Reconstruction of nasal defects using modified composite grafts

Title

Reconstruction of nasal defects using modified composite grafts

Creator

Chandawarkar R Y; Cervino A L; Wells M D

Publisher

British Journal of Plastic Surgery

Date

2003
2003-01

Description

Nasal defects in certain areas such as the columellar-lobular junction, the alar rim and the soft triangle are cosmetically challenging to reconstruct. This paper describes a technique that enables the use of composite grafts for these specific nasal defects. Termed modified composite grafts (MCG), they involve creation of a dermal pedicle on the graft that enlarges the surface area of contact between the graft and the recipient bed. In addition, we used postoperative surface cooling for grafts larger than 1.5 cm. Both these modifications allow reconstruction of defects larger than 1.5 cm, improve graft survival and yield a better cosmetic outcome. Using representative cases from our series of 50 patients, we demonstrate that MCGs provide a simple, single-staged alternative to otherwise complex reconstruction of specific areas of the nose. They offset the need for local flaps, avoid donor-site scars and yield excellent long-term results. (C) 2003 The British Association of Plastics Surgeons. Published by Elsevier Science Ltd. All rights reserved.

Subject

outcome; Surgery; survival; flap; ala; cosmetic; dermal pedicle; modified composite graft; nasal reconstruction

Format

Journal Article or Conference Abstract Publication

Search for Full-text

Users with a NEOMED Library login can search for full-text journal articles at the following url: https://libraryguides.neomed.edu/home

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

26-32

Issue

1

Volume

56

Citation

Chandawarkar R Y; Cervino A L; Wells M D, “Reconstruction of nasal defects using modified composite grafts,” NEOMED Bibliography Database, accessed August 1, 2021, https://neomed.omeka.net/items/show/8848.

Social Bookmarking