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An Alternative in Composite Skin Grafting

William Portuese, MD; Fred Stucker, MD; Warren Grafton, MD; William Shockley, MD; Linda Gage-White, MD, PhD

Arch Otolaryngol Head Neck Surg. 1989;115(6):705-709.

Abstract
• The perichondrial cutaneous graft (PCCG) is a composite skin graft that is an alternative to the full-thickness skin graft (FTSG). The PCCG is harvested from the ear and contains epidermis, dermis, scant subcutaneous tissue, and the perichondrial layer. This experiment examined the differences in contraction properties of PCCGs and FTSGs. Twenty FTSGs and 20 PCCGs were harvested from the ears and grafted onto the backs of seven New Zealand white rabbits. The results confirmed that the PCCG provides superior coverage to the FTSGs with regard to thickness, contraction properties, and hair retention. This graft has potential in reconstructive head and neck surgery. When skin grafting is appropriate, the PCCG may provide superior results.

(Arch Otolaryngol Head Neck Surg 1989;115:705-709)

Author Affiliations
From the Departments of Otolaryngology (Drs Portuese, Stucker, Shockley, and Gage-White) and Pathology (Dr Grafton), Louisiana State University Medical Center, Shreveport.

Footnotes
Accepted for publication Nov 16, 1988.

Presented at the spring meeting of the American Academy of Facial Plastic and Reconstructive Surgery, West Palm Beach, Fla, April 27, 1988.

Reprint requests to Department of Otolaryngology, 1501 Kings Highway, PO Box 33932, Shreveport, LA 71130 (Dr Portuese).

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