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July 1948


Arch Otolaryngol. 1948;48(1):86-133. doi:10.1001/archotol.1948.00690040093012

THREE articles among the numerous contributions on nasal plastic surgery in 1946 are of special importance: Brown and Cannon's review of operations in which composite grafts of skin and cartilage were used in the reconstruction of defects of the ala, Straith's presentation of the Z plastic procedure for elongating the columella, and Dupertuis' original contribution in which he describes how he successfully used composite grafts of skin and fat taken from ear lobes in the reconstruction of defects of the nasal tip and ala.

Increasing evidence was presented indicating that the plastic surgeon should use autogenous cartilage and bone grafts whenever possible in preference to preserved cartilage, which is inferior grafting material. Experimental work with young human cartilage demonstrated growth of this cartilage following transplantation.

Plastic surgeons are avoiding the use of living maternal ear cartilage and maternal rib cartilage for the reconstruction of a complete auricle. Cadaver cartilage is