Full-thickness Skin Grafting in Nasal Reconstruction
Overview
Affiliations
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.
Reconstruction of Small Nasal Defects.
Hollier P, Parham M, Layon S, Thornton J Semin Plast Surg. 2024; 38(4):290-296.
PMID: 39697405 PMC: 11651858. DOI: 10.1055/s-0044-1795098.
The Tree Flap: A Novel Modification of the Hatchet Flap for Lower One-third Nasal Reconstruction.
Chia J, Reddy C Plast Reconstr Surg Glob Open. 2024; 12(4):e5738.
PMID: 38623444 PMC: 11018149. DOI: 10.1097/GOX.0000000000005738.
Objective Skin Quality Assessment after Reconstructive Procedures for Facial Skin Defects.
Martinovic D, Lupi-Ferandin S, Tokic D, Usljebrka M, Rados A, Pojatina A J Clin Med. 2022; 11(15).
PMID: 35956089 PMC: 9369767. DOI: 10.3390/jcm11154471.
The Use of Biologic Wound Agents in Pediatric Reconstructions.
May J, Depani M, Ferry A, Koshy J, Thornton J Semin Plast Surg. 2022; 36(1):48-52.
PMID: 35706562 PMC: 9192154. DOI: 10.1055/s-0042-1742748.
Use of Biologic Agents in Nasal and Scalp Reconstruction.
Depani M, Grush A, Parham M, Jones L, Thornton J Semin Plast Surg. 2022; 36(1):17-25.
PMID: 35706556 PMC: 9192160. DOI: 10.1055/s-0042-1742750.