International Journal of Head and Neck Surgery

Register      Login

VOLUME 2 , ISSUE 2 ( May-August, 2011 ) > List of Articles

RESEARCH ARTICLE

Use of Retroauricular Temporal Flap for Large Post Oncosurgical Glabellar and Forehead Defects

Hemant Saraiya

Citation Information : Saraiya H. Use of Retroauricular Temporal Flap for Large Post Oncosurgical Glabellar and Forehead Defects. Int J Head Neck Surg 2011; 2 (2):83-86.

DOI: 10.5005/jp-journals-10001-1057

Published Online: 00-08-2011

Copyright Statement:  Copyright © 2011; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction

Reconstruction of large defect in glabellar and forehead areas poses a perplexing problem for a reconstructive surgeon. Although coverage of small defect can be straight forward, few options are available for the coverage of large area.

Materials and methods

Two patients were operated for recurrent basal cell carcinoma and dermatofibrosarcoma respectively. Excision left very large defect which was reconstructed by retroauricular temporal flap.

Results

Both flaps survived completely. Flap cutting and final insetting was done on 21st day. The postoperative result was very satisfactory.

Conclusions

Retroauricular temporal (Washio) flap is a robust and reliable flap. It satisfactorily caters the need of the recipient area. The scars are oncologically and esthetically acceptable. We believe that this technique is a simple and effective solution to a difficult problem.


PDF Share
  1. Retroauricular temporal flap. Keisei Geka 1968;11(4):285-90.
  2. Retroauricular temporal flap. Plast Reconstr Surg 1969;43(2):162-66.
  3. Further experiences with the retroauricular temporal flap. Plast Reconstr Surg 1972;50(2):160-62.
  4. The Washio tempororetroauricular flap: Its use in 20 patients. Plast Reconstr Surg 1982;70(5): 550-60.
  5. Nasal reconstruction using the Washio retroauricular temporal flap. Br J Plast Surg 2003;56(3):224-29.
  6. Repair of forehead defects by rotation of local flaps. Plast Reconstr Surg 1976;57:204.
  7. Geometric considerations in the design of rotation flaps in the scalp and forehead region. Plast Reconstr Surg 1988;81(6):900-06.
  8. Closure of large central forehead defect by coronal incision and bilateral forehead and posterior scalp advancement. Ann Plast Surg 1980;5(5): 393-95.
  9. Scalp flap—a utility and reconstructive option for head and neck surgeons. J Laryngol Otol 1993;107(4):324-28.
  10. Radial forearm free tissue transfer for head and neck reconstruction: Versatility and reliability of a single donor site. Microsurgery 2000;20(4):195-201.
  11. Scalp and forehead reconstruction using free revascularized tissue transfer. Arch Facial Plast Surg 2004;6(1):16-20.
  12. Prefabricated microvascular shoulder free flap for forehead reconstruction. Handchir Mikrochir Plast Chir 1993;25(3): 139-43.
  13. Tissue expansion in reconstructive surgery: A case report. S Afr Med J. 1986;69(11):705-07.
  14. Use of expanded temporal flaps to resurface the skin grafted forehead. Br J Plast Surg 1987;40(2):171-72.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.