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
Identifier
Format
Journal Article or Conference Abstract Publication
URL Address
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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 June 10, 2023, https://neomed.omeka.net/items/show/8848.