EFFECTIVENESS OF PERICHONDRIAL CUTANEOUS GRAFT OF DORSAL AURICLE FOR REPAIRING FACIAL MELANOCYTIC NEVUS EXCISION DEFECT_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

DUAN Weiqiang , CEN Ying.

Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China. Corresponding author: CEN Ying, E-mail: cenying0141@163.com;

Corresponding author：

Keywords：

Perichondrial cutaneous graft of dorsal auricle; Facial melanocytic nevus; Defect repair

DOI：

10.7507/1002-1892.20130293

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Objective To investigate and compare the effectiveness of perichondrial cutaneous graft (PCCG) of dorsal auricle for repairing defect after excision of melanocytic nevus in different parts of the face. Methods Between February 2008 and October 2012, 29 cases of facial melanocytic nevus were admitted. There were 11 males and 18 females, aged 3-25 years (median, 11 years). The locations were the upper eyelid in 5 cases, the nose in 15 cases, and the buccal region in 9 cases. The size of the nevi ranged from 1.2 cm × 1.0 cm to 4.0 cm × 2.2 cm. Defects after excision of nevi were repaired by PCCG of the dorsal auricle, which size ranged from 1.5 cm × 1.5 cm to 4.2 cm × 2.5 cm. The postoperative effectiveness was scored by patients according to color match, scar formation, and flatness of the reception site. The satisfaction evaluations were compared by the score among different parts. Results All the PCCG survived. All the patients were followed up 7-15 months (mean, 10 months). All the reception site had good color match and acceptable scar formation. The nasal part had good flatness, and the upper eyelid had poor flatness. Score comparison showed no significant difference in color match between 3 parts (P gt; 0.05). Nasal part had significantly less scar formation than buccal region and upper eyelid (P lt; 0.05), but no significant difference between buccal region and upper eyelid (P gt; 0.05). Nasal part and buccal region both had significantly better flatness than upper eyelid (P lt; 0.05), but no significant difference between nasal part and buccal region (P gt; 0.05). The overall evaluation score of nasal part and buccal region was significantly higher than that of the upper eyelid group (P lt; 0.05), and the score of the nasal part was significantly higher than that of the buccal region (P lt; 0.05). Conclusion PCCG of dorsal auricle has a good color match in repair of facial defect, especially in repair of nasal defect with good flatness and no obvious scar formation.

Citation： DUAN Weiqiang,CEN Ying.. EFFECTIVENESS OF PERICHONDRIAL CUTANEOUS GRAFT OF DORSAL AURICLE FOR REPAIRING FACIAL MELANOCYTIC NEVUS EXCISION DEFECT. Chinese Journal of Reparative and Reconstructive Surgery, 2013, 27(11): 1350-1354. doi: 10.7507/1002-1892.20130293 Copy

