Using Hairy and Non-Hairy Retroauricular-Temporal Composite Flap in Facial Reconstruction

Background: The authors describe their experience with the retroauricular temporal flap in facial reconstruction. Methods: Twenty-two (20 females, 2 males) patients with composite tissue defect of various areas of the face have been esthetically reconstructed with a modified Washio flap. This flap is a good choice for facial reconstruction, due to its color match, reliability, feasibility, and potential for modification including elements such as skin, hair, and cartilage. The donor site is inconspicuous. Results: The 22 patients in this report underwent reconstruction without flap loss. Conclusion: The Washio flap, with different modifications, is a useful technique for reconstruction of facial defects which may include hairy and non-hair bearing skin, preferably not larger than 7x5 cm in size, and particularly in young patients.