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Merocel semicompressive dressing to prevent donor-site hematoma on the conchal cartilage graft.
- Source :
-
The Journal of craniofacial surgery [J Craniofac Surg] 2012 Jan; Vol. 23 (1), pp. 57-60. - Publication Year :
- 2012
-
Abstract
- Conchal cartilage grafts are commonly used in rhinoplasties; however, complications related to the donor site, including delayed wound healing and scar formation and hematoma formation, still occur. Hematoma formation is the most important and frequent complication. Conventional tie-over dressing with a bolster has been commonly used to prevent donor-site hematomas, but it does not always give satisfactory outcomes. Therefore, we have introduced a new compressive dressing technique using Merocel, which is cut in half transversely: 1 piece is used as a posterior bolster and the other piece is cut in half again (yielding 2 small pieces) to make a concavity in the conchal cartilage (one piece for cymba concha and the other piece for cavum concha, respectively). After application of Merocel, the overall complication and hematoma formation rates were significantly decreased. Our new compressive dressing technique using Merocel has several advantages. Merocel can absorb more secretions and discharge from the operative site than conventional dressings and there are no risks of tissue necrosis or ischemia due to suture tension. Also, because Merocel can be freely cut and molded and applies even pressure, it can be used on irregular surfaces. Our new compressive dressing technique using Merocel is a simple and reliable option for preventing auricular hematomas.
- Subjects :
- Adult
Bandages
Cicatrix, Hypertrophic etiology
Ear Cartilage surgery
Equipment Design
Follow-Up Studies
Humans
Postoperative Complications
Retrospective Studies
Rhinoplasty methods
Surgical Wound Dehiscence etiology
Suture Techniques
Compression Bandages
Ear Cartilage transplantation
Formaldehyde therapeutic use
Hematoma prevention & control
Hemostatics therapeutic use
Polyvinyl Alcohol therapeutic use
Postoperative Hemorrhage prevention & control
Tissue and Organ Harvesting methods
Subjects
Details
- Language :
- English
- ISSN :
- 1536-3732
- Volume :
- 23
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- The Journal of craniofacial surgery
- Publication Type :
- Academic Journal
- Accession number :
- 22337374
- Full Text :
- https://doi.org/10.1097/SCS.0b013e318240c908