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Semin Plast Surg 2013; 27(02): 090-095
DOI: 10.1055/s-0033-1351227
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Full-Thickness Skin Grafting in Nasal Reconstruction

William M. Weathers
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Mohin Bhadkamkar
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Erik M. Wolfswinkel
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
James F. Thornton
2   Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas
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Publikationsdatum:
14. August 2013 (online)

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Abstract

Skin grafting in nasal reconstruction, long used by dermatologists, can provide superior results and can well be the “go to” procedure for nasal reconstruction. The upper two-thirds of the nose is composed of both flattened, featureless and often thin skin that is well recreated with defect-only full-thickness grafting. Skin grafting for the lower third of the nose has been practiced for years by dermatologists; over the last 4 to 5 years, it has been embraced by plastic surgeons. The patient and donor site selection is critical. Meticulous attention to graft selection, utilization of a no-touch technique during graft harvest and placement of surgical bolsters with through-and-through tacking sutures are essential to ensure 100% graft take and a successful aesthetic result.

Keywords

full-thickness skin graft - Mohs reconstruction - nasal defect
 

  • References

  • 1 Hill TG. Contouring of donor skin in full-thickness skin grafting. J Dermatol Surg Oncol 1987; 13 (8) 883-888
    CrossrefPubMedGoogle Scholar
  • 2 McCluskey PD, Constantine FC, Thornton JF. Lower third nasal reconstruction: when is skin grafting an appropriate option?. Plast Reconstr Surg 2009; 124 (3) 826-835
    CrossrefPubMedGoogle Scholar
  • 3 Hauben DJ, Baruchin A, Mahler A. On the histroy of the free skin graft. Ann Plast Surg 1982; 9 (3) 242-245
    CrossrefPubMedGoogle Scholar
  • 4 Davis JS. The story of plastic surgery. Ann Surg 1941; 113 (5) 641-656
    CrossrefPubMedGoogle Scholar
  • 5 Brady JG, Grande DJ, Katz AE. The purse-string suture in facial reconstruction. J Dermatol Surg Oncol 1992; 18 (9) 812-816
    CrossrefPubMedGoogle Scholar
  • 6 Ratner D. Skin grafting. From here to there. Dermatol Clin 1998; 16 (1) 75-90
    PubMedGoogle Scholar
  • 7 Converse JM, Smahel J, Ballantyne Jr DL, Harper AD. Inosculation of vessels of skin graft and host bed: a fortuitous encounter. Br J Plast Surg 1975; 28 (4) 274-282
    CrossrefPubMedGoogle Scholar
  • 8 Converse JM, Uhlschmid GK, Ballantyne Jr DL. “Plasmatic circulation” in skin grafts. The phase of serum imbibition. Plast Reconstr Surg 1969; 43 (5) 495-499
    PubMedGoogle Scholar
  • 9 Henry L, Marshall DC, Friedman EA, Goldstein DP, Dammin GJ. A histologic study of the human skin autograft. Am J Pathol 1961; 39: 317-332
    PubMedGoogle Scholar
  • 10 Smahel J. The healing of skin grafts. Clin Plast Surg 1977; 4 (3) 409-424
    PubMedGoogle Scholar
  • 11 Zarem HA, Zweifach BW, McGehee JM. Development of microcirculation in full thickness autogenous skin grafts in mice. Am J Physiol 1967; 212 (5) 1081-1085
    PubMedGoogle Scholar
  • 12 Collins PS, Farber GA. Postsurgical dermabrasion of the nose. J Dermatol Surg Oncol 1984; 10 (6) 476-477
    CrossrefPubMedGoogle Scholar
  • 13 Leibovitch I, Huilgol SC, Richards S, Paver R, Selva D. The Australian Mohs database: short-term recipient-site complications in full-thickness skin grafts. Dermatol Surg 2006; 32 (11) 1364-1368
    CrossrefPubMedGoogle Scholar
  • 14 Baker S, Swanson NA. Local flaps in facial reconstruction. St. Louis, MO: Mosby; 1995
    Google Scholar
  • 15 Michelson LN, Peck Jr GC, Kuo HR , et al. The quantification and distribution of nasal sebaceous glands using image analysis. Aesthetic Plast Surg 1996; 20 (4) 303-309
    CrossrefPubMedGoogle Scholar
  • 16 Adams DC, Ramsey ML. Grafts in dermatologic surgery: review and update on full- and split-thickness skin grafts, free cartilage grafts, and composite grafts. Dermatol Surg 2005; 31 (8 Pt 2) 1055-1067
    PubMedGoogle Scholar
  • 17 Rohrich RJ, Griffin JR, Ansari M, Beran SJ, Potter JK. Nasal reconstruction—beyond aesthetic subunits: a 15-year review of 1334 cases. Plast Reconstr Surg 2004; 114 (6) 1405-1416 , discussion 1417–1419
    PubMedGoogle Scholar