Te. Rohrer et Lm. Dzubow, CONCHAL BOWL SKIN-GRAFTING IN NASAL TIP RECONSTRUCTION - CLINICAL ANDHISTOLOGIC EVALUATION, Journal of the American Academy of Dermatology, 33(3), 1995, pp. 476-481
Background: It is often difficult to achieve an esthetically pleasing
cosmetic match when full-thickness skin grafts from periclavicular, pr
eauricular, or postauricular donor sites are used to repair distal nas
al defects. This, in large part, is due to the highly sebaceous nature
of the skin on the distal aspect of the nose. Objective: Our purpose
was to describe the benefits of using donor skin from the conchal bowl
to repair defects of the nasal tip. Methods: The technique of conchal
bowl grafting is described. Results: The conchal grafts give an excel
lent cosmetic result with respect to color and texture match and are t
ime efficient because the donor site can be allowed to heal by seconda
ry intention. Conclusion: The conchal bowl offers an esthetically reli
able source of donor skin for full-thickness and perichondrial cutaneo
us grafts to repair defects of the nasal tip.