Merocel Semicompressive Dressing to Prevent Donor-Site Hematoma on the Conchal Cartilage Graft

2012 ◽  
Vol 23 (1) ◽  
pp. 57-60 ◽  
Author(s):  
Sang Wha Kim ◽  
Chan Woo Park ◽  
Jeong Tae Kim ◽  
Youn Hwan Kim
2003 ◽  
Vol 117 (6) ◽  
pp. 487-489 ◽  
Author(s):  
Raymund E. Horch ◽  
Joerg Schipper ◽  
Roland Laszig

Helical rim defects are noticeable and may well need reconstruction, especially in men. A method for reconstructing this type of defect together with primary donor site closure by Z-plasty is described.To close partial helical rim defects, a retroauricular caudally based rotational skin flap is performed to cover a conchal cartilage graft from the same ear that is harvested first and sutured into place to remodel the helical rim. To primarily close the donor site defect a retroauricular Z-plasty was developed which easily allowed primary closure of the donor site.The technique described here is straightforward, safe and reproducible. The Z-plasty approach for closing the donor site is useful, since the slight disturbance of the hairline is well hidden retroauricularly. This technique can be considered as a single-stage repair modality for the reconstruction of helical rim defects within primary donor site closure.


1986 ◽  
Vol 3 (4) ◽  
pp. 27-31
Author(s):  
Julius Newman ◽  
Abram Nguyen ◽  
Roger Anderson

Retraction of columella and collapse of nasal tip may be a primary phenomenon or secondary to poor results of rhinoplasty. This may be due to excessive resection of dorsocaudal septum or inappropriate removal of the nasal spine. Reconstruction of the columella is a difficult surgical procedure and many techniques have been described. This report describes a technique of interposition of a composite skin-conchal cartilage graft between the caudal septum and columella. The graft will restore the projection of the nasal tip and correct a retracted columella by increasing its base. The newly positioned columella forms an aesthetically acceptable obtuse angle with the lip and is 2–3 mm lower than the alar rims. The cartilage from the concha of the ear is an excellent grafting material for nasal reconstruction. It has been used for augmentation of the nasal dorsum, tip grafting, and correction of vestibular atresia. The graft is harvested utilizing a technique that allows for minimal postoperative auricular deformity at the donor site. Aesthetic results have been satisfactory, with very low morbidity following this method.


2001 ◽  
Vol 115 (1) ◽  
pp. 22-25 ◽  
Author(s):  
T. J. Woolford ◽  
N. S. Jones

The surgical closure of a nasal septal perforation is recognized as being particularly challenging. A series of 11 consecutive patients who underwent closure of a septal perforation using a mucosal flap/composite conchal cartilage graft technique are reviewed, and the surgical technique described. The size of the perforation repaired varied, with eight cases being 2 cm or more in diameter. There was no significant graft donor site morbidity and complete perforation closure was achieved in eight cases after a mean observation time of 19.8 months. These results suggest that this is a suitable technique for closing nasal septal perforation.


1999 ◽  
Vol 25 (11) ◽  
pp. 904-907 ◽  
Author(s):  
Adam Wlodarkiewicz ◽  
Jan Staniewicz ◽  
Elżbieta Wojszwillo-Geppert ◽  
Jadwiga Roszkiewicz

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