title: Thiersch skin grafting in otologic surgery.
abstract: Thiersch skin grafting is an old but highly effective surgical technique in otology. We frequently place a Thiersch graft after otologic procedures that either create a mastoid cavity or result in reduced skin coverage of a portion of the external auditory canal. The purpose of this article is to introduce this surgical technique to a new generation of otologists. We discuss its indications, the surgical technique, tips for a successful outcome, and postoperative care. A key to successful skin grafting is to perform the procedure about 10 days after the primary procedure to allow sufficient time for the formation of an adequate vascular bed at the recipient site. The goal in all cases is to achieve a safe, dry ear that is covered with keratinizing squamous epithelium. Thiersch grafting accomplishes this very well.
authors: Department of Otolaryngology-Head and Neck Surgery, Loma Linda University School of Medicine, Loma Linda, CA, USA.
authors: Helen
authors: H
authors: Xu
authors: Natasha
authors: N
authors: Pollak
authors: Michael M
authors: MM
authors: Paparella
mesh_terms: D004424:Ear Canal / Q000601:surgery; D006801:Humans; D013506:Otologic Surgical Procedures / Q000379:methods*; D011182:Postoperative Care; D016038:Skin Transplantation / Q000295:instrumentation / Q000379:methods*