Bolster Dressing
A bolster has two functions.
Bolster dressing. This type of dressing is used for long indwelling tubes without a stabilization bar or disc. Removing the tie over bolster must be performed with caution to prevent trauma caused by adherence of the graft to the bolster dressing. Bolster dressing to support a full thickness skin graft the patient with a through and through defect of the nose suffers from a loss of skin subcutaneous tissue cartilage and nasal lining.
Repair of this defect is generally directed toward restoring the components of skin and lining. Your physician has prescribed xeroform dressing changes daily to the graft. Remove and discard the old dressing.
This dressing remains in place until your follow up visit in the office 5 7 days after surgery. See figure 1 hydrogen peroxide is injected into the cotton bolster. The forehead flap is a useful substitute for nasal skin.
Gauze and tape dressing. A bolster is a type of dressing that is sewn on top of a skin graft. This dressing is to remain in place until your post op visit in clinic 5 7 days after surgery.
You will now need to do a daily dressing change to the graft site for days. Next a syringe with hydrogen peroxide is carefully inserted into the bolster using a drilling motion with special care to stabilize the bolster on the opposite side of needle placement. Today you had your bolster removed from your skin graft site.
The daily procedure will be as follows. If there is no drainage at the site then it. This dressing is used when the tube has drainage.