Four Limb Shaped Auricular Chondrocutaneous Composite Graft for the Alar and the Columellar Defects
Archives of Aesthetic Plastic Surgery
; : 149-154, 2017.
Article
in En
| WPRIM
| ID: wpr-68143
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ABSTRACT
BACKGROUND:
Composite grafts have advantages for small nasal defect coverage. However, if the the outer skin defect and the inner skin defect have a different location, conventional composite grafts encounter considerable limitations. Therefore, we devised a 4-limbed graft to overcome this limitation by use of soft tissue transposition.METHODS:
Over the course of 5 years, this auricular composite graft was used in 10 cases of reconstruction. We harvested skin and cartilage from the helix. The composite graft had 2 limbs of soft tissue to cover the nasal defect and another 2 limbs of cartilage to support nasal framework. The cartilage limbs extended 3 to 5 mm beyond the margin of the skin. The direction of each limb was modified according to defect position.RESULTS:
All 10 composite grafts survived completely. All composite grafts shrank by a small percentage of their bulk. Nonetheless, the nasal framework was maintained to an acceptable extent because of the cartilage limbs.CONCLUSIONS:
This technique was capable not only of covering defects in the alar and columellar area, but also of maintaining a satisfactory external appearance, because the 2 limbs of cartilage included in the graft strengthened the nasal framework and provided modest support to the nostril margin. The 2 limbs of soft tissue covered the defect area. Our 4-limbed auricular chondrocutaneous composite graft is reliable option for the reconstruction of alar and columellar defects in a single-stage procedure.Key words
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Index:
WPRIM
Main subject:
Skin
/
Cartilage
/
Plastic Surgery Procedures
/
Transplants
/
Extremities
Language:
En
Journal:
Archives of Aesthetic Plastic Surgery
Year:
2017
Type:
Article