Thiersch skin grafting in otologic surgery

Helen Xu, Natasha Pollak, Michael M. Paparella

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Thiersch skin grafting is an old but highly effective surgical technique in otology. We frequently place a Thiersch graft after otologic procedures that either create a mastoid cavity or result in reduced skin coverage of a portion of the external auditory canal. The purpose of this article is to introduce this surgical technique to a new generation of otologists. We discuss its indications, the surgical technique, tips for a successful outcome, and postoperative care. A key to successful skin grafting is to perform the procedure about 10 days after the primary procedure to allow sufficient time for the formation of an adequate vascular bed at the recipient site. The goal in all cases is to achieve a safe, dry ear that is covered with keratinizing squamous epithelium. Thiersch grafting accomplishes this very well.

Original languageEnglish (US)
Pages (from-to)348-356
Number of pages9
JournalEar, Nose and Throat Journal
Issue number8
StatePublished - Oct 28 2013
Externally publishedYes

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