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Application of dermal substitute (Integra) to donor site defect of forehead flap.

Although forehead flap has limited use, it may have a role as a 'third' line option. Its primary complication is the poor cosmetic defect on the forehead. A case is presented in which, after harvesting the flap for reconstruction of the oral cavity, a dermal substitute (Integra) together with split thickness skin graft was used for the management of this wound. The result was significantly improved over using split skin graft alone.