Reconstruction of Post Burn Ala Defect Using Adiposocutaneous Graft

지방피부복합조직 이식을 이용한 화상 후 콧방울 결손의 재건

  • Kwon, Min-Joo (Department of Plastic and Reconstructive Surgery, School of Medicine, Hallym University) ;
  • Lee, Jong-Wook (Department of Plastic and Reconstructive Surgery, School of Medicine, Hallym University) ;
  • Koh, Jang-Hyu (Department of Plastic and Reconstructive Surgery, School of Medicine, Hallym University) ;
  • Seo, Dong-Kook (Department of Plastic and Reconstructive Surgery, School of Medicine, Hallym University) ;
  • Choi, Jai-Ku (Department of Plastic and Reconstructive Surgery, School of Medicine, Hallym University) ;
  • Jang, Young-Chul (Department of Plastic and Reconstructive Surgery, School of Medicine, Hallym University)
  • 권민주 (한림대학교 의과대학 성형외과학교실) ;
  • 이종욱 (한림대학교 의과대학 성형외과학교실) ;
  • 고장휴 (한림대학교 의과대학 성형외과학교실) ;
  • 서동국 (한림대학교 의과대학 성형외과학교실) ;
  • 최재구 (한림대학교 의과대학 성형외과학교실) ;
  • 장영철 (한림대학교 의과대학 성형외과학교실)
  • Received : 2011.05.06
  • Accepted : 2011.06.13
  • Published : 2011.07.10

Abstract

Purpose: As a central feature of the face, the nose has considerable significance in appearance and expression. Reconstruction of full thickness defects of the nasal ala has always been a challenge because of the 3-dimensional structure. For reconstruction of post burn defects of ala, skin graft, local or pedicled flap and composite graft are optionally available. We have reconstructed the ala defects using adiposocutaneous graft and observed the outcome. Methods: From March 2003 to December 2010, 19 cases in 11 patients with scar contracture and defect on ala portion were performed operation using adiposocutaneous graft. As a donor site, we used the inguinal crease and posterior auricular area and the donor site was primarily closed. We made incision through the superior rim of ala and released fully. A graft is applied to recipient site with larger size than recipient volume. Results: The mean age of the patient was 38.6 years (16~51), males are seven patients and females are four patients. The operation was performed bilaterally in 5 patients and unilaterally in 6 patients. Composite grafts were harvested from inguinal area in 13 cases and posterior auricular area in 6 cases. In one case, we did 4 times of operation to get enough volume. All the grafts were well taken. The mean size of the graft was 3.63 $cm^2$. Conclusion: For reconstruction of post burn defects of ala, it's not easy to use local flap or pedicled flap because of hardness and fibrosis of surrounding tissue. So, we choose adiposocutaneous graft for ala deformity reconstruction, got satisfactory outcome in color matching and texture.

Keywords

References

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