|
KMID : 1037220170230030149
|
|
Archives of Aesthetic Plastic Surgery
2017 Volume.23 No. 3 p.149 ~ p.154
|
|
|
Four Limb Shaped Auricular Chondrocutaneous Composite Graft for the Alar and the Columellar Defects
|
|
Yoon Seok-Min
Lee Da-Woon
Nam Seung-Min
Wee Syeo-Young
Jeong Hyun-Gyo
Choi Chang-Yong
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Cartilage, Helix, Reconstructive surgical procedures
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|