Perichondrial Cutaneous Grafts in Facial Reconstruction

Abstract

ABSTRACT Aim: The purpose of this study is to review the indications, techniques, advantages, and outcomes of perichondrial cutaneous grafts (PCCG). Background The PCCG is a composite graft utilized in the reconstruction of select head and neck defects. This graft, much studied and popularized by Dr Frederick Stucker, has several intrinsic benefits due to its size, thickness, contour, and unique perichondrial layer. Results The PCCG is primarily utilized in the reconstruction of nasal and lower eyelid defects. This graft has been demonstrated to yield superior results to a full-thickness skin graft (FTSG) in these cosmetically sensitive locations and has the convenience of a single-stage procedure that may be performed under local anesthesia in contrast to a paramedian forehead flap (PMFF). Animal studies have shown less contraction in comparison to FTSGs. Large case series have reported low rates of graft loss and good esthetic outcomes. Conclusion The PCCG is an option to consider in the reconstruction of select head and neck defects, as it tends to offer excellent cosmetic results and minimal morbidity. Clinical significance The PCCG has several advantages over a FTSG for moderate to large defects of the face, and is an excellent reconstructive option for nasal defects in which a PMFF may not be a viable option. How to cite this article Bizzell JG, Boyette JR. Perichondrial Cutaneous Grafts in Facial Reconstruction. Int J Head Neck Surg 2016;7(3):182-187.