The post- and retro-auricular scalping flap (the PARAS flap).

Area of Science:

• Plastic Surgery
• Anatomy
• Reconstructive Surgery

Background:

• Facial defects require effective reconstructive solutions.
• Scalp flaps are utilized in reconstructive surgery.
• Aesthetic outcomes are crucial in facial reconstruction.

Observation:

• Cadaveric dissections were performed to analyze vascular anatomy.
• Clinical studies were conducted to evaluate flap viability and application.
• The proposed flap combines axial and random patterns for versatility.

Findings:

• The axial pattern scalp flap with random extension demonstrates potential for facial defect coverage.
• Vascular anatomy supports the flap's reliability.
• Initial clinical applications in five patients showed promising aesthetic results.

Implications:

• This flap offers a new option for aesthetic reconstruction of facial defects.
• Further clinical investigation and long-term follow-up are warranted.
• The technique may enhance reconstructive surgical outcomes.