O to T Flap for Central Forehead Defect Reconstruction

  • Abhishek GhoshEmail author
  • Swagnik Chakrabarti
  • Atul Kumar Rai
  • Tanvi Choubey
  • Achyuth Panuganti
  • Sandeep Bhukar
Case Report


The reconstruction of central forehead defect is challenging because of the paucity of the adjacent extensible tissue and aesthetic importance of the area. Reconstruction of this region should be done keeping in mind brow symmetry and natural hairline. Camouflaging the final scar lines in wrinkles or hairline should be the final goal. Even small resections in this region can be surprisingly difficult owing to resistance offered by galea to advancement despite significant undermining due to its inelastic composition and position over the skull’s natural convexity. Following, we present a case report wherein we describe a technique for the reconstruction of central forehead defects using simple Burrow’s triangles.


O to T flap Forehead defect Periglabellar flap Burrow’s triangle 



No funding was received for this project from any source.

Compliance with Ethical Standards

Conflict of interest

The authors declare that there is no conflict of interest regarding the publication of this paper.


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Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2019

Authors and Affiliations

  1. 1.Homi Bhabha Cancer HospitalVaranasiIndia

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