Forehead Flaps Workup

Updated: May 31, 2017
  • Author: Stephen S Park, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Workup

Laboratory Studies

See the list below:

  • Laboratory testing follows standard preoperative evaluation and screening.
  • A history of clotting problems or easy bruising indicates that hematological studies or bleeding times may help identify potential surgical risks.
  • If general anesthesia is used, other testing, such as ECG, chest radiographs, and chemistry panels, may be indicated depending on a patient's particular health status and anesthetic risk.
  • Other preoperative preparations include various methods of optimizing surgical outcome depending on specific medical history.
    • Maximize the nutritional status of malnourished patients.
    • Serum albumin levels less than 3 g/dL impair healing.
    • If a patient's skin has excessive comedones, a brief presurgical course with tretinoin may reduce severity.
    • Dermabrasion may be used to minimize the degree of rhinophyma and improve recipient site contour.
    • Patients with diabetes should have tight glucose control to improve healing.
    • Patients who use tobacco products may be counseled at this time about the significant deleterious effects of nicotine, including compromised flap viability.
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Imaging Studies

See the list below:

  • No specific radiographic imaging studies are required.
  • Preoperative photography is essential to document the defect, allow outcome review and comparison, and educate the patient regarding the condition prior to surgery.
  • Confirmation of the supratrochlear artery location and its path up the forehead can be achieved using Doppler studies, angiography, or palpation. These are not typically necessary because the anatomy in this region is consistent.
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