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Nasal reconstruction using the Washio retroauricular temporal flap
C M Morrison1, J S Bond, A G Leonard
1Northern Ireland Plastic and Maxillofacial Service, The Ulster Hospital, Dundonald, Belfast, Northern Ireland, UK.
British Journal of Plastic Surgery
|July 16, 2003
Summary
The Washio retroauricular temporal flap offers an excellent solution for challenging nasal reconstructions in young patients. This technique, using tissue from behind the ear on a temporal pedicle, showed no flap necrosis in twelve cases.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Reconstruction
Background:
- Reconstructing external nasal defects poses significant challenges for surgeons.
- The Washio retroauricular temporal flap was initially described for central facial repairs.
Purpose of the Study:
- To evaluate the efficacy of the Washio retroauricular temporal flap for nasal reconstruction.
- To present modifications for simplifying the flap's planning and elevation.
Main Methods:
- The study involved twelve patients undergoing nasal reconstruction using the Washio retroauricular temporal flap.
- Modifications to the flap's planning and harvesting technique were implemented.
Main Results:
- No instances of flap necrosis were observed.
- One patient experienced a stitch abscess, one had temporary hair loss from the pedicle, and one elderly patient had thromboembolic complications.
- The flap proved effective for difficult nasal reconstructions, particularly in younger individuals.
Conclusions:
- The Washio retroauricular temporal flap is a reliable and effective technique for complex nasal reconstruction.
- The described modifications enhance the practicality of this surgical approach.
- The technique is especially recommended for younger patients requiring challenging nasal defect repair.