Call Us Today:
949.200.1600

Structural Grafts

Home > Reconstruction > Structural Grafts

Skin-Cancer-Specialists-Structural-Graft-Skin-Cancer-And-Reconstructive-Surgery-Center-Newport-Beach-Orange-County

ABOUT STRUCTURAL GRAFTS

 

When a skin cancer is removed from the ear or nose, the remaining defect may be deep enough to involve the cartilage below. Cartilage is the stiff, supporting structure which creates the shape of the outer ear and nose. When a portion of this cartilage is removed, it often needs to be replaced in order for the structure to maintain its previous shape.

 

When cartilage grafting is required, a donor site is first selected by choosing an area that will remain inconspicuous and has the appropriate shaped cartilage. Cartilage grafts may be harvested from the nasal septal cartilage, ear cartilage, or the costal cartilage of the ribs. If the ear is being repaired, the graft is often taken from behind the ear. If the nose is being reconstructed, the graft would most likely be taken from the nasal septum, which divides the nasal passages. Small pieces of cartilage are taken from the donor site and custom shaped to recreate the missing structure which was removed.The grafts are strategically placed and secured like a framework beneath the skin until the desired supporting structure is achieved.The reconstruction of the overlying skin is then completed.

Related Articles

subtotal-ear-reconstruction-alloplast-tpf-flap-skin-cancer-orange-county
Subtotal Ear Reconstruction with Alloplast
DISCUSSION Subtotal ear reconstruction is a challenging surgical task that often requires non-traditional techniques. This particular patient was treated with an alloplastic implant and rib cartilage grafts. We utilized Medpor Helical Rim implant, a porous polyethylene material (Stryker, USA) used for microtia reconstruction. The implant was used for its elegantly curved helix. The rib cartilage…
Read More
total-ear-reconstruction-with-osseointegrated-prosthesis-skin cancer-orange-county
Total Ear Reconstruction with Osseointegrated Prosthesis
DISCUSSION Total ear reconstruction after radical skin cancer resection can be treated with prosthetic rehabilitation. Optimally, osseointegrated fixation of a prosthesis is employed. This patient was treated with complete ear amputation and post-operative radiation. His prosthetic rehabilitation was a team effort between Simon Madorsky, M.D., at SCARS Center and Mark George, D.D.S., a prosthodontist. Three…
Read More
Recurrent-SCC-nose-rhinectcomy-mapping-biopsy-SCARS-center-Mohs-excision-infiltrative-squamous-cell
Recurrent SCC of Nasal Tip
HISTORY 71-year-old man presents with recurrence of SCC of nose following Mohs excision on 2-9-17. Partial rhinectomy was performed with incomplete Mohs excision leaving residual positive margins due to patient’s comfort.  Two additional excisions of involved margins were done under anesthesia achieving clear margins. First stage reconstruction was performed on 4-11-18. DISCUSSION Management of a…
Read More
Lower-lip-mucosal-defect-myomucosal-island-flap-partial-island-flap-orange-county-skin-cancer
Lower Lip Mucosal Defect
DISCUSSION The goals of lower lip mucosal defect reconstruction include the following: Preservation of vermillion line continuity Avoiding depressions of red lip and preserving lip fullness Preservation of red lip roll (ridge) Myomucosal island flaps help achieve all of these goals. The flaps are created laterally or medially to the defect. The island can be…
Read More
Dysplastic-nevus-melanocytic-tumor-porcine-xenograft-island-flap2
Mitoses in a Dysplastic Nevus
HISTORY 61-year-old man presents with 6-month history of forehead lesion. Biopsy on October 2017 showed atypical nevomelanocytic neoplasm with several mitoses (3/mm2).  An excision with 5 mm margins was performed in November 2017 with negative findings. DISCUSSION This melanocytic tumor of uncertain malignant potential can also be called a MELTUMP. These lesions present a treatment…
Read More
cerclage-closure-skin-cancer-Mohs-and-reconstruction-orange-county-
Cerclage Closures
DISCUSSION Cerclage closure is a relatively straightforward approach to wound repair in certain locations. Body regions with no appreciable skin creases or relaxed skin tension lines are good candidates for this technique. Regions with inherently high tension of closure is all directions, such central chest and convex shoulder, heal better with a cerclage scar versus…
Read More

STAY UP TO DATE

Receive research updates, inspiring stories, healthy living tips and more.

Something went wrong. Please check your entries and try again.

FOLLOW US

ELEVATING THE STANDARDS OF SKIN CANCER MANAGEMENT.

© 2018 SCARS Management Services. All rights reserved.