Four Limb Shaped Auricular Chondrocutaneous Composite Graft for the Alar and the Columellar Defects

Yoon, Seok Min; Lee, Da Woon; Nam, Seung Min; Wee, Syeo Young; Jeong, Hyun Gyo; Choi, Chang Yong

doi:10.14730/aaps.2017.23.3.149

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…The ear cartilage graft is often used to prevent the collapse of the nostril lining; by doing so, alar defects can be easily reconstructed using a two-layer composite graft [ 13 , 14 ]. A cartilage graft is also used to achieve normal airway patency and appropriate contours [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

One-stage reconstruction of full-thickness alar defects with a folded nasolabial island flap

Lee

Ryu

Choi

et al. 2021

Arch Craniofac Surg

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Background: The reconstruction of large full-thickness alar defects requires complex surgical procedures that are usually performed in two stages, with concomitant disadvantages in terms of patient trauma, surgical risk, and cost. This study presents a functional folded nasolabial island flap (FNIF) that can be used to repair large-sized full-thickness alar defects in a straightforward manner.Methods: This retrospective study included seven patients who received a FNIF for a full-thickness alar defect between January 2007 and December 2020. The FNIF is different from the conventional nasolabial flap in that it is folded and twisted to achieve nostril reconstruction with a satisfactory three-dimensional mucosal lining in a single stage. The cosmetic and functional results of FNIF were evaluated by both patients and physicians.Results: The age ranged from 51 to 82 years (mean, 65.6 years). The causes of the defects were squamous cell carcinoma, basal cell carcinoma, and trigeminal trophic syndrome. The nostril lining did not collapse, there was no hypertrophic scarring, and air movement through the nostrils on the flap side was normal. Overall, FNIF produced excellent aesthetic and functional outcomes, with minimal patient discomfort. There were no postoperative complications.Conclusion: Compared with existing reconstruction methods for large full-thickness alar defects, FNIF can easily achieve aesthetic and functional success in a single-stage procedure. It provides satisfactory results for both the patient and the surgeon.

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Section: Discussionmentioning

confidence: 99%

One-stage reconstruction of full-thickness alar defects with a folded nasolabial island flap

Lee

Ryu

Choi

et al. 2021

Arch Craniofac Surg

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“…Auricular chondrocutaneous composite graft was first presented by Brown and Cannon in 1946 and has advantages like shorter time, anatomical ant textural similarity of donor site to recipient, and lake of shrinkage to be a good support [2]. However, grafts larger than 2 cm have high metabolic demand and need healthy recipient sites, especially in smokers who are prone to ischemia, and these are drawback in composite graft [3].…”

Section: Introductionmentioning

confidence: 99%

Frostbite sequela treated by auricular composite graft

Molaei

2022

JDD

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Introduction: Nasal defects following frostbite is not uncommon and need more complicated operations to reconstruct. Composite graft is an available and feasible treatment to replace nasal unit defects, though several factors influence transferred graft. Case presentation: A middle age mountain climber who had suffered nasal frostbite sequela as retracted right side alar rim, referred 28 months later to reconstruct. A triangular helical chondrocutaneous graft as composite graft selected to replace defects of inner layer, supporting cartilage and outer skin. After prolonged healing phase, he had satisfied with her nose. Conclusion: Composite grafts are save-boats in nasal reconstructions even, patient be a frostbite victum.

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Four Limb Shaped Auricular Chondrocutaneous Composite Graft for the Alar and the Columellar Defects

Cited by 2 publications

References 13 publications

One-stage reconstruction of full-thickness alar defects with a folded nasolabial island flap

One-stage reconstruction of full-thickness alar defects with a folded nasolabial island flap

Frostbite sequela treated by auricular composite graft

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