FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3137496786> ?p ?o ?g. }

• W3137496786 endingPage "e3443" @default.
• W3137496786 startingPage "e3443" @default.
• W3137496786 abstract "Cutaneous defects of the nasal tip and ala represent a common reconstructive problem and, as such, surgeons should be familiar with the available reconstructive techniques to confront these defects. Although the literature is rife with local reconstructive possibilities, mastery of a handful of the more common options will serve the reconstructive surgeon well. The goal of this article was to discuss our preferred flaps for reconstructing cutaneous defects of the nasal distal third, reviewing the indications of each and providing video documentation of our surgical approaches. The bilobed flap is ideally suited for defects of the central or lateral tip that are 1–1.5 cm in diameter and spare the alar margin. (See Video 1 [online], which displays the bilobed flap for reconstruction of a 1 cm cutaneous defect of the lateral nasal tip.) The flap is typically based laterally, although descriptions of medially-based flaps do exist.1 As with most transposition flaps, the bilobed flap has the potential to create contour abnormalities such as pincushioning or trapdooring, particularly in patients with thick, sebaceous skin.2 Matching the diameter of the primary lobe precisely to that of the defect (ie, not oversizing it) is fundamental to minimize the occurrence of contour abnormalities, although it is not entirely preventive. {href:Single Video Player,role:media-player-id,content-type:play-in-place,position:float,orientation:portrait,label:Video 1.,caption:Bilobed flap. Video 1 from “Commonly Used Flaps for Cutaneous Reconstruction of the Nasal Distal Third”,object-id:[{pub-id-type:doi,id:},{pub-id-type:other,content-type:media-stream-id,id:1_dh0rkqdm},{pub-id-type:other,content-type:media-source,id:Kaltura}]} Defects up to 2.5 cm of the distal nose can be effectively managed with the dorsal nasal flap. (See Video 2 [online], which displays the dorsal nasal flap for reconstruction of a 1.5-cm midline supratip defect.) {href:Single Video Player,role:media-player-id,content-type:play-in-place,position:float,orientation:portrait,label:Video 2.,caption:Dorsal nasal flap. Video 2 from “Commonly Used Flaps for Cutaneous Reconstruction of the Nasal Distal Third”,object-id:[{pub-id-type:doi,id:},{pub-id-type:other,content-type:media-stream-id,id:1_s2qfovod},{pub-id-type:other,content-type:media-source,id:Kaltura}]} It is typically applied to defects cephalad to the tip-defining points and >1 cm from the alar rim.3 However, in selected cases we have successfully used this flap for more distal defects, provided that the flap is designed sufficiently large and is transposed under nominal tension to minimize inadvertent elevation of the nasal-free margins. If indicated, we have also performed concomitant reduction of the nasal dorsum to help achieve this goal (Fig. 1).Fig. 1.: Preoperative (A–C) and 11-month postoperative (D–F) results of the use of a dorsal nasal flap to resurface a large tip defect after resection of a prior skin graft. The patient also had a prominent dorsal hump, which was reduced during reconstruction.For lateral defects involving the nasal ala, the nasolabial flap is a staple in our armamentarium. (See Video 3 [online], which displays alar reconstruction using an interpolated nasolabial flap and articulated alar rim graft.) We perform the nasolabial flap in a staged, interpolated fashion for these defects, with pedicle division performed approximately 3 weeks after the initial transfer. We generally avoid single-stage nasolabial transposition flaps for alar reconstruction because they may efface the alar-facial sulcus, resulting in noticeable aesthetic deformity. Of note, the reconstructed ala typically requires additional structural support to prevent notching and collapse.2 Our preference is to use conchal cartilage as an articulated alar rim graft. (See Video 4 [online], which displays surgical sequence demonstrating conchal cartilage harvest for structural grafting.) {href:Single Video Player,role:media-player-id,content-type:play-in-place,position:float,orientation:portrait,label:Video 3.,caption:Nasolabial flap. Video 3 from “Commonly Used Flaps for Cutaneous Reconstruction of the Nasal Distal Third”,object-id:[{pub-id-type:doi,id:},{pub-id-type:other,content-type:media-stream-id,id:1_u1h1ajbn},{pub-id-type:other,content-type:media-source,id:Kaltura}]} {href:Single Video Player,role:media-player-id,content-type:play-in-place,position:float,orientation:portrait,label:Video 4.,caption:Auricular cartilage. Video 4 from “Commonly Used Flaps for Cutaneous Reconstruction of the Nasal Distal Third”,object-id:[{pub-id-type:doi,id:},{pub-id-type:other,content-type:media-stream-id,id:1_fl0d9b6h},{pub-id-type:other,content-type:media-source,id:Kaltura}]} The paramedian forehead flap is one of the most versatile reconstructive options and can yield excellent aesthetic outcomes, as the skin of the forehead blends suitably with that of the distal nose. (See Video 5 [online], which displays reconstruction of a large, multisubunit defect of the distal nose with a paramedian forehead flap.) It is our reconstructive modality of choice for larger, complex defects—particularly those that traverse nasal subunits. Depending on the reconstructive needs, the flap can be performed in 2 or 3 stages, with the latter incorporating an intermediate stage for additional contouring or structural cartilage grafting.4 {href:Single Video Player,role:media-player-id,content-type:play-in-place,position:float,orientation:portrait,label:Video 5.,caption:Forehead flap. Video 5 from “Commonly Used Flaps for Cutaneous Reconstruction of the Nasal Distal Third”,object-id:[{pub-id-type:doi,id:},{pub-id-type:other,content-type:media-stream-id,id:1_en3eh247},{pub-id-type:other,content-type:media-source,id:Kaltura}]} PATIENT CONSENT The patient provided written consent for the use of his image." @default.
