The perichondrial cutaneous graft and "flip-flop" flap in facial reconstruction: a series of 41 cases.
Reconstruction of defects of the nose and eyelids can be challenging. The standard surgical options include full thickness skin grafts and local flaps. Another technique that offers a reliable and dimensionally stable one-stage reconstruction is the perichondrial cutaneous graft. The donor site is closed with the postauricular flip-flop flap. We have used these techniques in a series of 41 consecutive patients. Good or excellent aesthetic reconstructions were obtained in 39 cases, with 3 complications: 1 failed graft, and 2 small postauricular wound dehiscences. The perichondrial cutaneous graft can produce excellent cosmetic results when it is used to reconstruct complex defects of the nose and eyelid. Closure of the donor site in the conchal bowl with the flip-flop flap is a reliable and elegant technique.
Patterson
A R
AR
York Hospital, Wigginton Road, York, YO31 8HE, UK. alanpatterson@blueyonder.co.uk
Brady
G
G
Walker
P D
PD
Telfer
M R
MR
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004425:Ear Cartilage / Q000637:transplantation*; D005143:Eyelids / Q000601:surgery*; D005153:Facial Neoplasms / Q000534:rehabilitation / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D016038:Skin Transplantation; D013524:Surgical Flaps