Repair of full-thickness skin grafts for nasal ala

For one study, researchers sought to find that full-thickness skin grafts, sometimes called full-thickness skin grafts (FTSGs), are effective procedures for correcting nasal alar defects. Skin from the supraclavicular, preauricular and postauricular regions was frequently donated. To assess how medial cheek FTSGs, used to repair nasal alar anomalies, affected cosmetic outcomes and side effects. Retrospective chart reviews were performed on Mohs surgery patients who underwent FTSG nasal repair between January 2015 and August 2020. The researchers examined demographic, surgical, and follow-up data. A facial plastic surgeon, a Mohs surgeon, and a plastic surgeon assessed aesthetics based on baseline photographs, defects, and follow-up visits. There were 69 people with alar nasal malformations who underwent FTSG procedures. A non-cheek donor site was observed in 18 of 69 individuals (26.1%), while the cheek donor site was present in 51 of 69 patients (73.9%). With no discernible difference between the 2 cohorts, the rater’s mean visual analog (SD) scale for the cheeks was good at 65.9 [13.8] and for non-gamers at 66.1 [15.3] (P=.96). Although not significant, there was a notable difference in the complication rate by donor location (cheek: 6.9%, non-cheek: 16.7%; P=.13). After Mohs micrographic surgery, the cheek was a reliable source of FTSG donors for alar nasal anomalies, with a tendency for fewer problems.

Source – journals.lww.com