A common technique for anchoring cartilage grafts on the nose after Mohs surgery works well for larger defects, but a different technique may be easier for smaller wounds, according to Mohs surgeon Ravi S. Krishnan. The technique allows a smaller graft and puts it flat against the nose by suturing from inside the nose and pulling the suture through the cartilage and back inferiorly as the knot is tied. Two sutures anchor the cartilage graft along the alar rim for two weeks. Infection has not been a problem, but if epithelium starts to grow over the anchoring sutures, they can be difficult to remove, he said.
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