A new retroauricular flap for facial reconstruction

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Vascular Anatomy

Background:

• Forehead and facial defects often require complex reconstructive techniques.
• Traditional methods may involve significant donor site morbidity.
• The need for versatile, single-stage reconstructive options persists.

Observation:

• A retroauricular reverse flow flap was utilized in two clinical cases.
• The flap was based on arterial anastomosis involving the superficial temporal artery, supraorbital, and supratrochlear arteries.
• This flap demonstrated a reliable arc of rotation and sufficient pedicle length.

Findings:

• The retroauricular reverse flow flap successfully reconstructed forehead and facial defects in both cases.
• The flap allowed for single-stage transfer to cover small to medium defects.
• The procedure was characterized by its safety and simplicity.

Implications:

• This flap presents a viable, minimally invasive option for reconstructive surgery in the head and neck region.
• It offers a solution for defects across the forehead, face, and scalp.
• The technique shows potential for reducing patient recovery time and complications.