Papers of The 4th Japan Scar Workshop

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

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.
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