Using Grafts and Granulation to Improve Nasal Repair

Abstract

Skin grafts offer a dynamic repair option for nasal defects of appropriate size, depth, and location. Granulation and grafting can successfully be used as stand-alone reconstructive options or in conjunction with flap repair. This article reviews suitable indications for graft and granulation use in nasal repair to achieve optimum functional and esthetic outcomes.

Keywords

nasal - reconstruction - granulation - graft - flap

• References

• 1 Ang GC. History of skin transplantation. Clin Dermatol 2005; 23 (4) 320-324
• 2 Davis JS. Address of the President: the story of plastic surgery. Ann Surg 1941; 113 (5) 641-656
• 3 Ratner D. Skin grafting. Semin Cutan Med Surg 2003; 22 (4) 295-305
• 4 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
• 5 Smahel J. The healing of skin grafts. Clin Plast Surg 1977; 4 (3) 409-424
• 6 Shimizu I, MacFarlane DF. Full-thickness skin grafts may not need tie-over bolster dressings. Dermatol Surg 2013; 39 (5) 726-728
• 7 Hubbard TJ. Leave the fat, skip the bolster: thinking outside the box in lower third nasal reconstruction. Plast Reconstr Surg 2004; 114 (6) 1427-1435
• 8 Glogau RG, Haas AF. Skin grafts. In: Baker SR, Swanson NA, , eds. Local Flaps in Facial Reconstruction. St. Louis: Mosby; 1995: 247-251
• 9 Lewis JM, Zager JS, Yu D , et al. Full-thickness grafts procured from skin overlying the sentinel lymph node basin; reconstruction of primary cutaneous malignancy excision defects. Ann Surg Oncol 2008; 15 (6) 1733-1740
• 10 Donaldson MR, Coldiron BM. Scars after second intention healing. Facial Plast Surg 2012; 28 (5) 497-503
• 11 Maher I, Bordeaux J. Post-skin cancer alar reconstruction. Facial Plast Surg 2013; 29 (5) 351-364
• 12 Zitelli JA. Wound healing by secondary intention. A cosmetic appraisal. J Am Acad Dermatol 1983; 9 (3) 407-415
• 13 Bloom JD, Ransom ER, Miller CJ. Reconstruction of alar defects. Facial Plast Surg Clin North Am 2011; 19 (1) 63-83
• 14 Ali-Salaam P, Kashgarian M, Davila J, Persing J. Anatomy of the Caucasian alar groove. Plast Reconstr Surg 2002; 110 (1) 261-266 , discussion 267–271
• 15 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
• 16 Stigall L, Zitelli J. Reconstructing the nasal tip. Br J Dermatol 2014; 171 (Suppl. 02) 23-28
• 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
• 18 Jewett BS. Repair of small nasal defects. Facial Plast Surg Clin North Am 2005; 13 (2) 283-299 , vi
• 19 Robinson JK, Dillig G. The advantages of delayed nasal full-thickness skin grafting after Mohs micrographic surgery. Dermatol Surg 2002; 28 (9) 845-851
• 20 Driscoll BP, Baker SR. Reconstruction of nasal alar defects. Arch Facial Plast Surg 2001; 3 (2) 91-99
• 21 Zopf DA, Iams W, Kim JC, Baker SR, Moyer JS. Full-thickness skin graft overlying a separately harvested auricular cartilage graft for nasal alar reconstruction. JAMA Facial Plast Surg 2013; 15 (2) 131-134
• 22 Burget GC, Menick FJ. The subunit principle in nasal reconstruction. Plast Reconstr Surg 1985; 76 (2) 239-247
• 23 Hussain W, Tan E, Salmon PJ. Inferiorly based crescentic “sliding” cheek flaps for the reconstruction of paranasal surgical defects. Dermatol Surg 2012; 38 (2) 249-255
• 24 Carucci JA. Melolabial flap repair in nasal reconstruction. Dermatol Clin 2005; 23 (1) 65-71 , vi