Stucker F J, Shaw G Y
Department of Otolaryngology-Head and Neck Surgery, Louisiana State University School of Medicine, Shreveport 71130-3932.
Arch Otolaryngol Head Neck Surg. 1992 Mar;118(3):287-92. doi: 10.1001/archotol.1992.01880030075016.
The perichondrial cutaneous graft is a reliable and versatile composite graft that possesses unique properties for reconstructive surgery. The graft consists of epidermis, dermis, scant subcutaneous tissue, and the perichondrial layer. Our clinical experience completely mirrors our findings from animal studies. A clinical study of 112 perichondrial cutaneous grafts includes patients whose ages ranged from 7 days to 92 years. The various clinical applications for use of the perichondrial cutaneous graft include repair of auricular deficits, ectropion, certain facial defects, and a variety of nasal reconstructive situations. A review of our clinical experience demonstrates excellent cosmesis and no contraction of any of the graft. The graft is routinely harvested from the anterior conchal bowl, and the donor defect is closed after cartilage resection with a postauricular interpolated skin island ("flip-flop flap"). Numerous situations present many options for reconstructive surgery. The perichondrial cutaneous graft provides such an alternative, offering great reliability and superb cosmesis.
软骨膜皮肤移植物是一种可靠且用途广泛的复合移植物，具有用于重建手术的独特特性。该移植物由表皮、真皮、少量皮下组织和软骨膜层组成。我们的临床经验与动物研究结果完全相符。一项对112例软骨膜皮肤移植物的临床研究涵盖了年龄从7天至92岁的患者。软骨膜皮肤移植物的各种临床应用包括修复耳廓缺损、睑外翻、某些面部缺损以及多种鼻再造情况。对我们临床经验的回顾显示，美容效果极佳，且移植物均无挛缩。移植物通常从前耳甲腔获取，软骨切除后，供区缺损用耳后插入皮岛（“翻转皮瓣”）闭合。众多情况为重建手术提供了多种选择。软骨膜皮肤移植物提供了这样一种选择，具有很高的可靠性和出色的美容效果。
