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Pediatric Nasal Reconstruction by Washio Procedure
Sara Caterina Maria O'Rourke1, Cecilia Neiva1, Eva Galliani1
1Department of Maxillofacial and Plastic Surgery, Rare Diseases Reference Center Coordinator for Clefts and Facial Malformations, Hôpital Universitaire Necker-Enfants Malades, Paris, France.
Facial Plastic Surgery : FPS
|May 18, 2019
Summary
The Washio retroauricular flap is a safe and versatile option for pediatric nasal reconstruction, successfully treating various defects without complications. This method allows for future surgical planning and avoids facial scarring.
Area of Science:
- Plastic Surgery
- Pediatric Surgery
- Maxillofacial Surgery
Background:
- The Washio retroauricular flap for nasal reconstruction is underrepresented in current literature, especially for pediatric cases.
- Limited data exists on its application and outcomes in children.
Purpose of the Study:
- To evaluate the efficacy and safety of the Washio retroauricular flap in pediatric nasal reconstruction.
- To assess its versatility across different nasal defect types in children.
Main Methods:
- A retrospective study of pediatric patients undergoing Washio retroauricular flap for nasal reconstruction between 2014-2018.
- All procedures were performed by a single surgeon at a specialized pediatric center.
Main Results:
- The Washio flap was successfully used in three pediatric patients with defects of the nasal alae, tip, and columella.
- No postoperative healing complications were observed in the study cohort.
Conclusions:
- The Washio retroauricular flap is a versatile and safe technique for pediatric nasal reconstruction, suitable for various defects.
- A two-stage procedure with progressive postoperative verticalization is recommended to prevent venous complications.
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