OBJECTIVE: To evaluate the aesthetic and functional outcomes of a full-thickness skin graft and a separately harvested auricular cartilage graft for nasal alar defects created by Mohs micrographic surgery. DESIGN: Twenty patients with deep Mohs micrographic surgery defects of the nasal ala who underwent reconstruction with a full-thickness skin graft and an auricular cartilage graft were prospectively studied at a single tertiary care institution between 2010 and 2011 in a nonrandomized, nonblinded study. An ordinal 5-point Likert scale evaluation of overall outcomes was performed by 4 independent surgeon raters. RESULTS: The mean outcome for use of the full-thickness skin and auricular cartilage graft construct was a score of 2.3 on a scale of 1 through 5, with 1 being excellent and 5 being poor. The mean duration of follow-up was 6 months, with a range of 5 weeks to 23 months. There were no clinically meaningful losses of constructs in the patients studied. CONCLUSION: A full-thickness skin graft and a separately harvested auricular cartilage graft are valuable and reliable tools for reconstructing deep nasal alar defects that require support to prevent alar retraction or collapse, particularly when a single-stage procedure is preferred or necessary because of medical comorbidities.
OBJECTIVE: To evaluate the aesthetic and functional outcomes of a full-thickness skin graft and a separately harvested auricular cartilage graft for nasal alar defects created by Mohs micrographic surgery. DESIGN: Twenty patients with deep Mohs micrographic surgery defects of the nasal ala who underwent reconstruction with a full-thickness skin graft and an auricular cartilage graft were prospectively studied at a single tertiary care institution between 2010 and 2011 in a nonrandomized, nonblinded study. An ordinal 5-point Likert scale evaluation of overall outcomes was performed by 4 independent surgeon raters. RESULTS: The mean outcome for use of the full-thickness skin and auricular cartilage graft construct was a score of 2.3 on a scale of 1 through 5, with 1 being excellent and 5 being poor. The mean duration of follow-up was 6 months, with a range of 5 weeks to 23 months. There were no clinically meaningful losses of constructs in the patients studied. CONCLUSION: A full-thickness skin graft and a separately harvested auricular cartilage graft are valuable and reliable tools for reconstructing deep nasal alar defects that require support to prevent alar retraction or collapse, particularly when a single-stage procedure is preferred or necessary because of medical comorbidities.
Authors: Carlos M Chiesa-Estomba; Ana Aiastui; Iago González-Fernández; Raquel Hernáez-Moya; Claudia Rodiño; Alba Delgado; Juan P Garces; Jacobo Paredes-Puente; Javier Aldazabal; Xabier Altuna; Ander Izeta Journal: Tissue Eng Regen Med Date: 2021-04-17 Impact factor: 4.169
Authors: Peter Apelgren; Matteo Amoroso; Anders Lindahl; Camilla Brantsing; Nicole Rotter; Paul Gatenholm; Lars Kölby Journal: PLoS One Date: 2017-12-13 Impact factor: 3.240
Authors: Peter Apelgren; Matteo Amoroso; Karin Säljö; Anders Lindahl; Camilla Brantsing; Linnéa Stridh Orrhult; Paul Gatenholm; Lars Kölby Journal: Plast Reconstr Surg Glob Open Date: 2018-09-14