Composite Graft- Epidermis + dermis + one more component (typically cartilage)
- Advantages: ability to restore missing cartilage in primary defect, maintains proper tissue architecture and function
- Disadvantages: highest metabolic demand (thus, highest likelihood of failure), size limited (due to blood supply)
- Donor sites: helix of ear, conchal bowl
- Most commonly used in nose (commonly nasal ala → cartilage restores proper function and prevents alar collapse during inspiration), and donor site often helical crus of ear
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