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Thiersch skin grafting in otologic surgery.
Helen Xu1, Natasha Pollak, Michael M Paparella
1Department of Otolaryngology-Head and Neck Surgery, Loma Linda University School of Medicine, Loma Linda, CA, USA.
Ear, Nose, & Throat Journal
|August 27, 2013
Summary
Thiersch skin grafting is an effective otologic surgical technique for covering ear defects. Proper timing and technique ensure a safe, dry ear with healthy skin coverage.
Area of Science:
- Otolaryngology
- Dermatologic Surgery
Background:
- Thiersch skin grafting is a well-established surgical method in otology.
- It is frequently employed after otologic procedures creating mastoid cavities or involving reduced skin coverage of the external auditory canal.
Purpose of the Study:
- To reintroduce the Thiersch graft surgical technique to contemporary otologists.
- To detail indications, surgical steps, success factors, and postoperative care for Thiersch grafting.
Main Methods:
- The article outlines the established Thiersch skin grafting procedure.
- Emphasis is placed on the critical timing of graft placement, approximately 10 days post-primary procedure, to ensure adequate vascularization of the recipient site.
Main Results:
- Successful Thiersch grafting results in a safe, dry ear.
- The graft achieves coverage with keratinizing squamous epithelium, promoting healing.
Conclusions:
- Thiersch skin grafting remains a highly effective technique in otologic surgery.
- Adherence to specific procedural timing and techniques is crucial for optimal outcomes, achieving a well-epithelialized ear canal.

