title: Skin graft survival on subcutaneous hinge flaps: an algorithm for nasal reconstruction.
abstract: OBJECTIVE
  To assess the survival of full-thickness skin grafts and perichondrial cutaneous grafts when placed on subcutaneous soft tissue flaps used in nasal reconstruction.
  
  
  METHODS
  Retrospective case series from a secondary-care cutaneous cancer practice.
  
  
  METHODS
  Twenty-eight patients with nasal defects secondary to basal cell carcinoma excision were included. Clinical information, including case notes and photography, was obtained and analyzed. Graft survival was assessed in relation to type of graft and subcutaneous soft tissue flap employed for the reconstruction.
  
  
  RESULTS
  Overall graft survival was 79%, with 89% and 74% for perichondrial cutaneous graft and full-thickness skin grafts, respectively. Anecdotally, procerus and nasalis flaps were found to yield higher graft survival than cheek fat flaps.
  
  
  CONCLUSIONS
  The combination of subcutaneous soft tissue flap and skin graft cover offers a valuable addition to the treatment algorithm for nasal reconstruction following cutaneous malignancy excision.
authors: Department of Otolaryngology, John Radcliffe Hospital, Oxford, United Kingdom.
authors: Robert
authors: R
authors: Almeyda
authors: Paul
authors: P
authors: van der Eerden
authors: Hade
authors: H
authors: Vuyk
mesh_terms: D000368:Aged; D000465:Algorithms; D002280:Basal Cell Carcinoma / Q000601:surgery*; D005152:Facial Muscles / Q000033:anatomy & histology; D005260:Female; D058752:Free Tissue Flaps; D006085:Graft Survival; D006801:Humans; D008297:Male; D015580:Mohs Surgery; D009669:Nose Neoplasms / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012878:Skin Neoplasms / Q000601:surgery*; D016038:Skin Transplantation