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Posterior auricular perichondrial cutaneous graft combined with cartilage strip in nostril reconstruction.

Schmid DW, Di Summa PG, Wettstein R, Erba P, Wassim R, Kalbermatten DF - Eplasty (2008)

Bottom Line: The result has to be not only functional but also aesthetic.A good result that meets the specific demands on stability, aesthetics, and stable architecture without shrinkage of the area is not easily achieved.The case shows that one can consider a cartilage strip-enhanced PCCG graft to reconstruct alar defects.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic, Reconstructive and Aesthetic Surgery, University of Basel, Basel, Switzerland.

ABSTRACT

Objective: Reconstruction of alar structures of the nose remains difficult. The result has to be not only functional but also aesthetic. Different solutions to reconstruct alar defects are feasible. A good result that meets the specific demands on stability, aesthetics, and stable architecture without shrinkage of the area is not easily achieved.

Method: A perichondrial cutaneous graft (PCCG), a graft consisting of a perichondral layer, fatty tissue, and skin that is harvested retroauriculary, is combined with an attached cartilage strip.

Case result: A 72-year-old patient suffering from basal cell carcinoma of the ala of the nose underwent the reconstructive procedure with a good result in 1 year in terms of stability, color match, and graft take.

Conclusion: First, a strip of cartilage had been included in a PCCG where tumor resection required sacrifice of more than 50% of the alar rim. The case shows that one can consider a cartilage strip-enhanced PCCG graft to reconstruct alar defects.

No MeSH data available.


Related in: MedlinePlus

Resection of tumor revealing a hemialadefect.
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Related In: Results  -  Collection

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Figure 2: Resection of tumor revealing a hemialadefect.

Mentions: A 72-year-old female patient presenting with morphoeic basal cell carcinoma of the right ala underwent 1-stage tumor resection and defect reconstruction (Fig 1). The defect measured 13 mm × 16 mm and included about 50% of the right alar rim (Fig 2). For defect reconstruction, a PCCG including a strip of cartilage was harvested from the posterior auricular surface (Fig 3). To prevent alar rim notching, the cartilage strip was set in a pocket created into the intact portion of the alar rim (Figs 4 and 5). The donor site was closed with a local flap and it healed by primary intention.


Posterior auricular perichondrial cutaneous graft combined with cartilage strip in nostril reconstruction.

Schmid DW, Di Summa PG, Wettstein R, Erba P, Wassim R, Kalbermatten DF - Eplasty (2008)

Resection of tumor revealing a hemialadefect.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2519965&req=5

Figure 2: Resection of tumor revealing a hemialadefect.
Mentions: A 72-year-old female patient presenting with morphoeic basal cell carcinoma of the right ala underwent 1-stage tumor resection and defect reconstruction (Fig 1). The defect measured 13 mm × 16 mm and included about 50% of the right alar rim (Fig 2). For defect reconstruction, a PCCG including a strip of cartilage was harvested from the posterior auricular surface (Fig 3). To prevent alar rim notching, the cartilage strip was set in a pocket created into the intact portion of the alar rim (Figs 4 and 5). The donor site was closed with a local flap and it healed by primary intention.

Bottom Line: The result has to be not only functional but also aesthetic.A good result that meets the specific demands on stability, aesthetics, and stable architecture without shrinkage of the area is not easily achieved.The case shows that one can consider a cartilage strip-enhanced PCCG graft to reconstruct alar defects.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic, Reconstructive and Aesthetic Surgery, University of Basel, Basel, Switzerland.

ABSTRACT

Objective: Reconstruction of alar structures of the nose remains difficult. The result has to be not only functional but also aesthetic. Different solutions to reconstruct alar defects are feasible. A good result that meets the specific demands on stability, aesthetics, and stable architecture without shrinkage of the area is not easily achieved.

Method: A perichondrial cutaneous graft (PCCG), a graft consisting of a perichondral layer, fatty tissue, and skin that is harvested retroauriculary, is combined with an attached cartilage strip.

Case result: A 72-year-old patient suffering from basal cell carcinoma of the ala of the nose underwent the reconstructive procedure with a good result in 1 year in terms of stability, color match, and graft take.

Conclusion: First, a strip of cartilage had been included in a PCCG where tumor resection required sacrifice of more than 50% of the alar rim. The case shows that one can consider a cartilage strip-enhanced PCCG graft to reconstruct alar defects.

No MeSH data available.


Related in: MedlinePlus