This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract At the recent meeting of the southern section of the Triological Society in Naples, Fla, Fred J. Stucker, MD, presented his experience using the perichondrial-cutaneous graft for reconstruction of small midfacial defects. Dr Stucker, Louisiana State University Medical Center, Shreveport, stated that this procedure has succeeded with good-to-excellent cosmetic results in 81 of 83 cases. The advantages of this graft over a split-thickness or full-thickness skin graft are the ability to generate cartilage and grow, rather than shrink, and a thicker, more structurally supportive graft. Keys to success in using the perichondrial-cutaneous graft include keeping the procedure simple and choosing the correct sites for placement. The donor site is from the concha of the auricle. If a larger graft is necessary than the concha can provide, the incision can be extended up into the auricle's triangularis. Local anesthetic (1 to 2 mL) is injected into the area, and sharp dissection
Archives of Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Jul 1, 1989
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