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July 26, 2026Open Access

H-Plasty Reconstruction of a Traumatic Frontal Avulsion: A Case Report

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Authors

JRJosé I. RodríguezCCCecilia Estefanía Rocha CabreraDMDiego Eduardo Macias Muñoz

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Overview

Case report demonstrates successful reconstruction of a forehead avulsion in a young child, indicating H-plasty's effectiveness.

Key Points

  • The aim is to address the challenges of reconstructing traumatic forehead avulsion in young children.
  • Performed initial irrigation, debridement, traumatic-flap remodeling, and primary closure.
  • Implemented second-stage reconstruction using bilateral opposing advancement flaps configured as an H-plasty.
  • Utilized layered closure with 6-0 absorbable polydioxanone sutures.
  • Flap remained viable at postoperative days 6 and 10, achieving complete coverage.
  • Early aesthetic and functional results were satisfactory, with successful vascularized flap design.
  • Demonstrated effective coverage and preservation of surrounding vascular territories.

Cite This Study

Rodríguez et al. (2026) studied this question.

synapsesocial.com/papers/6a65a8c9d3aea3239cd78f82https://doi.org/10.5281/zenodo.21526592
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Single stage traumatic paediatric scalp defect reconstruction with free chimeric anterolateral thigh and vastus lateralis muscle flap – a case report2025
  2. 2The free anterolateral thigh flap substituted for a pedicled biparietal flap in reconstructing complex frontal defect2024
  3. 3O-to-H Flap Reconstruction of a Central Forehead Defect Following Basosquamous Carcinoma Excision: A Case Report and Literature Review2026
  4. 4Autograft cranioplasty for the correction of a severe frontal skull defect due to hypocalvaria: A case report and review in management2024
  5. 5Treatment of severe scalp avulsion injury through microsurgical vascular anastomosis, subarea multi-tubenegative pressure drainage, and anchoring sutures: a case report2025