The utility of full-thickness skin grafts (FTSGs) for auricular reconstruction

Trufant, Joshua; Marzolf, Sean; Leach, Brian C.; Cook, Joel

doi:10.1016/j.jaad.2016.01.028

Cited by 30 publications

(21 citation statements)

References 22 publications

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“…First, defects located on the helical rim were not included in our series. Wounds in this location need substantial volumetric replacement to restore the auricular contour and symmetry of the anterior facial profile, and they are often repaired with FTSG or advancement flaps . Second, STSG often contract during healing process since wound contraction is inversely proportional to the thickness of the graft .…”

Section: Discussionmentioning

confidence: 99%

“…Full‐thickness skin grafts (FTSG) and split‐thickness skin grafts (STSG) have been used for reconstruction of defects in the ear . Regarding the donor reservoir, frequently reported choices for FTSG include the postauricular mastoid area and the supraclavicular region, but little attention has focused on the advantages of harvesting STSG from the scalp.…”

Section: Introductionmentioning

confidence: 99%

“…3 Full-thickness skin grafts (FTSG) and split-thickness skin grafts (STSG) have been used for reconstruction of defects in the ear. 4 Regarding the donor reservoir, frequently reported choices for FTSG include the postauricular mastoid area and the supraclavicular region, 5 but little attention has focused on the advantages of harvesting STSG from the scalp. Herein, we present a series of large surgical defects located on the auricular concavities which were reconstructed with STSG taken from the adjacent hairy skin.…”

Section: Introductionmentioning

confidence: 99%

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Split‐thickness skin grafts obtained from adjacent hairy skin for reconstructing auricular concave surfaces after Mohs surgery

Querol

García‐Martínez

Redondo

2019

Acad Dermatol Venereol

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Background Reconstruction of large auricular defects with full‐thickness skin grafts (FTSG) is a commonly reported option, but less attention has focused on the advantages and indications of using split‐thickness skin grafts (STSG) in the ear. Objective We sought to report our experience using STSG for repair of defects located on the auricular concave surfaces, highlighting the utility of choosing the adjacent hairy skin as donor site. Methods We performed a retrospective review of all Mohs micrographic defects on the auricular concave surfaces repaired with STSG obtained from the adjacent hairy skin, between January 2017 and July 2018 at our institution. Results A total of 16 patients with defects on the auricular concavities resulting from removal of non‐melanoma skin cancer were reconstructed with STSG taken from the adjacent hairy skin. Only one patient experienced partial graft failure and no other complications were observed after 6‐month follow‐up. Conclusion Split‐thickness skin grafts are suitable for reconstructing concave areas in the ear, providing good cosmetic results with a simple, cost‐effective and easily reproducible technique. Choosing the adjacent hairy skin as a donor area shortens the operative and postoperative time, and allows the procedure to be performed in a single surgical field.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Split‐thickness skin grafts obtained from adjacent hairy skin for reconstructing auricular concave surfaces after Mohs surgery

Querol

García‐Martínez

Redondo

2019

Acad Dermatol Venereol

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“…Skin grafting : A full‐thickness skin graft can be performed for two‐layered auricular defects of the midhelix‐antihelix, but the results are not satisfactory due to loss of auricular form and stability . Reconstruction can be challenging for helical and non‐helical defects, since full‐thickness grafts are too thick for the non‐helical area and may not survive.…”

Section: Simple Single‐step Techniquesmentioning

confidence: 99%

Surgical management of skin cancer and trauma involving the middle third of the auricle

Crişan

Schneider²,

Kastler

et al. 2018

J Deutsche Derma Gesell

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SummaryThe main causes of acquired auricular defects are surgical treatment of skin tumors and trauma. Due to the complex anatomy of the external ear, surgical reconstruction of defects in this area is challenging for surgeons, especially in case of midhelix-antihelix involvement with significant loss of soft tissue and cartilage.Our purpose is to illustrate the main reconstructive techniques of large midhelix and antihelix defects, as well as the advantages or disadvantages associated with each surgical procedure. Primary closure/wedge technique is mainly used in elderly, multimorbid subjects where single-stage procedures are desirable, but several complex chondrocutaneous, retroauricular, temporoparietal full-thickness flap procedures can also be used to recreate an ear with normal appearance.Auricular reconstruction of large midhelix-antihelix defects requires a good knowledge of auricular anatomy and the various surgical procedures available for such defects.

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“…Hauttransplantation : Zweischichtige aurikuläre Defekte der mittleren Helix–Anthelix können mit einem Vollschicht–Hauttransplantat versorgt werden, aber die Resultate sind aufgrund des Verlustes der Form und Stabilität der Ohrmuschel nicht zufriedenstellend . Sowohl bei Defekten der Helix als auch bei Defekten, bei denen die Helix nicht betroffen ist, kann die Rekonstruktion schwierig sein, da Vollhautlappen zu dick für nicht–helikale Bereiche sind und vielleicht nicht überleben.…”

Section: Einfache Einstufige Technikenunclassified

Chirurgische Versorgung von Hautkrebs und Trauma im mittleren Drittel der Ohrmuschel

Crişan

Schneider

Kastler

et al. 2018

J Deutsche Derma Gesell

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Die Hauptursachen erworbener Ohrmuscheldefekte sind chirurgische Behandlung von Hauttumoren und Traumata. Wegen der komplexen Anatomie des Außenohrs ist die chirurgische Rekonstruktion von Defekten in dieser Region für Operateure herausfordernd, insbesondere wenn die mittlere Helix und Anthelix von größeren Weichteil- und Knorpelverlusten betroffen sind. Wir stellen hier die wichtigsten Techniken zur Rekonstruktion großer Defekte der mittleren Helix und Anthelix sowie die Vor- und Nachteile jedes chirurgischen Verfahrens vor. Bei älteren, multimorbiden Patienten werden meist einstufige Verfahren mit primärem Verschluss/Keilexzision angewandt; es können aber auch mehrere komplexe chondrokutane, retroaurikuläre, temporoparietale Vollhautlappen-Verfahren durchgeführt werden, um ein normal aussehendes Ohr zu rekonstruieren. Die aurikuläre Rekonstruktion großer Defekte der mittleren Helix-Anthelix Region erfordert gute Kenntnisse der Ohrmuschel-Anatomie und der verschiedenen chirurgischen Verfahren zur Korrektur solcher Defekte.

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The utility of full-thickness skin grafts (FTSGs) for auricular reconstruction

Cited by 30 publications

References 22 publications

Split‐thickness skin grafts obtained from adjacent hairy skin for reconstructing auricular concave surfaces after Mohs surgery

Split‐thickness skin grafts obtained from adjacent hairy skin for reconstructing auricular concave surfaces after Mohs surgery

Surgical management of skin cancer and trauma involving the middle third of the auricle

Chirurgische Versorgung von Hautkrebs und Trauma im mittleren Drittel der Ohrmuschel

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