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Kevin A. Shumrick, MD; Timothy L. Smith, MD

Arch Otolaryngol Head Neck Surg. 1992;118(4):373-379.

Abstract
• The detailed arterial anatomy of the medial forehead region was evaluated using roentgenographic examinations of injected cadaver heads, anatomic dissections of injected cadaver heads, and Doppler examination of normal subjects. The supratrochlear artery was seen to be the dominant artery of the medial forehead (not the supraorbital). The supratrochlear artery exited the orbit 1.7 to 2.2 cm from the midline, passing superficial to the corrugator and deep to the orbicularis and frontalis muscles. The supratrochlear artery then passes just medial to the eyebrow and pierces the frontalis muscle, ascending the rest of the forehead in a subcutaneous plane 1.5 to 2.0 cm from the midline (paramedian position). The implications of this vascular anatomy on forehead flap design and execution for nasal reconstruction are discussed and clinical cases are presented.

(Arch Otolaryngol Head Neck Surg. 1992;118:373-379)

Author Affiliations
From the Department of Otolaryngology, University of Cincinnati (Ohio) (Dr Shumrick), and the University of Cincinnati College of Medicine (Dr Smith).

Footnotes
Accepted for publication September 13, 1991.

Read before the 1990 Fall Meeting of the American Academy of Facial Plastic and Reconstructive Surgery, San Diego, Calif, September 7, 1990.

Reprint requests to Department of Otolaryngology, University of Cincinnati, 231 Bethesda Ave, ML 528, Cincinnati, OH 45267 (Dr Shumrick).

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