Follow on wound care management for ftsg to ear from day 8 onwards

Clinical answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 6 February 2026Updated: 6 February 2026 Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

From day 8 onward, the recommended wound care management for a full-thickness skin graft to the ear includes maintaining an appropriate moist wound environment to promote healing while preventing infection and trauma to the graft site. Dressings should be non-adherent to avoid disturbing the graft, for example, using paraffin gauze, silicone-coated nylon dressing, polyurethane film, or hydrocolloid dressings. A secondary absorbent, non-fibrous dressing should be applied and secured with a lightweight conforming bandage or tubular gauze to avoid tension or stretching on the graft site. Dressing changes can become less frequent provided there are no signs of infection or complications, minimizing trauma and bacterial contamination. Analgesia should be given as appropriate for comfort during dressing changes. If there are signs of infection, targeted antibiotic treatment should be initiated based on microbiological results but prophylactic topical or systemic antibiotics are not routinely recommended. Avoid harsh antiseptic solutions that could damage healing tissue. Referral to tissue viability or plastic surgery specialists is advised if complications arise or for advice on specialist dressings. Limb or ear orthoses, if used, should not exert pressure on the grafted skin to prevent breakdown. Overall, careful monitoring for infection, maintaining moisture, and gentle dressing technique are key in managing healing after day 8 for ear full-thickness skin grafts.

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