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The contralateral subgaleal sliding flap for the single-stage reconstruction of large defects of the temple and lateral forehead.

BACKGROUND: Due to the relative lack of a mobile tissue reservoir, the flap repair of large defects of the temple and lateral forehead is challenging.

OBJECTIVE: To present our experience of the contralateral subgaleal sliding (CLASS) flap for the single-stage aesthetic repair of such defects.

METHODS: Data were collated on all patients at one regional Mohs centre in whom the CLASS flap had been performed since 2011.

RESULTS: The CLASS flap was performed on 16 patients (11 male, five female) with an average age of 63 years (range 42-90). The average defect size was 2·8 × 3·1 cm. A single case of postoperative infection occurred, which settled with appropriate therapy with no adverse sequelae. All patients rated their outcome as good or excellent.

CONCLUSION: The CLASS flap is a reliable, aesthetic, single-stage reconstructive technique for large defects of the lateral forehead and temple.

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