Four Limb Shaped Auricular Chondrocutaneous Composite Graft for the Alar and the Columellar Defects
- 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.
- All Author(s)
- S. M. Yoon
; D. W. Lee
; S. M. Nam
; S. Y. Wee
; H. G. Jeong
; C. Y. Choi
- Issued Date
- 2017
- Type
- Article
- Keyword
- Cartilage; Helix; Reconstructive surgical procedures
- Publisher
- 대한미용성형외과학회
- ISSN
- 2234-0831
- Citation Title
- Archives of Aesthetic Plastic Surgery
- Citation Volume
- 23
- Citation Number
- 3
- Citation Start Page
- 149
- Citation End Page
- 154
- Language(ISO)
- eng
- DOI
- 10.14730/aaps.2017.23.3.149
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/1470
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