Abstract:
BACKGROUND:Autologous transplants comprising skin and cartilage, so-called composite grafts (cgs), are an important reconstructive tool for multilayered defects of the nose. A cg from the auricular cavum conchae needs to fulfill both functional and esthetic demands. OBJECTIVE:This article illustrates the indications for and requirements of cgs, and also investigates graft healing and functional-aesthetic results. The current publication is a review article; the original data were published with the award of the 2014 APKO prize under the title "The auricle's cavum conchae composite graft in nasal reconstruction". MATERIALS AND METHODS:At the ENT department of Ulm University Medical School, multilayered defects of different nasal esthetic subunits are reconstructed with cgs. Based on these experiences, the authors report on long-term functional and esthetic results in the areas of the donor and recipient sites. CONCLUSION:Auricular cgs are versatile and reliable autologous transplants. The ease of harvesting, minimal donor site morbidity, and stable convex shape of these grafts render them ideal for reconstruction of multilayered nasal defects. Septal splints and custom-made prosthesis promote healing and prevent stenotic scarring.
journal_name
HNOjournal_title
HNOauthors
Nordmann M,Veit J,Rotter N,Hoffmann TK,Scheithauer MOdoi
10.1007/s00106-016-0126-xsubject
Has Abstractpub_date
2016-05-01 00:00:00pages
288-91issue
5eissn
0017-6192issn
1433-0458pii
10.1007/s00106-016-0126-xjournal_volume
64pub_type
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