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

Nasal Open Wound Complication
HISTORY A 73-year-old man with BCC of the nasal tip presented 1 week following Mohs excision. His reconstruction was delayed for an additional week for a cardiac work up. Nasal reconstruction was performed with a superior extended nasal myocutaneous flap (SENMI flap) and nasal septal cartilage grafts. The patient developed nasal tip incisional discharge 1…
Read More
Nasal Skin Graft Revision with Flaps
HISTORY The patient presented for scar revision 8 months after Mohs excision of BCC of the nose and closure with an ear skin graft, performed elsewhere. Patient presents for correction of the atrophic erythematous skin graft scar. The patient was treated with two signature flaps of the SCARS Center developed for nasal reconstruction. DISCUSSION The…
Read More
Leiomyosarcoma of Scalp
HISTORY An 84-year-old man presented with a 7-month history of 2.5 cm ulcerated nodule of the scalp. Biopsy showed a poorly defined neoplasm consistent with a leiomyosarcoma. Wide local resection with 1 cm margins cleared the tumor. The 5 cm scalp defect was reconstructed with multiple large scalp rotation flaps. DISCUSSION Spindle cell neoplasms of…
Read More
Recurrent BCC of the External Ear After Radiation
HISTORY A 77-year-old man presents with 5-year history of infiltrative basal cell carcinoma (BCC) of the left ear fossa triangularis and root of helix. The area was originally treated with four weeks of radiation in 2014, complicated by temporary ulceration and healing with adhesion. When the area developed crusting a couple of years later, the…
Read More
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

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.