• W3137496786 created "2021-03-29" @default.
• W3137496786 creator A5004676018 @default.
• W3137496786 creator A5027486694 @default.
• W3137496786 creator A5031663964 @default.
• W3137496786 creator A5084500519 @default.
• W3137496786 creator A5085315296 @default.
• W3137496786 creator A5085574894 @default.
• W3137496786 date "2021-03-01" @default.
• W3137496786 modified "2023-10-16" @default.
• W3137496786 title "Commonly Used Flaps for Cutaneous Reconstruction of the Nasal Distal Third" @default.
• W3137496786 cites W2034213303 @default.
• W3137496786 cites W2107245374 @default.
• W3137496786 cites W2172085679 @default.
• W3137496786 doi "https://doi.org/10.1097/gox.0000000000003443" @default.
• W3137496786 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7972663" @default.
• W3137496786 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/33758728" @default.
• W3137496786 hasPublicationYear "2021" @default.
• W3137496786 type Work @default.
• W3137496786 sameAs 3137496786 @default.
• W3137496786 citedByCount "0" @default.
• W3137496786 crossrefType "journal-article" @default.
• W3137496786 hasAuthorship W3137496786A5004676018 @default.
• W3137496786 hasAuthorship W3137496786A5027486694 @default.
• W3137496786 hasAuthorship W3137496786A5031663964 @default.
• W3137496786 hasAuthorship W3137496786A5084500519 @default.
• W3137496786 hasAuthorship W3137496786A5085315296 @default.
• W3137496786 hasAuthorship W3137496786A5085574894 @default.
• W3137496786 hasBestOaLocation W31374967861 @default.
• W3137496786 hasConcept C105702510 @default.
• W3137496786 hasConcept C141071460 @default.
• W3137496786 hasConcept C2777645973 @default.
• W3137496786 hasConcept C2911218161 @default.
• W3137496786 hasConcept C71924100 @default.
• W3137496786 hasConceptScore W3137496786C105702510 @default.
• W3137496786 hasConceptScore W3137496786C141071460 @default.
• W3137496786 hasConceptScore W3137496786C2777645973 @default.
• W3137496786 hasConceptScore W3137496786C2911218161 @default.
• W3137496786 hasConceptScore W3137496786C71924100 @default.
• W3137496786 hasIssue "3" @default.
• W3137496786 hasLocation W31374967861 @default.
• W3137496786 hasLocation W31374967862 @default.
• W3137496786 hasLocation W31374967863 @default.
• W3137496786 hasOpenAccess W3137496786 @default.
• W3137496786 hasPrimaryLocation W31374967861 @default.
• W3137496786 hasRelatedWork W1586374228 @default.
• W3137496786 hasRelatedWork W2002120878 @default.
• W3137496786 hasRelatedWork W2003938723 @default.
• W3137496786 hasRelatedWork W2047967234 @default.
• W3137496786 hasRelatedWork W2118496982 @default.
• W3137496786 hasRelatedWork W2364998975 @default.
• W3137496786 hasRelatedWork W2369162477 @default.
• W3137496786 hasRelatedWork W2439875401 @default.
• W3137496786 hasRelatedWork W4238867864 @default.
• W3137496786 hasRelatedWork W2525756941 @default.
• W3137496786 hasVolume "9" @default.
• W3137496786 isParatext "false" @default.
• W3137496786 isRetracted "false" @default.
• W3137496786 magId "3137496786" @default.
• W3137496786 workType "article" @default.