Introduction: Skin lesions and masses of forehead are challenging topics in the field of reconstruction. Skin grafts and local flaps have significant role in reconstruction of skin defects of forehead. Proper design of flap can save hairline configuration and symmetry of eyebrows.
Case report: A young woman with congenital sebaceous nevus-Jadassohn-wanted to remove this lesion. After excision, there was skin defect of 4 cm diameter. A O to T flap designed and incisions were on bilateral hairline. The defect was covered without any disruption of hairline.
Conclusion: Rotational-advancement flaps are among reliable flaps in reconstruction of forehead skin defects. O to T flap belongs to this category which is effective in traumatic patients and reconstruction following tumor resections.
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