[Nasal reconstruction using the Converse frontal flap or a Washio retroauricular flap. Technical notes].
14 cases of nasal reconstruction by the Converse Scalping Flap or the Washio Temporo-auricular flap technique, over three years, led us to point out details necessary to insure the quality of the results. In particular, the Converse Flap must be thin; it never needs bone neither cartilage reinforcement when used in reconstructions of the two inferior third of the nose. The pedicle weaning method described allows the replacement of the scalp on thirteenth day. New data for the Washio technique are as following: --The mastoidian skin and not the retro-auricular skin must be used; --The back-cut of the scalp follows the AC line dating from three fixed points: A = helix root B = end of incision on the frontal hairline vertically to the fronto-orbital suture, and AB = AC = BC. This new data seem to warrant the fiability of the Washio flap, however the latter cannot dethrone the Converse flap, king flap of medio-facial reconstructions.
Service de Chirurgie Plastique de la Face, Hôpital Lariboisière, Paris.
Y
Y
Levet
R
R
Casey
G
G
Jost
D006801:Humans; D009666:Nose / Q000601:surgery*; D013524:Surgical Flaps
Les reconstructions nasales par lambeau frontal de Converse ou par lambeau rétro-auriculaire de Washio. Notes techniques.