SURGICAL GEM: PDF OnlyExcision of Exposed Cartilage for Management of Mohs Surgery Defects of the EarLARSON, PAUL O. MD1; RAGI, GANGARAM MD1; MOHS, FREDERIC E. MD1; SNOW, STEPHEN N. MD1 Author Information 1 Section of Mohs Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin. Address reprint requests to: Paul O. Larson MD, University of Wisconsin, Department of Surgery, Section of Mohs Surgery, 2880 University Avenue, Madison, WI 53705. The Journal of Dermatologic Surgery and Oncology 17(9):p 749-752, September 1991. | DOI: 10.1111/j.1524-4725.1991.tb03433.x Buy Metrics Abstract Cartilage of the ear is often exposed during Mohs surgical procedures. Fenestration of the cartilage with a skin punch has been recommended to stimulate granulation tissue where the perichondrium has been destroyed. This article describes an alternative method—the excision of a window through the exposed cartilage, fully exposing the perichondrium on the other side of the cartilage. This promotes the rapid healing by second intention or provides a vascular bed for immediate skin grafting. Also, aggressive excision of nonviable cartilage helps prevent chondritis or perichondritis. © Lippincott-Raven Publishers.