1.	Brent B, Ott R. Perichondro-cutaneous graft. Plastic Reconstr Surg, 1978, 62(1): 1-14.
2.	Stucker FJ, Walsh WE, Dammert M, et al. The perichondrial cutaneous graft: a facial reconstructive option for the ages (ages 1 week to 94 years). Laryngoscope, 2008, 118(10): 1753-1757.
3.	Inchingolo F, Tatullo M, Marrelli M, et al. Clinical case-study describing the use of skin-perichondrium-cartilage graft from the auricular concha to cover large defects of the nose. Head Face Med, 2012, 8: 10.
4.	Kalbermatten DF, Haug M, Wettstein R, et al. New posterior auricular perichondrial cutaneous graft for stable reconstruction of nasal defects. Aesthetic Plast Surg, 2005, 29(6): 489-495.
5.	Arrigoni SC, Halbersma WB, Grandjean JG, et al. Patients’ satisfaction and wound-site complications after radial artery harvesting for coronary artery bypass. Interact Cardiovasc Thorac Surg, 2012, 14(3): 324-326.
6.	Bjertnaes OA, Sjetne IS, Iversen HH. Overall patient satisfaction with hospitals: effects of patient-reported experiences and fulfilment of expectations. BMJ Qual Saf, 2012, 21(1): 39-46.
7.	王欣, 王冰, 林格. 面部黑痣的治疗. 中国医药指南, 2008, 6(15): 150-151.
8.	李波涛, 安可忍, 李萍, 等. 应用真皮下血管网皮片修复面部皮肤软组织缺损. 中国美容医学, 2011, 20(5): 726-727.
9.	Chaiet SR, Marcus BC. Nasal tip volume analysis after butterfly graft. Ann Plast Surg, 2012. [Epub ahead of print].
10.	娄跃君, 方柏荣, 王友彬, 等. 耳后真皮脂肪复合组织组织学特点的研究. 中国生物美容, 2009, 9(4): 1-3.
11.	高学书, 何清濂, 章惠兰, 等. 我国成年男性30个不同部位的皮肤厚度. 第二军医大学学报, 1980, (3): 96-98.
12.	Tomita K, Hosokawa K, Yano K, et al. Dermal vascularity of the auricle: implications for novel composite grafts. J Plast Reconstr Aesthet Surg, 2009, 62(12): 1609-1615.
13.	Portuese W, Stucker F, Grafton W, et al. Perichondrial cutaneous graft. An alternative in composite skin grafting. Arch Otolaryngol Head Neck Surg, 1989, 115(6): 705-709.
14.	Gloster HM Jr, Brodland DG. The use of perichondrial cutaneous grafts to repair defects of the lower third of the nose. Br J Dermatol, 1997, 136(1): 43-46.
15.	Patterson AR, Brady G, Walker PD, et al. The perichondrial cutaneous graft and “flip-flop” flap in facial reconstruction: a series of 41 cases. Br J Oral Maxillofac Surg, 2008, 46(2): 114-118.
16.	Almeyda R, van der Eerden P, Vuyk H. Skin graft survival on subcutaneous hinge flaps: an algorithm for nasal reconstruction. Laryngoscope, 2013, 123(3): 605-612.
17.	Zampar AG, Salomons RL, Dornelles RF, et al. Chondrocutaneous auricular graft for reconstruction of ocular socket in anophthalmic cavities. J Craniofac Surg, 2011, 22(2): 602-605.
18.	van der Eerden P, Simmons M, Zuur K, et al. Full-thickness skin grafts and perichondrial cutaneous grafts following surgical removal of cutaneous neoplasms of the head and neck. Eur Arch Otorhinolaryngol, 2010, 267(8): 1277-1283.
19.	Larcher L, Plötzeneder I, Tasch C, et al. Retroauricular pull-through island flap for defect closure of auricular scapha defects—a safe one-stage technique. J Plast Reconstr Aesthet Surg, 2011, 64(7): 934-936.
20.	O’Driscoll SW, Fitzsimmons JS. The importance of procedure specific training in harvesting periosteum for chondrogenesis. Clin Orthop Relat Res, 2000, (380): 269-278.
21.	Van Osch GJ, Van Der Veen SW, Burger EH, et al. Chondrogenic potential of in vitro multiplied rabbit perichondrium cells cultured in alginate beads in defined medium. Tissue Eng, 2000, 6(4): 321-330.
22.	Antohi N, Isac C, Stan V, et al. Dorsal nasal augmentation with “open sandwich” graft consisting of conchal cartilage and retroauricular fascia. Aesthet Surg J, 2012, 32(7): 833-845.
23.	Sage RJ, Leach BC, Cook J. Antihelical cartilage grafts for reconstruction of mohs micrographic surgery defects. Dermatol Surg, 2012, 38(12): 1930-1937.
24.	Wong VW, Levi K, Akaishi S, et al. Scar zones: region-specific differences in skin tension may determine incisional scar formation. Plast Reconstr Surg, 2012, 129(6): 1272-1276.
25.	Suarez E, Syed F, Alonso-Rasgado T, et al. Up-regulation of tension-related proteins in keloids: knockdown of Hsp27, α2β1-integrin, and PAI-2 shows convincing reduction of extracellular matrix production. Plast Reconstr Surg, 2013, 131(2): 158e-173e.

