FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4239975176> ?p ?o ?g. }

• W4239975176 endingPage "359" @default.
• W4239975176 startingPage "358" @default.
• W4239975176 abstract "Sir: I congratulate Dr. Munhoz and colleagues1 on their modification of the central wedge technique, which I reported in 1998.2 I applaud them for emphasizing the importance of preserving the natural labial borders to maintain a normal appearance and to prevent a possibly painful scar. The authors used inferior wedge resection and superior pedicle flap reconstruction to perform a labia minora reduction. Although I agree that a wedge technique is preferable, I do not believe the inferior wedge gives a better result, for several important reasons. Women seeking this operation desire removal of the most bulky and protruding tissue. Removal of an inferior wedge leaves the bulky superior tissue as the labial edge. Often the inferior edge of the labium is the thinnest and least protuberant portion, as illustrated in their Figures 1 and 5. Removal of this area, therefore, is counterproductive. In contrast, a central wedge can be placed to remove the most objectionable portion of each labium. Perhaps the authors chose the superior pedicle as a solution to the difficulty in approximating the thicker upper labium, which is attached to a thick, convoluted, lateral clitoral hood to the thinner inferior labial edge. Approximating the inferior flap to the frenulum extension of the clitoris as it ends at the upper labial edge will solve this alignment quandary. Also, the outer wedge excision should then be curved laterally and anteriorly (“hockey stick”) to excise this redundant lateral labium and excess lateral clitoral hood (if desired by the patient).3 Therefore, the internal and external V excisions are shaped differently, with the intervening subcutaneous tissue preserved while the leading labial edge is precisely re-approximated. Only enough subcutaneous tissue is excised to produce a good cosmetic result. This allows for better subcutaneous closure, which is necessary to prevent wound dehiscence and fistula formation. The hockey stick lateral wedge excision allows for elimination of much of the unsightly lateral hood, which is a major aesthetic and often functional concern for these women; this issue is not addressed by these authors. In addition, the central wedge flaps are extremely healthy, with wide vascular bases that eliminate the tip necrosis problems seen with the superior flap technique. Therefore, a more predictable and better aesthetic outcome results with a central wedge excision combined with a lateral hockey stick V excision. A more detailed description of my technique and results will be forthcoming shortly. Gary J. Alter, M.D. Department of Plastic Surgery UCLA School of Medicine 416 North Bedford Drive, Suite 400 Beverly Hills, Calif. 90210 [email protected]" @default.
• W4239975176 created "2022-05-12" @default.
• W4239975176 creator A5025056370 @default.
• W4239975176 date "2007-07-01" @default.
• W4239975176 modified "2023-09-27" @default.
• W4239975176 title "Aesthetic Labia Minora Reduction with Inferior Wedge Resection and Superior Pedicle Flap Reconstruction" @default.
• W4239975176 cites W1523160789 @default.
• W4239975176 cites W2010722653 @default.
• W4239975176 cites W3146593763 @default.
• W4239975176 doi "https://doi.org/10.1097/01.prs.0000264588.97000.dd" @default.
• W4239975176 hasPublicationYear "2007" @default.
• W4239975176 type Work @default.
• W4239975176 citedByCount "9" @default.
• W4239975176 countsByYear W42399751762012 @default.
• W4239975176 countsByYear W42399751762013 @default.
• W4239975176 countsByYear W42399751762014 @default.
• W4239975176 countsByYear W42399751762016 @default.
• W4239975176 countsByYear W42399751762018 @default.
• W4239975176 countsByYear W42399751762021 @default.
• W4239975176 countsByYear W42399751762022 @default.
• W4239975176 crossrefType "journal-article" @default.
• W4239975176 hasAuthorship W4239975176A5025056370 @default.
• W4239975176 hasBestOaLocation W42399751761 @default.
• W4239975176 hasConcept C105702510 @default.
• W4239975176 hasConcept C111335779 @default.
• W4239975176 hasConcept C120665830 @default.
• W4239975176 hasConcept C121332964 @default.
• W4239975176 hasConcept C141071460 @default.
• W4239975176 hasConcept C159110652 @default.
• W4239975176 hasConcept C2524010 @default.
• W4239975176 hasConcept C2776016352 @default.
• W4239975176 hasConcept C2776053289 @default.
• W4239975176 hasConcept C2776316342 @default.
• W4239975176 hasConcept C2778619298 @default.
• W4239975176 hasConcept C33923547 @default.
• W4239975176 hasConcept C47422493 @default.
• W4239975176 hasConcept C71924100 @default.
• W4239975176 hasConceptScore W4239975176C105702510 @default.
• W4239975176 hasConceptScore W4239975176C111335779 @default.
• W4239975176 hasConceptScore W4239975176C120665830 @default.
• W4239975176 hasConceptScore W4239975176C121332964 @default.
• W4239975176 hasConceptScore W4239975176C141071460 @default.
• W4239975176 hasConceptScore W4239975176C159110652 @default.
• W4239975176 hasConceptScore W4239975176C2524010 @default.
• W4239975176 hasConceptScore W4239975176C2776016352 @default.
• W4239975176 hasConceptScore W4239975176C2776053289 @default.
• W4239975176 hasConceptScore W4239975176C2776316342 @default.
• W4239975176 hasConceptScore W4239975176C2778619298 @default.
• W4239975176 hasConceptScore W4239975176C33923547 @default.
• W4239975176 hasConceptScore W4239975176C47422493 @default.
• W4239975176 hasConceptScore W4239975176C71924100 @default.
• W4239975176 hasIssue "1" @default.
• W4239975176 hasLocation W42399751761 @default.
• W4239975176 hasLocation W42399751762 @default.
• W4239975176 hasOpenAccess W4239975176 @default.
• W4239975176 hasPrimaryLocation W42399751761 @default.
• W4239975176 hasRelatedWork W1552164330 @default.
• W4239975176 hasRelatedWork W2080161523 @default.
• W4239975176 hasRelatedWork W2100392447 @default.
• W4239975176 hasRelatedWork W218495411 @default.
• W4239975176 hasRelatedWork W2899338829 @default.
• W4239975176 hasRelatedWork W2955478558 @default.
• W4239975176 hasRelatedWork W3041373161 @default.
• W4239975176 hasRelatedWork W3042034212 @default.
• W4239975176 hasRelatedWork W4245621334 @default.
• W4239975176 hasRelatedWork W4246583673 @default.
• W4239975176 hasVolume "120" @default.
• W4239975176 isParatext "false" @default.
• W4239975176 isRetracted "false" @default.
• W4239975176 workType "article" @default.