Volume 11, Issue 3 (2022)                   WJPS 2022, 11(3): 84-88 | Back to browse issues page

XML Print

1- Department of Otolaryngology-Head and Neck Surgery Massachusetts Eye and Ear, Boston, Massachusetts, USA
2- Poplar Bluff Regional Medical Center, Poplar Bluff, Missouri, USA
Abstract:   (460 Views)
The auricular composite graft consists of a free tissue graft containing part of the auricular cartilage attached to its overlying skin. The survival of the auricular composite graft depends primarily on its size, and a graft diameter of 1- 2 cm has been previously reported as the critical cut-off size. The auricular composite graft is a reliable option for the reconstruction of skin defects of the nasal sidewall and the nasal ala, and its survival rates can be enhanced with the utilization of specific surgical techniques. These include increasing the contact surface with skin de-epithelization/ perichondrial underlay in the surgical bed, injection of autologous platelet-rich plasma, and non-strangulating nasal sidewall splinting. Here, we report a 64-year-old man with a skin lesion in the right nasal ala who underwent Mohs micrographic surgery. The lesion was reconstructed with the use of composite auricular skin graft.
Full-Text [PDF 566 kb]   (306 Downloads)    
Type of Study: case report | Subject: Special
ePublished: 2022/12/12

1. Scheithauer MO, Rotter N, Lindemann J, Schulz M, Rettinger G, Veit JA. The auricle's cavum conchae composite graft in nasal reconstruction. Am J Rhinol Allergy 2013;27(2):e53-7. doi: 10.2500/ajra.2013.27.3883. [DOI:10.2500/ajra.2013.27.3883]
2. Teltzrow T, Arens A, Schwipper V. One-stage reconstruction of nasal defects: evaluation of the use of modified auricular composite grafts. Facial Plast Surg 2011;27(3):243-8. doi: 10.1055/s-0031-1275773. [DOI:10.1055/s-0031-1275773]
3. Pépin ME, Rizis D, Servant JM, Danino AM. Contralateral auricular composite graft for ear reconstruction. Dermatol Surg 2014;40(3):340-3. doi: 10.1111/dsu.12421. [DOI:10.1111/dsu.12421]
4. Kridel RWH, Delaney SW, Prze C. Primary Closure Technique for Conchal Auricular Composite Graft Donor Site. JAMA Facial Plast Surg 2018;20(4):328-9. doi: 10.1001/jamafacial.2018.0379. [DOI:10.1001/jamafacial.2018.0379]
5. Peach AH, Stretch JR. Improved selection and management of the auricular composite graft donor site. Br J Plast Surg 2004;57(8):797-9. doi: 10.1016/j.bjps.2004.06.013. [DOI:10.1016/j.bjps.2004.06.013]
6. Driscoll BP, Baker SR. Reconstruction of nasal alar defects. Arch Facial Plast Surg 2001;3(2):91-9. doi: 10.1001/archfaci.3.2.91. [DOI:10.1001/archfaci.3.2.91]
7. Tardy ME, Jr., Toriumi D. Alar retraction: composite graft correction. Facial Plast Surg 1989;6(2):101-7. doi: 10.1055/s-2008-1064716. [DOI:10.1055/s-2008-1064716]

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.