Restoration of soft triangle of the nose using auricular composite graft and fibrin glue

Abstract The impact of fibrin glue on helical composite graft take and outcome after reconstruction of the soft triangle of the nose was demonstrated. A superior helical ear composite graft was harvested for the reconstruction of the soft triangle of the left nostril. Fibrin glue is used frequently with split-thickness skin grafts but not with composite grafts before. It was used intraoperatively as a sealant, haemostatic and fixating agent, promote wound healing and prevent skin graft contracture. The complete composite graft-take occurred along with good aesthetic outcome and integration. The symmetry of both nostrils was restored. No graft shrinkage or contracture was observed for more than 10 months follow up. In this case, fibrin glue helped the composite graft complete take and integration with the restored good aesthetic appearance and minimal graft contraction. The level of evidence was – Therapeutic, V.