Pre-Auricular Composite Adipo-cutaneous Graft for Coverage of Small Nasal Defects Post BCC Excision

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Author(s): Zahid Tayyab,2 Romaisa Shamim Khan,2 Farhat-ul-Ain Tayyaba3

Received: 21/07/2023 | Published: 31/10/2023 | Pages: 62-65 |


Background: Small partial thickness nasal defects may be reconstructed with a skin graft or loco-regional flap. Grafts often result in contour deformities, and flaps are often too much for these small defects. Also, it is difficult to match flap thickness with the defect. In such cases, composite adipo-cutaneous grafts provide better contour match and aesthetic appearance and are also technically easier to perform. We present our experience of using these grafts in patient with nasal defects.
Methodology: This prospective study was done over a 1-year period from 1st July 2021 till 30th June 2022 at Mayo hospital Lahore and Iqra Medical Complex, Lahore. Patients with nasal lesions with expected defect size of 1.5 x 1.5 cm were included. Under local anesthesia, excision of lesion and coverage with composite adipo-cutaneous graft was done. Graft take was assessed on 7th post-operative day. At one month follow-up, aesthetic outcomes in terms of pigmentation and contour deformity were assessed as Good, fair, or poor. Patient satisfaction was also assessed and recorded.
Results: the total number of patients was 10. Of these, 80% had excellent or good graft take. 70% had excellent/good color match and 90% had excellent/good contour match. All patients reported being satisfied with the results. There were no donor site complications.
Conclusion: composite adipo-cutaneous grafts provide a useful reconstructive option for small deep defects on the nose
Keywords: nasal lesions, composite graft, contour deformity