirurgie Vevey, Vevey, Switzerland aut The median forehead flap reviewed: a histologic study on vascular anatomy [Elektronische Daten] [A. Skaria] Local skin flaps can be divided into two types: random flaps and axial flaps. An axial flap is defined as a flap containing a named artery in its pedicle. For the paramedian forehead flap (PMFF) a lot of surgeons insist on the point that the pedicle must contain the supratrochlear artery. To demonstrate that median forehead flaps (MFF) need not contain a named artery, we selected first 8 patients with a PMFF and further 12 patients who had undergone reconstructive surgery using a MFF. After division, we analysed the pedicle of the flap histologically and measured the diameter of the arteries or arterioles and compared them to anatomical descriptions of the frontal arteries. In none of the 12 cases could we find a functional artery of approximately 1mm in diameter that could correspond to the supratrochlear artery. The MFF is an axial flap but not in accordance with the current definition of this term. In contrast to published literature, we show that only in a part of cases a named artery was present in the pedicle. Despite this fact, the MFF is a secure flap for full thickness defect repair on the nose. Springer-Verlag Berlin Heidelberg, 2014 Median frontal flap nationallicence Paramedian frontal flap nationallicence Flap nationallicence Repair of the nose nationallicence Mohs surgery nationallicence Reconstruction of the nose nationallicence Basal cell carcinoma nationallicence Squamous cell carcinoma nationallicence Oncologic surgery nationallicence European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/5(2015-05-01), 1231-1237 0937-4477 272:5<1231 2015 272 405 https://doi.org/10.1007/s00405-014-3027-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3027-1 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Skaria A. Centre de Dermatochirurgie Vevey, Vevey, Switzerland aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/5(2015-05-01), 1231-1237 0937-4477 272:5<1231 2015 272 405