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Brief Communication
May 2004

Closure of Conchal Cartilage Harvest Sites via Absorbable Quilting Suture

Author Affiliations

New York


Department of Otolaryngology—Head & Neck Surgery
 Columbia University Medical Center
 180 Fort Washington Ave, Harkness Pavilion, Eighth Floor
 New York, NY 10032
 (e-mail: mkhosh@aol.com)

Arch Facial Plast Surg. 2004;6(3):202-203. doi:10.1001/archfaci.6.3.202


Conchal cartilage grafts are widely used in cosmetic and reconstructive facial surgery. We present the technique of auricular flap closure with 4-0 plain gut suture on a straight-cutting nasal septal needle in a through-and-through quilting fashion. No drains, bolsters, conforming packing, or compression dressings were placed. Twenty-five patients have undergone this closure technique by the senior author. Sutures resorb at approximately 2 weeks. No hematomas, skin necrosis, infections, keloids, or suture extrusion resulted. One complication—a 3-mm skin perforation at the midconchal bowl—was repaired in the office and subsequently healed well. Compared with bolsters and Penrose drains, the quilting technique offers a less painful postoperative course, neater intraoperative closure, no bulky dressing, and the ability to shower on the second postoperative day. Furthermore, absorbable sutures eliminate the need for suture or bolster removal.

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