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22. Reconstruction of nasal alar contracture using autogenous dermal
graft and
secondary full-thickness skin graft overlay
Yoshihiro Takami1, Simpei Ono2, Satoshi Hashimoto1,2,
Michikazu Kouzai2, Takahisa Okuda2, Kyoko Koube2,
Takahumi Chin2, Satoshi Akaisi2,Rei Ogawa2,
Hiko Hyakusoku2
1:Department of Plastic Surgery, Seibu General Hospital, Saitama, Japan
2:Department of Plastic and Reconstructive Surgery, Nippon Medical
School, Tokyo, Japan
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Contractures of nasal ala are generally repaired with local skin flaps
using the surrounding facial skin. However, the contracture is due to an
extensive facial burn, It is difficult to obtain an appropriate donor
skin for the flap. For such a case,
full-thickness skin graft (FTSG) is considered as an therapeutic option.
Even if a much thicker skin graft is transplanted, some amount of graft
shrinkage may be inevitable. In order to minimize postoperative graft
contractures, we have tried to use free autogenous dermal grafts, which
were prior to FTFG to the secondary defects after releasing nasal alar
contractures. With this procedure, much thicker dermal components than
ordinary FTFG was transplanted, and the minimizing graft shrinkage was
observed in 3 cases of extensive facial burn contractures. |
