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Nasal root: A good skin donor site providing full-thickness skin grafts for nose skin defects in elderly patients

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Surgical challenge

A full-thickness skin graft (FTSG) is one of the most efficient and commonly used methods for repairing skin defects on the nose.1 However, FTSG is often thought of as an inferior alternative to a local flap for reconstruction of nose defects because a local flap has better color and texture match to the surrounding nasal skin.2 It is important to select those donor sites that are most similar to the skin defect sites, including from the standpoints of color, texture, thickness, degree of

Solution

Using nasal root skin as a donor site is a good option for reconstructing nose skin defects. The nasal root has aesthetic and skin characteristics similar to those of the nose. Furthermore, horizontal wrinkles often occur from the nasal root to the glabella in elderly people. In this area, the donor site scar can be hidden in the wrinkle line, and as a result, good cosmetic results can be obtained (Fig 1). A large-sized piece of donor skin cannot be harvested from the nasal root, but a 1-cm

References (2)

Cited by (1)

  • Double-semicircular skin graft: A method to minimize wasted donor tissue

    2023, Journal of the American Academy of Dermatology
    Citation Excerpt :

    Donor site selection is very important when using a full-thickness skin graft (FTSG) in reconstructive surgery of nasal defects.1 The nasal root has been suggested as an excellent donor site for nasal tip defects because of the similarity in its color, texture, thickness, degree of actinic damage, and sebaceous quality.2 An elliptical excision is often used for harvesting an FTSG where tissues on both sides of the donor skin are discarded.

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Conflicts of interest: None disclosed.

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