Noncontracting Perichondrial Cutaneous Graft for Nasal Cutaneous Defects

Abstract

At the spring national meeting of the American Rhinologic Society in Waikaloa, Hawaii, Fred Stucker, MD, and Gary Shaw, MD, Shreveport, La, discussed their research and clinical experience with the perichondrial cutaneous graft (PCCG) for reconstruction of nasal skin defects where a graft without contraction is indicated. This graft has some potential to regenerate cartilage from its deep surface and consists of full-thickness skin and perichondrium of the conchal cartilage area of the auricle. They reported that the graft is easily harvested, replaces like tissue on nasal defects, especially in children, and continues to grow, rather than contract, secondary to the propensity for neochondrogenesis of the deep surface. Harvesting is effected with hydraulic dissection by local anesthetic of conchal anterior skin and perichondrialur face. Closure of donor site is effected by passing an ingenious postauricular skin and muscle flip-flop flap via a