Nostril reconstruction with ear helix free flaps

Nostril reconstruction with ear helix free flaps Eur J Plast Surg (2001) 24:258 DOI 10.1007/s002380100261 AUTHOR’S REPLY W. Boeckx Published online: 10 August 2001 © Springer-Verlag 2001 I fully agree with Dr. Baker’s invited commentary. He graft could only be 2–3 mm centered on the alar carti- emphasizes the requirements for a composite graft: it lage. In cases in which a differential level of resection should be no farther than 1 cm from the source of its was required on the outer skin surface relative to the mu- blood supply, and it is important to increase raw surface cosa lining we also have opted for nonvascularized com- available for revascularization. This, for us, is exactly posite grafts. These were also successful. The reason for the indication for a free flap in cases in which there is no this publication, however, is the much less frequent situ- raw surface, where the transection of the alar cartilage is ation in which mucosa and skin resection do not allow at the same level at the skin margin as at the mucosal lin- any overlapping so that vascular anastomosis in the der- ing. Thus we have applied this microsurgical technique mis cannot develop. only in cases in which there is a trough and trough cut Furthermore, the advantage of a microvascular flap is through the alar rim at the same level so that the thick- that there is an immediate establishment of blood flow in ness or diameter of the contact area to the composite the graft. Also, as in the composite graft technique, an atraumatic technique and careful handling without crush- ing instruments is mandatory. The advantage of the mi- This reply refers to the invited commentary at http://dx.doi.org/ crosurgical procedure is that the recipient wound bed 10.1007/s002380100260 may be scarred because in the microsurgical transfer the revascularization takes place from the free flap to the W. Boeckx ( ) Department of Plastic and Reconstructive Surgery, surrounding scarred tissue. Hand Surgery and Microsurgery, The paper that we presented describe merely an alter- University Hospital of Maastricht, P. Debeylaan 25, native or an adjunct in difficult cases in which the re- Postbus 5800, 6202 AZ Maastricht, the Netherlands quirements for free chondrocutaneous grafts are not e-mail: fvg@spch.azm.nl Tel.: +31-43-3877481, Fax: +31-43-3875485 met. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Nostril reconstruction with ear helix free flaps

Free
1 page
Loading next page...
1 Page
 
/lp/springer_journal/nostril-reconstruction-with-ear-helix-free-flaps-iBfU6eowvI
Publisher
Springer-Verlag
Copyright
Copyright © 2001 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s002380100261
Publisher site
See Article on Publisher Site

Abstract

Eur J Plast Surg (2001) 24:258 DOI 10.1007/s002380100261 AUTHOR’S REPLY W. Boeckx Published online: 10 August 2001 © Springer-Verlag 2001 I fully agree with Dr. Baker’s invited commentary. He graft could only be 2–3 mm centered on the alar carti- emphasizes the requirements for a composite graft: it lage. In cases in which a differential level of resection should be no farther than 1 cm from the source of its was required on the outer skin surface relative to the mu- blood supply, and it is important to increase raw surface cosa lining we also have opted for nonvascularized com- available for revascularization. This, for us, is exactly posite grafts. These were also successful. The reason for the indication for a free flap in cases in which there is no this publication, however, is the much less frequent situ- raw surface, where the transection of the alar cartilage is ation in which mucosa and skin resection do not allow at the same level at the skin margin as at the mucosal lin- any overlapping so that vascular anastomosis in the der- ing. Thus we have applied this microsurgical technique mis cannot develop. only in cases in which there is a trough and trough cut Furthermore, the advantage of a microvascular flap is through the alar rim at the same level so that the thick- that there is an immediate establishment of blood flow in ness or diameter of the contact area to the composite the graft. Also, as in the composite graft technique, an atraumatic technique and careful handling without crush- ing instruments is mandatory. The advantage of the mi- This reply refers to the invited commentary at http://dx.doi.org/ crosurgical procedure is that the recipient wound bed 10.1007/s002380100260 may be scarred because in the microsurgical transfer the revascularization takes place from the free flap to the W. Boeckx ( ) Department of Plastic and Reconstructive Surgery, surrounding scarred tissue. Hand Surgery and Microsurgery, The paper that we presented describe merely an alter- University Hospital of Maastricht, P. Debeylaan 25, native or an adjunct in difficult cases in which the re- Postbus 5800, 6202 AZ Maastricht, the Netherlands quirements for free chondrocutaneous grafts are not e-mail: fvg@spch.azm.nl Tel.: +31-43-3877481, Fax: +31-43-3875485 met.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Sep 1, 2001

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off