Methods Forehead boot-shape flap was designed based on forehead median flap and forehead oblique flap as follows: the pedicle of the forehead boot-shape flap was suppled by supratrochlear artery and the lateral main body of the flap passed forehead median line and reached the contralateral temple that suppled by the contralateral supratrochlear artery and temporal superf.

The forehead central skin flap was used for 3 cases, nasolabial tissue flap was used for 17 cases(19 sides) and the auricular composite tissue flap was used for 10 cases(11 sides).

The second stage,34 patients were treated with the expanded forehead flap for nose reconstruction.

Realization of forehead island skin flap repairing and nose or eye malignant tumors cutting off;