16th Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
J Craniofac Surg. 2021 May 1;32(3):e240-e242. doi: 10.1097/SCS.0000000000006965.
Auricular cartilage is a common autologous graft material for rhinoplasty. Even though surgical techniques for the harvest of cartilage graft are well established, the management of the postoperative dressing fixation is still limited. Therefore, the authors propose a simple dressing fixation method in which gauze strips instead of gauze block or wet cotton, the suture of tie-over dressing fixed just through the cartilage rather than the full thickness of the auricle, a vaseline gauze interposed between the stitch knot and the skin and no additional pressure dressings postauricularly. No case of hematoma, infection and skin necrosis of the donor site was observed. This simple and reproducible technique provides perfect and homogeneous adhesion of the dressing all over the conchal cartilage while decreasing the risk of postoperative hematoma and discomfort.
耳廓软骨是鼻整形术中常用的自体移植物材料。尽管软骨移植物采集的手术技术已经成熟，但术后敷料固定的管理仍然有限。因此，作者提出了一种简单的敷料固定方法，即用纱布条代替纱布块或湿棉，将覆盖缝线固定在软骨上而不是整个耳廓的全层，在缝线结和皮肤之间插入凡士林纱布，而不在耳后施加额外的压力敷料。供区无一例血肿、感染和皮肤坏死。这种简单且可重复的技术在降低术后血肿和不适风险的同时，为整个耳廓软骨提供了完美且均匀的敷料附着。
