Y. Hirase, POSTOPERATIVE COOLING ENHANCES COMPOSITE GRAFT-SURVIVAL IN NASAL-ALARAND FINGERTIP RECONSTRUCTION, British Journal of Plastic Surgery, 46(8), 1993, pp. 707-711
A simple method using ice-water and aluminium foil for enhancing compo
site graft survival is reported. Cooling the entire recipient site ret
ards cellular degeneration in the graft until neovascularisation occur
s. The success of this technique in nasal reconstruction using auricul
ar chondrocutaneous tissue and nonmicrosurgical fingertip reattachment
is presented. The potential application to thicker skin grafts is als
o discussed.