Eur J Plast Surg (2001) 24:256–257 DOI 10.1007/s002380100260 INVITED COMMENTAR Y Daniel C. Baker Published online: 9 August 2001 © Springer-Verlag 2001 The authors are to be congratulated on a technical tour logic behind this design is that the large full-thickness de force with microvascular transfer. I agree that the skin skin graft physiologically supports the composite graft of the helix crus is the ideal donor site in regard to color, during healing and lessens the dependence of the graft texture, thickness, and contour. The final result is excel- on vascular ingrowth from the periphery alone. lent. However, I disagree with their assessment that this Success depends on the early establishment of blood defect was not treatable with a free chondrocutaneous flow in the graft to maintain homeostasis. A number of graft. factors are important to ensure functional hemodynam- Throughout the plastic surgery literature it has been ics. The graft itself must not be traumatized in any way. emphasized that the center of a composite graft should Atraumatic technique and careful handling without crush- be no farther than 1 cm from the source of its blood sup- ing instruments are mandatory. The recipient wound ply. Therefore the total graft
European Journal of Plastic Surgery – Springer Journals
Published: Sep 1, 2001
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