Reconstruction of nasal defects using a reverse preauricular flap by microsurgical technique.
- Author:
Sheng-li LI
1
;
Wei-gang CAO
;
Kai-xiang CHENG
;
Jian WANG
Author Information
- Publication Type:Case Reports
- MeSH: Adult; Ear, External; surgery; Female; Humans; Male; Microsurgery; Nose Deformities, Acquired; surgery; Reconstructive Surgical Procedures; methods; Skin Transplantation; methods; Surgical Flaps; blood supply; Temporal Arteries; surgery; Young Adult
- From: Chinese Journal of Plastic Surgery 2006;22(4):248-251
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVEThis article reports the design and application of a free reverse preauricular flap for one-stage reconstruction of nasal defects.
METHODSA preauricular flap was designed according to the nasal defect, which was harvested with the reverse superficial temporal vessels as its vascular pedicle. The flap size ranged from 3.0 cm x 2.5 cm to 6 cm x 2 cm without any hair-bearing skin. In flap transferring, its pedicle of the superficial temporal vessels was anastomosed with the facial vessels in the nasolabial fold.
RESULTSThe flap survived uneventfully in these three patients. The defects in the distal nose were reconstructed with satisfactory results. The donor site scar was similar to that of face-lift incision.
CONCLUSIONSThis is the first report of clinical applications of the free reverse preauricular flap by microsurgical technique. Microsurgical technique allows successful transfer of this flap in a one-stage procedure. Because of its similar color and texture to the facial skin, this flap provides excellent tissues for coverage of the nasal defect. This technique may have even wider applications for other facial cutaneous defects.