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Expandable desiccated ear wicks aid in skin graft reconstruction of the external auditory canal after Mohs micrographic surgery.

Reconstruction of the external auditory canal and conchal bowl after Mohs micrographic surgery is a challenge for the surgeon. The concavity of these structures predispose fulland splitthickness skin grafts to ‘‘tenting’’ and failure of the graft to intimately appose to the recipient site. Bolster dressings composed of foam or cotton wrapped in petrolatum gauze are typically used to compress a skin graft into the recipient site and enhance a graft’s eventual survival during the wound healing phases of imbibition and neovascularization. Bolster dressings also minimize the likelihood of tenting and hematoma formation beneath a graft, which can compromise its survival.