Levet Y, Casey R, Jost G
Service de Chirurgie Plastique de la Face, Hôpital Lariboisière, Paris.
Ann Otolaryngol Chir Cervicofac. 1986;103(5):313-7.
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.
三年来，采用康弗斯头皮瓣或鹫尾颞耳瓣技术进行鼻再造的14例病例，让我们指出了确保手术效果质量所需的细节。特别是，康弗斯瓣必须薄；在鼻下三分之二的重建中使用时，它从不需骨或软骨加固。所描述的蒂部断离方法可在第13天更换头皮。鹫尾技术的新数据如下：——必须使用乳突部皮肤而非耳后皮肤；——头皮的后切口遵循由三个固定点确定的AC线：A = 耳轮根部，B = 额发际线切口末端垂直于额眶缝处，且AB = AC = BC。这些新数据似乎保证了鹫尾瓣的可靠性，然而后者无法取代康弗斯瓣，即面中部重建的王牌皮瓣。
