Composite and free cartilage grafting

Area of Science:

• Plastic Surgery
• Dermatology
• Otolaryngology

Background:

• Nasal ala and ear helical rim are common sites for skin neoplasms.
• Defects from skin cancer removal in these areas may not be adequately repaired by skin grafts alone.
• Scarring can lead to undesirable cosmetic and functional outcomes, such as notching or elevation.

Purpose of the Study:

• To focus on the use of composite or free cartilage grafts harvested from the ear.
• To repair nasal alar or helical rim defects within a single surgical session.
• To discuss preoperative considerations, surgical technique, and postsurgical complications.

Main Methods:

• Utilizing composite grafts or free cartilage grafts harvested from the ear.
• Repairing defects in the nasal ala or helical rim.
• Performing the reconstruction in a single surgical session.

Main Results:

• Composite or cartilage grafts provide structural support to prevent undesirable outcomes.
• This technique helps avoid contractural forces leading to rim notching or elevation.
• Single-session repair is feasible for these delicate aesthetic areas.

Conclusions:

• Composite or free cartilage grafts are effective for reconstructing nasal alar and helical rim defects.
• This method offers structural support, preventing functional compromise and aesthetic deformities.
• Single-session ear cartilage grafting is a valuable technique for skin cancer defect repair.