Résumé
BACKGROUND: Full-thickness skin graft(FTSG) for deep skin defects often results in poor contour cosmetically due to insufficient thickness and does not take on defects with exposed bone or cartilage. These lesions may require more difficult methods such as skin flaps. OBJECTIVE: To describe the usefulness of free skin graft(FSG) with some fat and vascular network on the underside, and therefore thicker than FTSG, for repairing deep cutaneous defects on the nose. METHODS: Five patients, four with skin cancers and one with a combined nevus, were treated with FSG harvested from the postauricular area as the donor site. RESULTS: These grafts provided excellent cosmetic and functional results in all patients without complications. CONCLUSION: FSG with subcutaneous vascular network is useful in reconstruction of deep skin defects instead of complex, multistaged skin flaps. Moreover, its cosmetic outcome is superior to FTSG.