1994
DOI: 10.1001/archderm.130.8.978
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A variation of composite grafting for reconstruction of full-thickness nasal alar defects

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Cited by 6 publications
(18 citation statements)
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“…Comparatively, Haas and Glogau suggests that for full-thickness defects, composite grafts larger than 1.5 cm have failure rates > 50%. 25 Other technical modifications aimed to improve graft survival are designed to increase the contact surface between the graft and tissue bed to maximize vascularization. Avoiding thermocoagulation during surgery, strong counseling against smoking, and protection from shearing trauma postoperatively will also help maintain adequate vascularization to the graft and improve survival.…”
Section: Cartilage/fibrous Layermentioning
confidence: 99%
“…Comparatively, Haas and Glogau suggests that for full-thickness defects, composite grafts larger than 1.5 cm have failure rates > 50%. 25 Other technical modifications aimed to improve graft survival are designed to increase the contact surface between the graft and tissue bed to maximize vascularization. Avoiding thermocoagulation during surgery, strong counseling against smoking, and protection from shearing trauma postoperatively will also help maintain adequate vascularization to the graft and improve survival.…”
Section: Cartilage/fibrous Layermentioning
confidence: 99%
“…In our opinion, most critical to graft survival is its size and the ratio of the marginal raw area to the graft bulk. Whereas some authors, including us, have strongly reported that a graft size exceeding 10 mm is not suitable for reconstruction because of limited blood flow,[ 4 17 18 19 ] there are those who report high success with graft size between 10 and 20 mm[ 20 ] or even up to 25 mm. [ 15 21 ] Grafts exceeding 10 mm may well survive, but the success rate is about 65% for defects approaching 15 mm and <50% for grafts exceeding 15 mm.…”
Section: Discussionmentioning
confidence: 99%
“…[ 15 21 ] Grafts exceeding 10 mm may well survive, but the success rate is about 65% for defects approaching 15 mm and <50% for grafts exceeding 15 mm. [ 18 ]…”
Section: Discussionmentioning
confidence: 99%
“…It is well established that the diameter of skin defects should not exceed 1 cm for the survival of the composite tissue graft [1,2], and that central necrosis is unavoidable if the diameter of the defects is greater than 2 cm. In addition, it is recommended that the composite tissue graft be performed no later than within four hours after the onset of injury [1,2].…”
mentioning
confidence: 99%
“…In addition, it is recommended that the composite tissue graft be performed no later than within four hours after the onset of injury [1,2]. This is also accompanied by the use of such methods as a pressure dressing with a tie-over for successful engraftment.…”
mentioning
confidence: 99%