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Ronald C. Hamaker, MD; John Conley, MD

Arch Otolaryngol. 1975;101(3):189-191.

Abstract
The versatility and benefit of the forehead flap need not be lost when the external carotid artery system has been ligated. By basing the forehead flap laterally on the scalp, nourishment from the opposite external carotid artery gives the head and neck surgeon another advantage in reconstruction with nondelayed expedience.

We report three cases of wide cheek ablative surgery, external carotid ligation, and utilization of the forehead flap. The occasions to use this modified nondelayed forehead flap are few, but it offers the same advantage without staging. It definitely can be used in any situation requiring a forehead flap when the external carotid artery system has been ligated.

Author Affiliations
From the Department of Otolaryngology, Indiana University Medical Center and Marion County General Hospital, Indianapolis (Dr. Hamaker); and the College of Physicians and Surgeons, Columbia University; Head and Neck Services, Columbia Presbyterian Medical Center and St. Vincent's Hospital; and the Pack Medical Foundation, New York (Dr. Conley).

Footnotes
Accepted for publication Aug 7, 1974.

Reprint requests to 211 Central Park West, New York, NY 10024 (Dr. Conley).

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