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Surgical Pearls |

Transcutaneous Securing Technique for Nasal Onlay Grafts

Daniel R. Butz, MD1; Jeremy Warner, MD1,2
[+] Author Affiliations
1Section of Plastic and Reconstructive Surgery, University of Chicago Medicine, Chicago, Illinois
2Division of Plastic Surgery, NorthShore University HealthSystem, Chicago, Illinois
JAMA Facial Plast Surg. 2015;17(2):149-150. doi:10.1001/jamafacial.2014.1392.
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Article InformationCorresponding Author: Jeremy Warner, MD, Division of Plastic Surgery, NorthShore University HealthSystem, 501 Skokie Blvd, Northbrook, IL 60062 (jpwarner@northshore.org).

Published Online: January 15, 2015. doi:10.1001/jamafacial.2014.1392.

Conflict of Interest Disclosures: None reported.

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Figure.
Intraoperative Steps of the Transcutaneous Onlay Graft Securing Technique

A and B, Defect is identified (A) and marked (B). C, Graft is trimmed and beveled appropriately. D and E, Suture points are marked (D) and transferred to the graft (E). F, Suture is placed through the first stitch mark (typically the more cephalad mark), superficial to deep. G, Suture is then passed through corresponding marks on the graft in a horizontal fashion. H, Suture is passed under the nasal flap and out through the second mark (typically the more caudal mark). I, Graft is pulled into place. J, Suture is tied to not indent skin but secure the graft in place.

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Transcutaneous Securing Technique for Nasal Onlay Grafts

Intraoperative demonstration of the transcutaneous securing technique for nasal onlay grafting.

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