title: Antihelical cartilage grafts for reconstruction of mohs micrographic surgery defects.
abstract: OBJECTIVE
  To illustrate the safety, efficacy, and versatility of the antihelix as the preferred donor site for auricular cartilage autografts in the reconstruction of nasal and auricular Mohs micrographic surgery defects.
  
  
  METHODS
  Retrospective chart review of all cartilage autografts performed at the Medical University of South Carolina for the 5-year period July 1, 2006, to June 30, 2011; 307 auricular cartilage autografts were performed in 297 patients. Each case was reviewed for demographic data, graft donor site, repair type, complications, and revisions.
  
  
  RESULTS
  Three hundred five of the grafts (99.3%) were harvested from the antihelix and the remaining two (0.7%) from the conchal bowl. The donor site complication rate was 3%. No patients experienced cosmetic or functional deformity of the donor ear. No patients experienced cartilage graft resorption or infection.
  
  
  CONCLUSIONS
  Antihelical cartilage grafts can serve as safe, effective, and versatile alternatives to septal, conchal bowl, and costal margin grafts. The authors feel strongly that the antihelix donor site should be favored when harvesting auricular cartilage for its easy accessibility, large dimension that may be harvested without aesthetic penalty, character of graft, and minimal operative morbidity.
authors.affiliation: Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, SC 29403, USA.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Sage
authors.forename: Brian C
authors.initials: BC
authors.lastname: Leach
authors.forename: Joel
authors.initials: J
authors.lastname: Cook
mesh_terms: D054644:Ear Auricle; D004425:Ear Cartilage / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D015580:Mohs Surgery; D009666:Nose / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012878:Skin Neoplasms / Q000601:surgery; D016038:Skin Transplantation; D013524:Surgical Flaps; D020858:Tissue and Organ Harvesting / Q000009:adverse effects / Q000379:methods