About this Medicine article

Reconstruction of Distal Nasal Defects Using Free Cartilage Batten Grafting With Secondary Intention Healing: A Retrospective Case Series of 129 Patients by Dong Joo Kim; Joy Makdisi; Christina Regan; Pin-Chun Chen; Elizabeth Chao; Adam M. Rotunda is a Medicine article available to read on EtoBox.

## Background: Surgical defects of the distal nose can pose significant reconstructive challenges. free cartilage batten graft (fcbg) with secondary intention healing is an underreported yet effective repair option with cosmetically and functionally satisfying outcomes. ## Objective: To share the authors' experience using fcbg with secondary intention healing on multiple nasal subunits, including a detailed evaluation of wound/graft characteristics and design modifications to optimize success with this single-stage approach. ## Methods: A retrospective study of 129 patients who underwent fcbg with secondary intention healing after mohs surgery from 2011 to 2018, using statistical analysis of numerous outcome measures graded independently by 2 fellowship-trained mohs surgeons. ## Results: Overall, healed wounds were graded aesthetically as follows: excellent (24%), very good (31%), good (31%), or poor (14%). excellent/very good outcomes were seen for superficial (p < .001), small-to-medium sized wounds (p < .0001) repaired with cartilage that closely approximated the defect size (p < .05). consistently optimal outcomes were seen in the 19 repairs involving the alar lobule (mid-ala)

Author

Dong Joo Kim; Joy Makdisi; Christina Regan; Pin-Chun Chen; Elizabeth Chao; Adam M. Rotunda

Publisher

Ovid Technologies (Wolters Kluwer Health)

Published

2020

Language

EN

Field

Medicine (Health Sciences)