Pediatric Nasal Reconstruction by Washio Procedure

Sara Caterina Maria O'Rourke; Cecilia Neiva; Eva Galliani; Natacha Kadlub; Arnaud Picard; Anne Morice

doi:10.1055/s-0039-1688703

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2019; 35(03): 286-293
DOI: 10.1055/s-0039-1688703

Original Research

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Pediatric Nasal Reconstruction by Washio Procedure

Sara Caterina Maria O'Rourke

¹Department of Maxillofacial and Plastic Surgery, Rare Diseases Reference Center Coordinator for Clefts and Facial Malformations, Hôpital Universitaire Necker-Enfants Malades, Paris, France

,

Cecilia Neiva

¹Department of Maxillofacial and Plastic Surgery, Rare Diseases Reference Center Coordinator for Clefts and Facial Malformations, Hôpital Universitaire Necker-Enfants Malades, Paris, France

,

Eva Galliani

¹Department of Maxillofacial and Plastic Surgery, Rare Diseases Reference Center Coordinator for Clefts and Facial Malformations, Hôpital Universitaire Necker-Enfants Malades, Paris, France

,

Natacha Kadlub

¹Department of Maxillofacial and Plastic Surgery, Rare Diseases Reference Center Coordinator for Clefts and Facial Malformations, Hôpital Universitaire Necker-Enfants Malades, Paris, France

²Department of Maxillofacial and Plastic Surgery, Université Paris Descartes-Sorbonne Paris Cité, Paris, France

,

Arnaud Picard

¹Department of Maxillofacial and Plastic Surgery, Rare Diseases Reference Center Coordinator for Clefts and Facial Malformations, Hôpital Universitaire Necker-Enfants Malades, Paris, France

²Department of Maxillofacial and Plastic Surgery, Université Paris Descartes-Sorbonne Paris Cité, Paris, France

,

Anne Morice

¹Department of Maxillofacial and Plastic Surgery, Rare Diseases Reference Center Coordinator for Clefts and Facial Malformations, Hôpital Universitaire Necker-Enfants Malades, Paris, France

²Department of Maxillofacial and Plastic Surgery, Université Paris Descartes-Sorbonne Paris Cité, Paris, France

› Author Affiliations

Abstract

The use of the Washio retroauricular flap for nasal reconstruction has been infrequently covered in recent literature, particularly concerning the pediatric population. A retrospective study was conducted between 2014 and 2018 and included all pediatric patients who underwent a Washio retroauricular flap procedure for nasal reconstruction operated on by the same surgeon at a referral center for pediatric plastic and maxillofacial surgery. The mean age at the time of the first stage of the Washio procedure was just under 8 years of age (range: 6 years 3 months–8 years 10 months). The Washio retroauricular flap procedure was successfully employed in three patients with three different anatomical defects, including the nasal alae, nasal tip, and columella, without postoperative healing complications. Arguably, the Washio method is sufficiently versatile to be used in various defect types, allows space and planning for subsequent surgical corrections, avoids additional visible scarring of the face, and spares flaps that may be required at the end of the growth, such as the pedicled forehead flap. It is a safe procedure, provided that at least a two-stage procedure is performed, and a progressive postoperative verticalization is prescribed to limit venous drainage complications.

Keywords

nasal reconstruction - Washio retroauricular flap - pediatric patients

Full Text

References

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Supplementary Material

Supplementary Material