Posterior auricular perichondrial cutaneous graft combined with cartilage strip in nostril reconstruction.
OBJECTIVE
Reconstruction of alar structures of the nose remains difficult. The result has to be not only functional but also aesthetic. Different solutions to reconstruct alar defects are feasible. A good result that meets the specific demands on stability, aesthetics, and stable architecture without shrinkage of the area is not easily achieved.


METHODS
A perichondrial cutaneous graft (PCCG), a graft consisting of a perichondral layer, fatty tissue, and skin that is harvested retroauriculary, is combined with an attached cartilage strip.


METHODS
A 72-year-old patient suffering from basal cell carcinoma of the ala of the nose underwent the reconstructive procedure with a good result in 1 year in terms of stability, color match, and graft take.


CONCLUSIONS
First, a strip of cartilage had been included in a PCCG where tumor resection required sacrifice of more than 50% of the alar rim. The case shows that one can consider a cartilage strip-enhanced PCCG graft to reconstruct alar defects.
Schmid
Dominik W
DW
Department of Plastic, Reconstructive and Aesthetic Surgery, University of Basel, Basel, Switzerland.
Di Summa
Pietro G
PG
Wettstein
Reto
R
Erba
Paolo
P
Wassim
Raffoul
R
Kalbermatten
Daniel F
DF