The Retroangular Flap Revisited

Abstract

Background: To date, the retroangular flap has been used only for reconstruction of defects of the nose and the glabella. Objective: The objective was to expand the indications of the retroangular flap in facial reconstruction. Materials and methods: We repaired the facial defects of 11 patients using 12 retroangular flaps. These defects were located on the nose in 4 patients, the lower eyelid in 4 patients, the upper eyelid in 2 patients, and the cheek in 1 patient. Results: The mean follow-up time was 13.2 months. All of the flaps survived, and no revisional procedures were required. Cosmetic and functional outcomes were satisfactory in all patients. Conclusions: The retroangular flap is a valuable alternative for the management of small- to moderate-sized defects of the midface. We strongly suggest extending the use of this flap to include reconstruction of nasal, eyelid, and cheek defects.