Efthymiou Vasileios, Georgolios Alexandros
Department of Otolaryngology-Head and Neck Surgery Massachusetts Eye and Ear, Boston, Massachusetts, USA.
Poplar Bluff Regional Medical Center, Poplar Bluff, Missouri, USA.
World J Plast Surg. 2022;11(3):84-88. doi: 10.52547/wjps.11.3.84.
The auricular composite graft consists of a free tissue graft containing part of the auricular cartilage attached to its overlying skin. The survival of the auricular composite graft depends primarily on its size, and a graft diameter of 1- 2 cm has been previously reported as the critical cut-off size. The auricular composite graft is a reliable option for the reconstruction of skin defects of the nasal sidewall and the nasal ala, and its survival rates can be enhanced with the utilization of specific surgical techniques. These include increasing the contact surface with skin de-epithelization/ perichondrial underlay in the surgical bed, injection of autologous platelet-rich plasma, and non-strangulating nasal sidewall splinting. Here, we report a 64-year-old man with a skin lesion in the right nasal ala who underwent Mohs micrographic surgery. The lesion was reconstructed with the use of composite auricular skin graft.
耳廓复合组织移植片由一块游离组织移植片组成，该移植片包含附着于其上方皮肤的部分耳廓软骨。耳廓复合组织移植片的存活主要取决于其大小，先前有报道称移植片直径1 - 2厘米是关键的临界尺寸。耳廓复合组织移植片是鼻侧壁和鼻翼皮肤缺损重建的可靠选择，采用特定的手术技术可提高其存活率。这些技术包括在手术床中通过皮肤去上皮化/软骨膜下衬来增加与皮肤的接触面积、注射自体富血小板血浆以及不造成勒压的鼻侧壁夹板固定。在此，我们报告一名64岁男性，其右侧鼻翼有皮肤病变，接受了莫氏显微外科手术。该病变采用耳廓皮肤复合移植片进行重建。