1. Brent B, Ott R. Perichondro-cutaneous graft. Plastic Reconstr Surg, 1978, 62(1): 1-14.
2. Stucker FJ, Walsh WE, Dammert M, et al. The perichondrial cutaneous graft: a facial reconstructive option for the ages (ages 1 week to 94 years). Laryngoscope, 2008, 118(10): 1753-1757.
3. Inchingolo F, Tatullo M, Marrelli M, et al. Clinical case-study describing the use of skin-perichondrium-cartilage graft from the auricular concha to cover large defects of the nose. Head Face Med, 2012, 8: 10.
4. Kalbermatten DF, Haug M, Wettstein R, et al. New posterior auricular perichondrial cutaneous graft for stable reconstruction of nasal defects. Aesthetic Plast Surg, 2005, 29(6): 489-495.
5. Arrigoni SC, Halbersma WB, Grandjean JG, et al. Patients’ satisfaction and wound-site complications after radial artery harvesting for coronary artery bypass. Interact Cardiovasc Thorac Surg, 2012, 14(3): 324-326.
6. Bjertnaes OA, Sjetne IS, Iversen HH. Overall patient satisfaction with hospitals: effects of patient-reported experiences and fulfilment of expectations. BMJ Qual Saf, 2012, 21(1): 39-46.
7. 王欣, 王冰, 林格. 面部黑痣的治疗. 中国医药指南, 2008, 6(15): 150-151.
8. 李波涛, 安可忍, 李萍, 等. 应用真皮下血管网皮片修复面部皮肤软组织缺损. 中国美容医学, 2011, 20(5): 726-727.
9. Chaiet SR, Marcus BC. Nasal tip volume analysis after butterfly graft. Ann Plast Surg, 2012. [Epub ahead of print].
10. 娄跃君, 方柏荣, 王友彬, 等. 耳后真皮脂肪复合组织组织学特点的研究. 中国生物美容, 2009, 9(4): 1-3.
11. 高学书, 何清濂, 章惠兰, 等. 我国成年男性30个不同部位的皮肤厚度. 第二军医大学学报, 1980, (3): 96-98.
12. Tomita K, Hosokawa K, Yano K, et al. Dermal vascularity of the auricle: implications for novel composite grafts. J Plast Reconstr Aesthet Surg, 2009, 62(12): 1609-1615.
13. Portuese W, Stucker F, Grafton W, et al. Perichondrial cutaneous graft. An alternative in composite skin grafting. Arch Otolaryngol Head Neck Surg, 1989, 115(6): 705-709.
14. Gloster HM Jr, Brodland DG. The use of perichondrial cutaneous grafts to repair defects of the lower third of the nose. Br J Dermatol, 1997, 136(1): 43-46.
15. Patterson AR, Brady G, Walker PD, et al. The perichondrial cutaneous graft and “flip-flop” flap in facial reconstruction: a series of 41 cases. Br J Oral Maxillofac Surg, 2008, 46(2): 114-118.
16. Almeyda R, van der Eerden P, Vuyk H. Skin graft survival on subcutaneous hinge flaps: an algorithm for nasal reconstruction. Laryngoscope, 2013, 123(3): 605-612.
17. Zampar AG, Salomons RL, Dornelles RF, et al. Chondrocutaneous auricular graft for reconstruction of ocular socket in anophthalmic cavities. J Craniofac Surg, 2011, 22(2): 602-605.
18. van der Eerden P, Simmons M, Zuur K, et al. Full-thickness skin grafts and perichondrial cutaneous grafts following surgical removal of cutaneous neoplasms of the head and neck. Eur Arch Otorhinolaryngol, 2010, 267(8): 1277-1283.
19. Larcher L, Plötzeneder I, Tasch C, et al. Retroauricular pull-through island flap for defect closure of auricular scapha defects—a safe one-stage technique. J Plast Reconstr Aesthet Surg, 2011, 64(7): 934-936.
20. O’Driscoll SW, Fitzsimmons JS. The importance of procedure specific training in harvesting periosteum for chondrogenesis. Clin Orthop Relat Res, 2000, (380): 269-278.
21. Van Osch GJ, Van Der Veen SW, Burger EH, et al. Chondrogenic potential of in vitro multiplied rabbit perichondrium cells cultured in alginate beads in defined medium. Tissue Eng, 2000, 6(4): 321-330.
22. Antohi N, Isac C, Stan V, et al. Dorsal nasal augmentation with “open sandwich” graft consisting of conchal cartilage and retroauricular fascia. Aesthet Surg J, 2012, 32(7): 833-845.
23. Sage RJ, Leach BC, Cook J. Antihelical cartilage grafts for reconstruction of mohs micrographic surgery defects. Dermatol Surg, 2012, 38(12): 1930-1937.
24. Wong VW, Levi K, Akaishi S, et al. Scar zones: region-specific differences in skin tension may determine incisional scar formation. Plast Reconstr Surg, 2012, 129(6): 1272-1276.
25. Suarez E, Syed F, Alonso-Rasgado T, et al. Up-regulation of tension-related proteins in keloids: knockdown of Hsp27, α2β1-integrin, and PAI-2 shows convincing reduction of extracellular matrix production. Plast Reconstr Surg, 2013, 131(2): 158e-173e.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF PERICHONDRIAL CUTANEOUS GRAFT OF DORSAL AURICLE FOR REPAIRING FACIAL MELANOCYTIC NEVUS EXCISION DEFECT

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